Pediatric Amplification Midterm
What is hearing loss in children considered? - ANS An emergency! (neurodevelopmental emergency)
What is the most frequently identified congenital condition at birth? - ANS Hearing loss
What does hearing loss negatively affect? - ANS Speech, language, academic, emotional, and
psychosocial development
What helps foster neural connections? - ANS Hearing assistive devices
When is neuroplasticity best? - ANS first 3.5 years of life
Auditory centers of the brain need to be __________ or will reorganize themselves for other sensory
input. - ANS stimulated
What was the average age to be identified for hearing loss (before NBHS)? - ANS 2 years
EHDI Guidelines - ANS 1- Screening
3- Diagnosis
6-Early intervention
What are barriers to the EHDI guidelines? - ANS Middle ear status, parent denial, comorbidities,
access to care, cost
What can an audiologist do to overcome EHDI guideline barriers? - ANS
Why is early intervention not early enough? - ANS Cumulative auditory experience (begins in a
mother's womb)
What are malleable factors? - ANS Things you can change
, Malleable factors examples - ANS speech and sound quality through amplification, duration and
consistency of hearing aid use, quality and quantity of linguistic input in the child's environment
What are non-malleable factors? - ANS Things we cannot change
Non-malleable factors examples - ANS Additional disabilities, family socio-economic status, degree
of hearing loss, age of intervention
What percentage of children with hearing loss have additional disabilities? - ANS 40%
How can mild/minimal hearing loss affect a child? - ANS Mild/minimal hearing loss still has an impact
on speech intelligbility
What are the necessary referrals? - ANS Early intervention, IDPH, pediatrician
Stages of the Grief Cycle - ANS Shock/disbelief/denial
Guilt
Bargaining
Anger
Depression
Acceptance
What is the overall goal of pediatric amplification? - ANS For the child to have as much access to the
auditory environment as possible
What are other goals of pediatric amplification? - ANS Minimize distortion, use appropriate signal
processing, maximize audibility of desired signal and reduce noise, provide ease of connection to
external devices, daily consistent use
What is the minimum amount of information we need to fit a child with a hearing aid? - ANS One
low frequency and one high frequency in each ear and AC + BC thresholds
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