ears PEDS Flashcards
1
Q
when do the ears develop?
A
5th week gestation
2
Q
when can the organ of corti be damaged? what can it cause?
A
- maternal rubella in first trimester
- hearing loss
3
Q
why are infants at greater risk for otitis media?
A
- eustachian tube is shorter and wider
- pathogens cannot travel very well
- lumen can be easily occluded around lymph tissue
4
Q
history
A
- ear infections?
- ear tubes?
- tonsils removed?
- smokers at home?
- child care outside home?
- bottle or breast fed?
- hearing okay?
- startle to loud noises?
- putting things in ears?
- when the child started talking and is it understandable
- playing contact sports?
- hearing tests or loss?
5
Q
when should you do otoscopic examination? what should you make sure that you do?
A
- last
- hold their head in place to protect their tympanic membrane
6
Q
which way do you pull the pinna?
A
down and back under 3 years
7
Q
when do you first examine the tympanic membrane?
A
few days old
8
Q
how is the tympanic membrane different from an adults? what age does it change?
A
- more horizontal
- 1 month
9
Q
what do you use a pneumatic bulb for?
A
- attach to a syringe
- give a off of air
- will help visualize TM
10
Q
how do you test for hearing acuity? what should be response for newborn? 3-4 months? 6-8 months? preschool and school age?
A
- hand clap
- startle (acoustic blink) and moro reflex
- acoustic blink and appears to listen
- turns to localize sound and responds to own name
- screen with audiometry
11
Q
hearing loss behavioral manefestations?
A
- inattentive in casual conversation
- reacts more to movement and facial expression than sound
- get puzzled look on their face
- asks for statments repeated
- confuses words that sound alike
- speech problem
- shy
- frequently complains of earache
