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 |
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Definition
behavioral; auditory system; perceives; functional |
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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 |
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Definition
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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 ___ |
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Definition
threshold; threshold; sucking; birth to 6; reliable |
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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 ___ |
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Definition
nursing; pacifier; hungry; comfortable; routine; observed; mouth; distracting |
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Term
Responses should fall within a reasonable ___ to the stimuli |
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Definition
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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 |
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Definition
head; torso; mother’s arms; seat; Involuntary; earphones |
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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.... |
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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 |
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Term
What kind of stimuli do you use with infants? |
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Definition
warble tones/narrow band noise. Narrow band noise is typically easier for an infant to respond to |
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Term
Speech awareness thresholds to low (ba), mid (sh) and high (s) frequency speech stimuli can be used to confirm ___ tone/nbn thresholds |
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Definition
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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 |
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Definition
high; 2000; low; 500; low |
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Term
What are some limitations of BOA? |
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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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