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Behavioral Observation Audiometry (BOA)
Pediatric Audiology
11
Audiology
Graduate
07/05/2018

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Cards

Term
Why do BOA:
-Only ___ testing truly tests hearing, since it measures the response of the entire ___ ___ from the outer ear through the cerebral cortex
-Behavioral tests measure what an infants actually ___, so they are measures of ___ hearing abilities
Definition
behavioral; auditory system; perceives; functional
Term
-average behavioral thresholds of 3 month olds were worse than thresholds for young adults by __ to __ dB between 250 and 4000 Hz and by 30 dB at 8000 Hz
-By 6 months of age, hearing sensitivity in the ___ frequencies improves but thresholds at ___ Hz remain elevated
Definition
15 to 20; high; 250
Term
Basics of BOA:
-Intended as a ___ technique
-no startle response should be counted as ___
-Uses observation of ____ and is appropriate for infants who are cognitively at ___ to ___ months. Sucking has been proven to be repeatable and ___
Definition
threshold; threshold; sucking; birth to 6; reliable
Term
Maximizing Observation of the Sucking Response:
-Sucking can be observed with a ___ or a ___
-Family should be instructed to bring the infant ___ so that
he will be ready to suck
-The infant should be ___ and do what is in their typical ___ (bottle, breast, etc.)
-Mother needs to be comfortable with ____ nursing
-Best way to observe is to see the infant’s ___ close up,
however having your face in the infant’s face may be ___
Definition
nursing; pacifier; hungry; comfortable; routine; observed; mouth; distracting
Term
Responses should fall within a reasonable ___ to the stimuli
Definition
timeframe
Term
Positioning the Infant:
-Resting in a comfortable position with full support of the ___
and ___ and must be visible to testers
-Can be in ___ ___ or an infant ___
-___ movements from the mother can be transmitted to the infant, therefore changes in sucking can occur but not be related to stimuli
-Sometimes helpful to have the mother wear ___ to
prevent her from hearing and being influenced by the sound
Definition
head; torso; mother’s arms; seat; Involuntary; earphones
Term
Soundfield v. Earphone testing:
-Infants will provide limited information before they ___ or ___ to the task
-The goal of the initial evaluation is to determine if the infant
has sufficient hearing to...
-Should the initial visit evaluation indicate that hearing is
normal in at least one ear utilizing soundfield it may not...
-However, if initial testing indicates hearing is not within normal limits , then....
Definition
fatigue; habituate; develop speech and language; be necessary to analyze each ear separately at that visit; ear specific information is critical so that management can proceed
Term
What kind of stimuli do you use with infants?
Definition
warble tones/narrow band noise. Narrow band noise is typically easier for an infant to respond to
Term
Speech awareness thresholds to low (ba), mid (sh) and high (s)
frequency speech stimuli can be used to confirm ___ tone/nbn thresholds
Definition
warble
Term
-Normal hearing infants typically respond better to ___ frequency stimuli, so reasonable to begin at ___ Hz
-If concerns about middle ear pathology could have ___ frequency hearing loss
-However, is SNHL is suspected may want to start at ___ Hz, since may have better ___ frequency thresholds
Definition
high; 2000; low; 500; low
Term
What are some limitations of BOA?
Definition
-it may not yield threshold information
-possible tester bias, was response present/absent?
-Responses habituate quickly
-There are a wide variety of responses that can be observed-what do you consider a response?
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