Eyes, Ears, and Oral Cavity

Eyes, Ears, and Oral Cavity ( 5 Questions)

Question 1 :

A nurse is assessing a newborn’s eyes.

The nurse should identify that which of the following is an expected finding?



Correct Answer: B

The newborn has a red reflex in both eyes. This is an expected finding that indicates the absence of cataracts or other eye abnormalities. The red reflex test is performed by using an ophthalmoscope to shine a light into the baby’s eyes and observing the reflection.

The newborn has blue or gray eyes at birth: This statement is wrong because eye color can vary at birth and may change over time. Eye color is determined by the amount and distribution of melanin in the iris.

The newborn has a nystagmus when looking to the side. This statement is wrong because nystagmus is an abnormal eye movement that can indicate a neurological problem or a visual impairment.

The newborn has a strabismus when focusing on an object. This statement is wrong because strabismus is a misalignment of the eyes that can cause amblyopia (lazy eye) or double vision. Strabismus may be present at birth or develop later in life.


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