SPAA 344 TERM 2 EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS
AR for children: early detection and confirmation of hearing loss
Detection of hearing loss
1-3-6 EDHI guidelines
- 1 month: hearing screening
- 3 month: careful information of hearing loss and hearing loss should be diagnosed
- 6 month: early intervention
detection of hearing loss
Methods:
- OAEs (otoacoustic emissions)
- A-ABR (automated auditory brainstem response
: 2%-7% false-positive rate
: many programs rescreen babies who fail the screening the first time before they get discharged.
: current newborn hearing screening may miss
- mild hearing loss
hearing loss at later onset
- auditory neuropathy
Risk factors associated with hearing loss
- low birth weight (<3.3 lbs)
- in utero infections such as CMV and rubella
- low Apgar scores
- hyperbilirubinemia
- craniofacial anomalities
- NICU of more than 5 days
- syndromes associated with hearing loss
- postnatal infections such as meningitis
- chemotherapy, usage of toxic medicine
, - head trauma
- family history of hearing loss
After confirmation: parent counseling
- more than 90% of children with severe to profound SNHL have parents with normal hearing
- families response will affect how they cope with the AR plan, which can impact the child's
development
After confirmation: health care follow-up
- referrals to other health care professionals after confirmation of hearing loss
: to determine the etiology of hearing loss
: to determine the presence of other disabilities
- other disabilities such as:
: intellectual disability
: visual impairment
: learning disabilities (related to reading and writing)
: attention to deficit disorder
: emotional or behavioral problems
: cerebral palsy
Why AR services are required in school settings
- mandated by law:
: PL94-142 amended to individuals with disabilities education act (IDEA)
: person first language
: expand the age range to 21
: educational goals should be as functional as possible
Key components of IDEA
- the guarantee of a free and appropriate public education for all children with disabilities
- the FAPE is to be provided in the least restrictive environment (LRE)
- the child's education plan will be documented with the individualized education program (IEP)
LRE: least restrictive environment
DETAILED VERIFIED ANSWERS
AR for children: early detection and confirmation of hearing loss
Detection of hearing loss
1-3-6 EDHI guidelines
- 1 month: hearing screening
- 3 month: careful information of hearing loss and hearing loss should be diagnosed
- 6 month: early intervention
detection of hearing loss
Methods:
- OAEs (otoacoustic emissions)
- A-ABR (automated auditory brainstem response
: 2%-7% false-positive rate
: many programs rescreen babies who fail the screening the first time before they get discharged.
: current newborn hearing screening may miss
- mild hearing loss
hearing loss at later onset
- auditory neuropathy
Risk factors associated with hearing loss
- low birth weight (<3.3 lbs)
- in utero infections such as CMV and rubella
- low Apgar scores
- hyperbilirubinemia
- craniofacial anomalities
- NICU of more than 5 days
- syndromes associated with hearing loss
- postnatal infections such as meningitis
- chemotherapy, usage of toxic medicine
, - head trauma
- family history of hearing loss
After confirmation: parent counseling
- more than 90% of children with severe to profound SNHL have parents with normal hearing
- families response will affect how they cope with the AR plan, which can impact the child's
development
After confirmation: health care follow-up
- referrals to other health care professionals after confirmation of hearing loss
: to determine the etiology of hearing loss
: to determine the presence of other disabilities
- other disabilities such as:
: intellectual disability
: visual impairment
: learning disabilities (related to reading and writing)
: attention to deficit disorder
: emotional or behavioral problems
: cerebral palsy
Why AR services are required in school settings
- mandated by law:
: PL94-142 amended to individuals with disabilities education act (IDEA)
: person first language
: expand the age range to 21
: educational goals should be as functional as possible
Key components of IDEA
- the guarantee of a free and appropriate public education for all children with disabilities
- the FAPE is to be provided in the least restrictive environment (LRE)
- the child's education plan will be documented with the individualized education program (IEP)
LRE: least restrictive environment
