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As a school nurse conducting vision screening for a 6-year-old child, you would refer the child to a specialist if the visual acuity in both eyes is option D) 20/50.
Visual acuity is typically measured with a fraction, where the numerator represents the test distance (20 feet), and the denominator represents the distance at which a person with normal vision can read the same line of letters. In this case, a visual acuity of 20/50 means that the child can see at 20 feet what a person with normal vision can see at 50 feet.
A visual acuity of 20/50 indicates a significant visual impairment in both eyes, suggesting that the child may have an underlying vision problem that requires further evaluation and intervention. It's crucial to catch such issues early to ensure the child's visual development and academic performance are not negatively affected, making a referral to a specialist the appropriate course of action.
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