Which of the following should a medical assistant plan to assess at a well-child visit for a 2-month-old infant?
Snellen chart testing
Growth chart mapping
Autism spectrum disorder screening
D Denver II Developmental Screening Test
The Correct Answer is B
A. Snellen chart testing: Snellen chart testing is used to assess visual acuity in older children, not infants.
B. Growth chart mapping: This is correct. Growth chart mapping is a standard assessment for infants to monitor their physical development.
C. Autism spectrum disorder screening: Autism screening typically begins around 18 months, not at 2 months of age.
D. Denver II Developmental Screening Test: The Denver II is used to assess developmental milestones in children, but it is typically performed later, not at 2 months.
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Correct Answer is A
Explanation
A. Near visual acuity: Hyperopia, or farsightedness, affects the ability to see objects up close. Testing near visual acuity assesses how well a patient can see objects at a close range.
B. Ishihara: The Ishihara test is used for detecting color vision deficiencies, not hyperopia.
C. Snellen chart: The Snellen chart tests distance vision and is more useful for assessing nearsightedness (myopia) rather than farsightedness (hyperopia).
D. Tonometry: Tonometry measures intraocular pressure to assess for glaucoma, not hyperopia.
Correct Answer is C
Explanation
A. Add thixotropic gel to the tube after venipuncture: Thixotropic gel is used in specific tubes for separating serum or plasma from blood cells and should be added during the manufacturing process, not after venipuncture.
B. Place the tubes in the centrifuge to chill after venipuncture to separate blood cells: Tubes should not be chilled before centrifugation unless specified by the test requirements. Most tubes are centrifuged at room temperature.
C. Invert additive tubes multiple times after filling the tube: Inverting additive tubes multiple times ensures proper mixing of the additive with the blood, which is crucial for accurate test results.
D. Mix the anticoagulant in the tube after filling the tube: The anticoagulant should be mixed by inverting the tube immediately after filling it, not after the fact.