High School

During a well-child exam on a 4-year-old child, the primary care pediatric nurse practitioner notes that the clinic nurse recorded "20/50" for the child’s vision and observed that the child had difficulty cooperating with the exam. What will the nurse practitioner recommend?

A. Follow up with a visual acuity screen in 6 months.
B. Refer to a pediatric ophthalmologist.
C. Retest the child in 1 year.
D. Test the child’s vision in 1 month.

Answer :

"The correct option is b) Refer to a pediatric ophthalmologist.

  • When a child's vision is recorded as ""20/50,"" it indicates that the child can see at 20 feet what a person with normal vision can see at 50 feet. This suggests that the child has reduced visual acuity compared to the norm for their age.
  • The fact that the child had difficulty cooperating with the exam could have contributed to the less accurate measurement, but it does not negate the need for further evaluation.
  • Given the child's age and the concerning finding of reduced visual acuity, it is important to address this issue promptly. Early detection and treatment of vision problems in children are crucial for preventing long-term visual impairment and ensuring normal visual development.
  • Here's the rationale for the recommended action:
  • a) Follow up with a visual acuity screen in 6 months: This option may not be appropriate because a delay of 6 months could be detrimental if the child has a vision problem that requires intervention.
  • b) Refer to a pediatric ophthalmologist: This is the most appropriate action because a pediatric ophthalmologist specializes in diagnosing and treating visual disorders in children. They have the expertise to perform a comprehensive eye exam, which is necessary to accurately assess the child's vision and identify any potential issues that could be affecting their visual development.
  • c) Retest the child in 1 year: This option allows too much time to pass before addressing a potential vision problem. Delaying the evaluation could miss a critical period for effective treatment.

Answer:

Test the child's vision in 1 month.

Explanation:

Eyes is one of the most important sense organ of the body that helps the organism to visualize the things. The vision of the organism may change due to the weakening of ciliary muscle or any other medical conditions.

The nurse has noticed that child has 20/50" for the child’s vision and feels difficulty in exam. The nurse should provide treatment to the child. Proper spectacles and diet should be accessed to child to improve his vision. She again attend the child after one month and must check the child's vision in one month.

Thus, the correct answer is option (d).