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Evaluation of Hearing in Children with Special Needs
Pediatric Audiology
16
Audiology
Graduate
06/19/2017

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Cards

Term
Severe and Profound Hearing Loss:
-Children with these types of hearing loss should be able to be taught auditory test tasks in the way their normal hearing peers are except that sound will need to be much ___. ___ talking can be more effective sometimes
-Begin with low frequency stimuli because children with hearing loss most commonly hear low frequencies signals better than high frequencies
Definition
louder; Less
Term
Severe and Profound Hearing Loss:
-Because children with hearing loss are evaluated frequently, they are likely to ___ ___ of hearing tests
Definition
grow tired
Term
It is not reasonable to expect that a young child will be able to attend long enough to obtain air conduction, bone conduction, speech audiometry measures and assessment of performance with technology so what should you do?
Definition
-Pick what is MOST important for this appointment
-Parents should be advised that it will likely take multiple test
sessions to obtain all needed information
Term
-Abilities of children with developmental delay ___ ___. Helpful to take cues from __ ___ and ask additional questions to assess ___
-Every child identified with a developmental delay should be followed audiologically until ___ ___ is obtained. If delay is progressive (CMV) or fluctuating (Down syndrome) child should continue to be ___.
-Understanding a disorder will help the clinician understand
what kind of ___ may be expected and the prognosis of ___ and ____ development and ___
Definition
vary greatly; case history; skills; ear specific; monitored; behavior; speech and language; hearing
Term
Difficulties in Obtaining Responses:
-Responses may be different from a _________________.
-Could take longer to focus on the ___ and to refocus on the ___ ___
-Could have longer ____ between presentation and the response
-Child may ____ more quickly and ____ more rapidly in
test stimuli and reinforcers
Definition
normally developing child; reinforcer; distraction toy; latency; fatigue; habituate
Term
-Children with ASD, PDD, multisystem developmental delay or regulatory disorders often have ___ hearing but they may be unable to attend ___ to auditory stimulus
-These populations frequently fail to make ___ ___, may find tactile stimuli ___, may demonstrate ____ behaviors such as hand flapping and may have an inability to communicate ____
Definition
normal; consistently; eye contact; aversive; repetitive; verbally
Term
Test set up should be very well controlled:
-If child is aversive to tactile stimulus, limit ____
-____ would be more optimal than attempting to touch
ears
Definition
touching; Soundfield
Term
ADHD:
-Difficult time ___ and sitting ___ so change your test procedure
-Seated so feet are firmly on the ground, dangling feet can cause ___
-Stimuli should be presented only when the child is ____ (sometimes need to WAIT)
Definition
attending; still; fidgeting; attending
Term
Visual Impairment:
-If limited vision, child can be moved ___ to the reinforcer or reinforcer can be moved closer to the child
-Tacticle stimulus, such as the ___ ___ may be successful as recinforcer
Definition
closer; bone vibrator
Term
-It is critical that the audiologist be absolutely certain that the child hears the sound before either ________________ when using VRA or signaling to the child to "___________" for CPA.
-Young children usually start in ____
Definition
turning on the visual reinforcer; listen and drop; soundfield
Term
One important goal when testing children is too keep them ____. If they started to get disinterested then what should we do?
Definition
interested; Use multiple toys and/or can switch to video VRA
Term
Why is it important to know cognitive age? What kind of skills are important to note?
Definition
So you can figure out what test methods are most appropriate; It is most important to look at motor and play skills.
Term
-What kind of children should be monitored on a regular basis?
-Each disorder can present___ from child to child
Definition
-If the disorder has the potential for being progressive (CMV, CNS dysfunction) or fluctuating (CHL in down syndrome)
-differently
Term
How should a child be positioned for BOA, VRA, or CPA?
Definition
-Child needs to be positioned in a way that is comfortable, not straining, and can attend to auditory stimuli.
-Child must be focused straight forward with visual reinforcer at 45 degrees and norm than 90 degrees from midline for VRA and BOA
-If child doesn't have good trunk control, she needs to be in a chair that will provide trunk stabilization. Infants can use an infant chair or lean against a parent. Older children will need an adaptive chair or stroller. Just needs neck and trunk stabilization
Term
What could you do for children who have visual impairment and react negatively to visual reinforcer toys?
Definition
Can modify the motion and/or light depending on what is making them react negatively
Term
What kind of tactile auditory methods can you use?
Definition
-put bone oscilliator on the child's hand and condition child to respond to stimulus
-Puff of air every time the tone is presented
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