Week 2 Flashcards
what is the gold standard for test battery in peds.
both ears, specific frequency and speech
objective measurements
ABR
OAE
imminence measures
behavioural measures
audiometry (CRA VRA) case history, otoscopy
how do we decide which children to test?
- failed screening
- at risk
- parents concerns
- developmental delays related to auditory or speech development
before a pediatric appointment what should you do
develop rapport
determine why child came in (ex., failed screening)
- determine developmental age
- get idea of hearing levels
what are the names of different risk factor categories
group 1
group 2
group 3
prenatal information
illness during pregnance
- exposure to viral diseases during pregnancy
- drugs taken during pregnancy
- trauma during pregnancy
birth history
term of pregnancy
birth weight (Apgar score)
physical defects
ototoxic drugs
viral exposure
child development is made up of 2 things
physical history (ex., cleft lip, hospitilzations) and developmental history (ex., first walked, sat up)
at what developmental age does a child smile and coo
2 months
at what developmental age does a child build towers of blocks
18 months
at what developmental age does a child raise head from surface
1 month
at what developmental age does a child sit momentarily without support
7 months
at what developmental age does a child say mama or dada
9 months
at what developmental age does a child follow a moving object
3 months
at what developmental age does a child hold head erect
3 months
at what developmental age does a child laugh
4 months
at what developmental age does a child turn over
6 months
at what developmental age does a child run
24 months
at what developmental age does a child sit steadily for 5 mins
8 months
at what developmental age does a child turn towards sound
6 months
at what developmental age does a child walk by self
15 months
at what developmental age does a child say 6 words
18 months
at what developmental age does a child walk up and down stairs holding rail
24 months
at what developmental age does a child transfer object between hands
7 months
at what developmental age does a child pulls up to side of crib
10 month
at what developmental age does a child cruise around in playpen or crib
11 months
at what developmental age does a child wave bye
12 months
at what developmental age does a child holding furniture walk
11 months
at what developmental age does a child 2 word vocab
12 months
at what developmental age does a child points at things they want
15 months
at what developmental age does a child express self in 2 word sentences
24 months
at what developmental age does a child jump lifting both feet off ground
2 1/12 years
at what developmental age does a child follow 3 commands
5 years
at what developmental age does a child point to parts of body
2 1/2 years
at what developmental age does a child stand on one foot
4 years old
at what developmental age does a child know name
3 years
at what developmental age does a child copy circle
3 years
at what developmental age does a child copy square
5 years old
at what developmental age does a child use past tense properly
4 years
principles of pediatric assessment
- simple, flexible and age appropriate
- individualized and timely
-freq. and ear specific
-middle &inner ear eval. - signals calibrated (re spectrum and level)
- 2k then 500 then 4K then 1
behavioural observation 0-6months
present sounds and watch reactions
- not recommended for assessment, prelim screen only
- hard to eliminate tester bias
what response do you expect at 0-6weeks
eyes widening, blinking, startle
what response do you expect at 6 weeks- 4 months
eyes widening, shifting, start head turn at 4m
what response do you expect at 4-7 months
head turn on lateral plane toward sound
what response do you expect at 7-9 months
direct localization of sounds to side and indirectly below ear level
what response you would expect at 9-13months
direct localization of sounds to side and directly below ear level, indirectly above
what response you would expect at 13-16 months and 16-24 months
direct localization of sounds on side above and below