In assessing the eyes of a 4-month-old infant, a nurse shines a penlight in the infant's eyes and notices that the light reflection is not in the same location in each eye. What is the nurse's most appropriate response to this finding?

Question

Quizplus · Accepted Answer

Transient strabismus is common during the first few months of life due to a lack of binocular vision. If it continues after 6 months of age, however, a referral to an ophthalmologist is needed. Performing the cover-uncover test is not indicated unless there is asymmetric light reflex after 6 months of age. The data do not support this interpretation. Referral is not needed unless the finding is present after the infant is 6 months old.

In Assessing the Eyes of a 4-Month-Old Infant, a Nurse