A test of 10 mm is considered positive and should necessitate further evaluation and treatment. A urinalysis dipstick. Diphtheria and Tetanus antibodies may be done if vaccines were given to verify immunity. In many countries, the health care for these children is marginal. Early intervention with children with hearing impairment is necessary to ensure proper language development and hearing augmentation, so it is helpful to have this screen done soon after arrival home, preferably once all ear infections have been treated.
Crossed eyes is a common problem in institutionalized children.
In many countries there is no knowledge of birth history, so it is not known if the birth mother had any infections that could compromise the child's vision long term. Similarly, a family history of eye problems is not known, so the ophthalmologist should screen for any hereditary eye problems. A developmental screen is recommended to evaluate a child's developmental level at the time of her arrival home. In some states this information may be useful in helping a family to qualify for a special needs adoption subsidy. These agencies, often associated with the local county Board of Mental Retardation and Developmental Disabilities, include a program known as Early Intervention.