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Eye&Ear Problems Pediatrics Flashcards | StudBud
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Eye&Ear Problems Pediatrics
Eye&Ear Problems Pediatrics
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N210
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1
Eyes turn away from the midline, occurs most often when child attempts to focus on a distant object.
Convergent
Exotropia
Comitant
Esotropia
2
Infants and children have eustachian tubes that are shorter, wider, & straighter, making them more prone to
Otitis Media
Spontaneous symptoms
Tenderness of the pinna
Swimmer's ear
3
To administer ear medications to a child younger than 3 years
Pull the pinna back and down
Pull the pinna up and back
Pull earlobe back and up
Pull the earlobe down and back
4
For a child older than 3 years, administer ear medications
Pull the earlobe back and up
Pull the pinna down and back
Pull the earlobe down and back
Pull the pinna up and back
5
Standardized chart with letters H, O, T, & V in graduated sizes. Children 3-6yr at 10 ft.
Ishihara Chart
Snellen Chart
HOTV Chart
Lea Chart
6
A small electronic device surgically implanted into the cochlea, delivering electrical stimulation to the inner ear is a
Sentence enhancer
Titanium echo
Hertz less
Cochlear implant
7
A child dx: Bacterial Conjunctivitis. Which statement by the parent, indicates a NEED for Further Teaching?
I need to clean the eye as prescribed
It is okay to share towels and washcloths
I need to give the eye drops as prescribed
I need to was my hands frequently
8
Hearing test in an infant younger than 4 months, may demonstrate what kind of response to loud sound
screaming
turn head to find sound
startle reflex
crying
9
Why are Tympanoplasty tubes inserted to middle ear ?
Equalize pressure
Promote drainage of purulent middle ear fluid
Keep the ear aerated
Antibiotic therapy
10
Frequent eye crossing after what age is considered abnormal and indicates strabismus
3 months
6 months
1 year
2 months
11
A myringotomy is the insertion of
Muscles into the inner ear
Tympanoplasty tubes into the middle ear
Extraocular muscles to coordinate eye movement
Aerated tubes into the child's ears
12
Atropine (a cycloplegic) paralyzes the ciliary muscles to dilate the eye and is most often used to
Blur the vision in the stronger eye
Improve Bilateral visual aquity
Treat the visual cortex
Decrease instance of infection
13
Which observation indicates presence of Strabismus?
Child consistently tilts the head to see
Child does not respond when spoken to
Child consistently turns head to hear
Child has difficulty hearing
14
Preschool and school-age hearing is tested with an
Audiometer
Insufflation bulb
Otoscope
Assessment
15
The babbling phase begins at
2-3 months
4-6 months
7 months
1 month
16
A chart with four different symbols. Used for preschool-aged children at a distance of 10 ft.
Vision chart
Lea Chart
Snellen Chart
Smartchart
17
A condition in which the eyes are not aligned d/t lack of coordination of the extraocular muscles
Amblyopia
Blocked duct
Strabismus
Diplopia
18
Most common type of strabismus w/infants, can occur w/hyperopia, eyes compensate for refractive error by overconvergence
Exotropia
Phoria
Esotropia
Divergent
19
Bacterial Conjunctivitis is highly _____, & Nurse should teach _____ _____ measures.
Infectious, Infection Control
Contagious, Infection Control
Inflammatory, Effective Care
Strategic, Event Query
20
A blocked lacrimal (tear) duct is characterized by
(Epiphora) excessive tearing
(Myopia) nearsightedness
Astigmatism
Crusting on the eyelids on awakening
21
Nurse planning to perform peripheral vision test on a child. Which actions should the nurse take?
Show a set of cards to the child one at a time
Have child focus on an object while performing the test
Cover child's eye while performing test on the other eye
Place child 10 ft away from a Snellen chart
22
Lacrimal massage for a blocked tear duct, instruct parent to gently massage in what direction
sideways
backward
upward
downward
23
The first words appear at approximately
13-14 months
6 months
10-12 months
8 months
24
Nurse assessing toddler for possible hearing loss. Which findings indicate hearing impairment?
Appears shy
Speaks loudly
Uses monotone speech
Repeats sentences
25
What is used to test visual aquity & screen for amblyopia
Autorefractoring
Photoscreening
Crowding Bars
Light reflex
26
To help prevent Otitis Media, Infants should be fed
with a bottle only
sitting up in a highchair
laying flat on a bed
in an upright position to avoid reflux
27
Types of Conjunctivitis include
Organic or Inorganic
Chronic or Acute
Primary or Secondary
Viral, Bacterial, or Allergic
28
Development of the eye is not complete at birth, but newborn is able to
Fixate
follow an object to midline
react to a change in intensity of light
see color
29
Permanent loss of vision from amblyopia (Lazy eye) can result if condition is untreated in a child younger than
2 years
3 years
4 years
6 years
30
Priority action for a nurse caring for a toddler who has acute otitis media
Educate the family on care of the child
Administer analgesics
Provide emotional support to the family
Provide a diversional activity
31
By 4 months of age, the infant can recognize familiar objects and
Binocularity is developed
Blink
follow greater than 180 degrees
size of orbits doubles
32
Three ear infections in the past 5 months, puts a toddler at risk for developing what long-term complication
Balance difficulties
Speech delays
Mastoiditis
Rash
33
A standardized chart with graduated letters for testing far vision of children older than 6yrs at 20 ft.
Snellen Chart
Smartchart
Lea Chart
Pediatrics Chart
34
Strabismus is a condition in which the
Ear drum is damaged
Eyes can not see clearly
Ears have wax build up
Eyes are not aligned
35
First sentences appear at approximately
10 months
1 year old
13 months
18 months
36
An inflammatory disorder caused by an infection of the middle ear
Acute Otitis Media
Viral Tonsillitis
Chlamydial Conjunctivitis
Chronic Epitaxis Stasis
37
Pseudoisochromatic test is used to detect
Hyperopia
Colorblindness
Refractive errors
Lazy eye
38
Type of hearing loss of the outer or middle ear affected by damage, inflammation, or obstruction
Central
Mixed
Sensorineural
Conductive
39
Colorblindness interferes with the ability to distinguish between the colors
Red, White, and Blue
Blue, Green, and Yellow
Red, Yellow, and Blue
Red, Blue, and Green
40
Device that has been successful with conductive and mixed hearing loss is a
Cochlear implants
Auditory Emission
Bone conduction hearing device
Audiometer
41
A series of polychromatic cards with pattern of dots printed against background of many-colored dots. Age 4-6yrs.
Smartchart
Ishihara chart
Snellen Chart
Lea Chart
42
Dx: Acute Otitis Media of the right ear. Plan of care interventions should include
Administer antihistamine twice daily
Irrigate right ear with normal saline Q 8 Hours
Provide a soft diet
Administer Ibuprofen for Fever Q 4 Hours PRN and as prescribed
43
S/Sx: of Strabismus in children include
Impairment of depth perception
Crossed eyes
Diplopia
Frequent swallowing
44
Assessing child w/ myopia. Which findings should the nurse expect?
Poor school performance
Difficulty reading
Difficulty focusing on close objects
Headaches
45
Due to pain and pressure of acute otitis media, an infant will
show increased senitivity to sound
lay in supine position
roll their head side to side
Increase their appetite
46
Initial care for chemical splash injury to the eye focuses on immediate irrigation (to prevent further injury) using
Hydrogen peroxide
Water or Saline
Cool washcloths
Soap and water
47
Inflammation of the external auditory canal, which can occur with or without infection is
Otis Redding
Externa Audio
Otitis Externa
Otitis Extra
48
Type of hearing loss that is a result of damage or malformation of structures of the inner ear &/or auditory nerve
Sensorineural
Conductive
Central
Mixed