peds

Question 1

development

Answer 1

social behavior, attention, language abilities, context self regulation

Question 2

effects of motor function

Answer 2

organic factors-vestib
sensory deprivation - vocal play
language deprivation - reheard plan language
emotional factors - overprotecting or neglect

Question 3

effects on speech

Answer 3

acoustic patterns of speech contain cues for motor actions, have trouble breaking down patterns, more on the syllable or phoneme level

Question 4

candidacy eval domains

Answer 4

audiologist
speech eval
ent
opthalmology
social worker

Question 5

audio eval

Answer 5

ABR, ASSR, Tympanometry
OAEs, behavioral testing (BOA, VRA CPA)
Hearing aid eval - aided thresholds in sound field and speech testing

Question 6

speech eval goals

Answer 6

provide baselines of speech and language skills ,uncover obstacles for acquistiiton,
overall profile.
acticulation and intelligibility but also oral motor exam (low muscle tone?)

Question 7

other factors for speech eval

Answer 7

family support, school environment and modality

Question 8

internal factors

Answer 8

age of child /age of implant
duration and age amplification introduced
severity of hearing loss prior to CI
primary communication mode
language and Cog, nonverbal IQ
auditory benefit from CI

Question 9

external factors

Answer 9

primary communication mod at school nd of the family

support, follow through and expectations

Question 10

2 important starting factors

Answer 10

child’s development and language level

Question 11

auditory skills pyramid

Answer 11

Level 1 awareness
Level 2 suprasegmental discrimination and association - tone and meaning
Level 3 segmental association and identification - consonants and vowels similar works (boat bat)
Level 4 identification - vocab, repeating words
Level 5 processing and comprehension - open ended conversation

Question 12

level 1 auditory skills pyramid

Answer 12

Level 1 awareness

Question 13

level 2 auditory skills pyramid

Answer 13

Level 2 suprasegmental discrimination and association - tone and meaning
yelling is mad

Question 14

level 3 auditory skills pyramid

Answer 14

Level 3 segmental association and identification - consonants and vowels similar works (boat bat)

Question 15

level 4 auditory skills pyramid

Answer 15

Level 4 identification - vocab, repeating words

Question 16

level 5 auditory skills pyramid

Answer 16

Level 5 processing and comprehension - open ended conversation

Question 17

language skills pyramid

Answer 17

level 1 - word approximation 
level 2 - word production 
level 3 - connected utterances
level 4 - simple sentences
level 5 - expanded sentences
level 6 - complex sentences

Question 18

tips for listening at home

Answer 18

Model a hearing response
engage in vocal play
face to face 3 feet
consistent labels
describe actions and interests
provide words for your child's wants need and intended messages

Question 19

ABC model

Answer 19

A - auditory oral/verbal communicator
b - both auditory/oral communicator with visual assist
c- complimentary, auditory verbal skills assist primary visual communication
d - does not benefit

Question 20

outcomes - A

Answer 20

commensurate 
on track with typical peers
mainstream with minimal support
deafness is only diagnosis
language is good, appropriate support, early implant

Question 21

outcomes B

Answer 21

capable
can learn auditory oral but is slower to process and needs intensive support, may be mainstream but may be specialized.
deafness is not the only challenge, language and learning abilities or later implanted.

Question 22

outcomes c

Answer 22

challenged
poor access of auditory signal from CI may require multi modality communication strategies
def not mainstream
deafness is not the main diagnosis

may never have used ha

Question 23

mapping checklist

Answer 23

equipment check
usage problems/environments
-----how is school going, classroom? FM use, speech therapy?
concern from parent or patient
mapping 
testing
hearing aid adjustment 
unaided testing? 
recommendations

Question 24

follow up testing

Answer 24

verify map settings
record of progress
ling 6 
basic audio 
open set speech (hint, CNC, ESP)
it Mais