The primary care pediatric nurse practitioner performs a vision screen on a 4
monthold infant and notes the presence of convergence and accommodation with mild esotropia of the left eye. What will the nurse practitioner do?

Question

The primary care pediatric nurse practitioner performs a vision screen on a 4­
month­old infant and notes the presence of convergence and accommodation with mild esotropia of the left eye. What will the nurse practitioner do?

Quizplus · Accepted Answer

The presence of mild esotropia at 4 months old is concerning and requires further evaluation by a pediatric ophthalmologist. Patching the right eye, reassurance, or waiting to recheck in a few weeks are not appropriate interventions in this case. Early intervention is important for the best visual outcomes for the infant.

The Primary Care Pediatric Nurse Practitioner Performs a Vision Screen