Which observation may indicate visual concerns in infants?

• A. Inconsistent crying patterns
• B. Excessive blinking
• C. Reduced eye contact
• D. May not display typical attachment behaviors

Answer: (D)

Visual engagement is a key indicator of early visual function. When an infant has a visual concern, they often do not maintain or initiate steady eye contact with caregivers or objects, reflecting a potential difficulty in seeing or tracking. This is the most direct observation linking vision to behavior in infancy. Inconsistent crying patterns can arise from many factors and do not specifically signal vision problems. Excessive blinking may occur with eye irritation or dryness but is not a definitive marker of visual impairment in a young infant. May not display typical attachment behaviors relates more to social-emotional development and parent–child interaction; while vision can influence social engagement, this sign is not as specific to vision as reduced eye contact.