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?
a. Perform the cover-uncover test.
b. Document it as an expected finding at this age.
c. Document abnormal function of cranial nerves IV (trochlear) and VI (abducens).
d. Refer the infant to an ophthalmologist.
ANS: B
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