child health

Question 1

Otitis media findings:

Answer 1

Fever and ear pain
(tugging at the ears) can indicate otitis media.

Question 2

Tympanostomy tubes:

Answer 2

Teach caregivers that
tympanostomy tubes are expected to fall out
within 2 years of placement. Notify the HCP when they fall out, but this is not an emergency.

Question 3

Otitis media prevention:

Answer 3

To prevent otitis
media, avoid exposure to secondhand smoke, and do not prop bottles or let infants
take bottles to bed.

Question 4

Conjunctivitis:

Answer 4

Bacterial conjunctivitis is
contagious and causes eye redness, purulent
discharge, and crusting. Teach caregivers to use strict hand hygiene and avoid sharing
towels to prevent spread.

Question 5

Strabismus:
Misalignment of the eyes
(“cross-eyed”)
Transient strabismus is an expected finding in the
first 4 months of life.

Answer 5

To correct strabismus, cover the stronger eye with a patch to strengthen the weaker,
affected eye muscles.

Question 6

Assessment findings

Answer 6

misalignment
Frequent squinting or head tilting
Double vision (diplopia)
Frequent headaches

Question 7

Nursing considerations

Answer 7

Report strabismus to the HCP to prevent progression to amblyopia (“lazy eye”).
Amblyopia can cause permanent vision loss in the misaligned eye if not corrected early.