The nurse will begin screening babies for strabismus at 3 to 6 months of age. A parent asks the nurse why this screening is being done at this early age. Which of the following is the nurse's best response?

a. Surgery needs to be done before the child is 1 year old if he or she has strabismus.
b. This is the best time to begin the eye exercises if strabismus is present.
c. Identification of strabismus requires a regimen of vitamin E to be started early.
d. The longer a child has uncorrected strabismus, the more vision loss he or she tends to have.


D

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A Incorrect. Screening babies for strabismus at 3 to 6 months of age is not done because surgery needs to be done before the child is 1 year old.
B Incorrect. Screening babies for strabismus at 3 to 6 months of age is not done because this is the best time to begin the eye exercises.
C Incorrect. Screening babies for strabismus at 3 to 6 months of age is not done because treatment requires a regimen of vitamin E to be started early.
D Correct. Screening for strabismus should begin at 3-6 months of age because the longer a child has uncorrected strabismus, the more vision loss he or she tends to have. In strabismus then one eye deviates (moves upward, inward, or outward), the brain is unable to fuse the dissimilar-similar images and double vision results. The brain will learn to suppress the image from the deviated eye to allow clear sight in the straight eye. The earlier suppression begins and the longer it is allowed to continue, the more permanent the loss of vision.

Nursing

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