Why hearing is important in children

Question 1

Hearing loss is a ____ _____ ____ disability

Answer 1

silent developmental hidden

Question 2

approx 12,000 new babies w/ hearing loss are

Answer 2

identified each year

Question 3

another 4,000 to 6000 infants and young children between birth and 3 years of age who had passed the new born hearing screening test acquired

Answer 3

late onset hearing loss

Question 4

Know some risk factors for hearing loss

Answer 4

family history of hearing loss
genetic disorders or syndromes

Question 5

Why hearing is important?

Answer 5

speech and language development is critical and is considered as a prerequisite for cognitive development suggesting that appropriate intervention is crucial to facilitate this process

Question 6

deaf children born into hearing family, in absence of intevention

Answer 6

• does not learn to interpret sound patterns
• does not learn to produce sounds of spoken language around him/her
• unable to hear speech
• unable to acquire spontaneous language

Question 7

what is the role of pediatric audiologists?

Answer 7

prevent
evaluate
intervene

Question 8

What are the 5 core audiological services

Answer 8

hearing screening
objective testing
behavioral testing
amplification
aural rehabilitation

Question 9

challenges in pediatric audiology (6)

Answer 9

• identifying hearing loss early
• understanding the impact of minimal or unilateral hearing loss
• accurately assessing hearing thresholds
• providing effective counseling to caregivers
• minimizing the effects of auditory handicap
• ensuring proper follow up for hearing impaired patients

Question 10

any undetected hearing loss of any degree can have a significant impact on ?

Answer 10

speech, language, cognitive, and psychosocial development

Question 11

Impact of mild hearing loss:

Overall impact

Answer 11

communication, language learning, and educational achievement are affected

Question 12

Impact of mild hearing loss:

Perception of speech sounds

Answer 12

vowel sounds are heard clearly but voiceless consonants may be missed. The louder voiced speech sounds are only heard. The short unstressed words and less intense speech sounds (such as voiceless stops and fricatives) are inaudible

Question 13

Impact of mild hearing loss

Educational and behavioral impacts

Answer 13

in children with this degree of hearing loss auditory learning dysfunction may result in inattention, classroom behavior problems and possible mild language delay and speech problems

Question 14

Impact of moderate hearing loss

speech perception

Answer 14

miss most conversational speech sounds, vowels are heard better than consonants. Short unstressed words and word ending (-s,-ed) are particularly difficult to hear

Question 15

impact of moderate hearing loss

communication confusion

Answer 15

reduced auditory cues can lead to confusion in distinguishing speech sounds and word meanings

Question 16

impact of moderate hearing loss

speech articulation

Answer 16

speech articulation often characterized by omission and distortion of consonants, strangers may have difficulty understanding their speech

Question 17

Impact of moderate hearing loss

behavioral and learning impacts

Answer 17

may demonstrate behavioral problems, inattention, language delay, speech problems, and learning problems

Question 18

impact of severe hearing loss

speech and language development

Answer 18

language and speech do not develop spontaneously without intervention .

With early intervention, proper fitted hearing aids, and specialized education, children achieve significant functional improvement

Question 19

impact of severe hearing loss

auditory perception without amplification

Answer 19

cannot hear typical sounds or normal conversation, can hear distorted self vocalization, very loud environmental sounds, and only the most intense speech at close range

Question 20

Impact of severe hearing loss

more challenges

Answer 20

significant language problems speech problems and associated educational problems

Question 21

impact of profound hearing loss

language and speech delays

Answer 21

severe language delays, speech problems, and potential learning dysfunction without intervention. Intensive special education with powerful hearing aids or cochlear implants is essential for language and speech development

Question 22

impact of profound hearing loss

auditory perception without intervention

Answer 22

cannot hear or understand sounds, amplification is critical. Early detection and treatment significantly improve outcomes

Question 23

impact of profound hearing loss

speech characteristics

Answer 23

speech often includes issues with voice, articulation, resonance, and prosody. Vocal pitch may be higher, with a monotone quality due to lack of intonation and stress

Question 24

communciation

Answer 24

vocabulary
sentence structure
speaking

Question 25

academic achievement affected

Answer 25

especially reading and mathematical concepts

Question 26

academic achievement affected children with mild to moderate

Answer 26

achieve one to four grade levels lower than their peers with normal hearing, unless appropriate managements occurs

Question 27

academic achievement children with severe to profound hearing loss

Answer 27

usually achieve skills no higher than the third or fourth grade level, unless appropriate educational intervention occurs early

Question 28

academic achievement affected the gap in academic achievement between children with normal hearing and those with hearing loss usually

Answer 28

widens as they progress through school

Question 29

social functioning

Answer 29

report isolated, without friends, and unhappy with school when socialization with other children with hearing loss is limited more frequent in children with mild to moderate hearing loss than those with severe to profound

Question 30

economic burden

Answer 30

medical and audiological expenses education and training expenses special living expenses lifetime loss of income considerations

Question 31

many children have difficulties in large social settings, they cannot attend to multiple simultaneous conversations especially

Answer 31

in background noise

Question 32

joining an existing group of peers and maintain play behaviors with them is

Answer 32

socially challenging

Question 33

deaf children often have inadequate concept of how others

Answer 33

think and feel

Question 34

minimal hearing loss is

Answer 34

broad, severity and configuration are also important

Question 35

unilateral hearing loss

Question 36

bilateral SNHL

Question 37

High frequency SNHL

Question 38

Prevalence studies showed that by the time children reach school age, the prevalence of minimal hearing loss increases from approx

Answer 38

0.03% to about 1% to 14

Question 39

do current OAE and ABR technology distingusih between normal and mild hearing loss?

Answer 39

NO

Question 40

the configuration of loss in some hearing impaired ears could result in screening ABR and OAE results that are

Answer 40

indistinguishable from normal hearing ears

Question 41

manfactuer provided pass fail criteria are often insufficent to determine the validty of specific pass fail criteria and automated screening algorithims

Answer 41

true

Question 42

hearing screening programs do not target minimal and mild degrees of hearing loss, these children are not likely to

Answer 42

be referred for diagnostic evaluations

Question 43

what percentage of children either repeat a grade or need resource support in school increased behavioral and linguistic problems compared to hearing controls

Answer 43

50%

Question 44

children with minimal SNHL experienced more difficulty than NH children on a series of educational and functional test measures

Answer 44

true

Question 45

relation to educational performance and functional status

Answer 45

parental uncertainty related to amplification recommendations considerable delay between confirmation of hearing loss and ultimate fitting of hearing aids