Moderate

During a routine newborn examination, no red reflex is seen in one eye. What is the nurse's best action?

Correct answer: C. Arrange prompt assessment for an eye disorder

  • A. Document it as a normal newborn variation
  • B. Cover the eye and reassess at six weeks
  • C. Arrange prompt assessment for an eye disorder
  • D. Clean the eye with saline and repeat tomorrow

Explanation

An absent or abnormal red reflex may indicate cataract or another serious eye condition and needs prompt specialist assessment. It should not be dismissed or delayed as a routine variation.

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About Neonatal Nursing

Neonatal nursing covers the newborn’s transition to extrauterine life, Apgar assessment, thermoregulation, breastfeeding, cord care, routine examination and prevention of infection. It also includes care of premature or low-birth-weight infants, neonatal jaundice, hypoglycaemia, respiratory problems and danger signs requiring urgent referral.

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