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News & Information | FAQ's

1. What are Auditory Development Milestones?
2. What is the Newborn Screening?
3. How old should my child be for a hearing test?'
4. My child passed the newborn screening, do I need still need to monitor auditory milestones?
5. If my child has a hearing loss will he/she have difficulties learning in school?
6. What can I do to help my child if he/she has a hearing loss?

What are Auditory Development Milestones?
The following is the American Academy of Pediatrics Checklist of selected speech-language-auditory milestones achieved by infants and children who have intact cognition and hearing. Failure to achieve these milestones by expected age ranges might relate to hearing loss that necessitates audiologic testing.
Birth to 3 mo
_ Startles to loud noise
_ Awakens to sounds
_ Blinks or widens eyes in response (reflex) to noises
3 to 4 mo
_ Quiets to mother’s voice
_ Stops playing, listens to new sounds
_ Looks for source of new sounds not in sight
6 to 9 mo
_ Enjoys musical toys
_ Coos and gurgles with inflection
_ Says "mama"
12 to 15 mo
_ Responds to his or her name and "no"
_ Follows simple requests
_ Uses expressive vocabulary of 3 to 5 words
_ Imitates some sounds
18 to 24 mo
_ Knows body parts
_ Uses expressive vocabulary 2-word phrases (minimum of 20 to 50 words)
_ 50% of speech intelligible to strangers
By 36 mo
_ Uses expressive vocabulary of 4- to 5-word sentences (approximately 500 words)
_ Speech is 80% intelligible to strangers
_ Understands some verbs

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What is the Newborn Screening?
In California all the newborns at accredited hospitals have their hearing screened prior to leaving hospital. Those infants who do not pass this newborn screening are referred for follow-up testing.

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How old should my child be for a hearing test?
A child's hearing can be assessed at any age. There are many testing techniques for assessing children's hearing. If you or your pediatrician has any concerns regarding your child’s development of speech-language-auditory milestones, a hearing test should most certainly be scheduled.

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My child passed the newborn screening, do I need still need to monitor auditory milestones?
Your child's speech/language development is related to their ability to hear all speech sounds. If your child is not achieving speech/language milestones this may be related to a possible progressive hearing loss. You should contact your pediatrician and request a referral for a speech/language evaluation and hearing testing.

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If my child has a hearing loss will he/she have difficulties learning in school?
If your child has a language delay early intervention is critical to develop language to be successful in academics. Depending on the type and degree of hearing loss different accommodations may be necessary to support your child in the classroom. There is no way of knowing for sure when a child is very young if he/she will have learning difficulties later one and it is important that your child be monitored throughout his/her education by an itinerant teacher of the deaf  to assess progress and possible learning difficulties.

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What can I do to help my child if he/she has a hearing loss?
Enroll in intervention services as determined necessary by your audiologist, speech therapist or pediatrician. Make listening and language a part of every day experiences in a fun and natural way. Set time aside daily to play with your child, talk about what you and he/she are doing, and try to read to him/her daily. If possible find opportunities for him/her to socialize with other children.

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