Reference no: EM133923372
Questions
1. Congenital audiological disorders are among the most common conditions screened for at birth. The incidence rate of hearing loss at birth in Texas is:
a) 1 to 2 per 1,000 births.
b) 2 to 3 per 1,000 births.
c) 1 to 2 per 1,500 births.
d) 2 to 3 per 1,500 births.
2. Newborn hearing screening provides a system for identifying babies who are deaf or hard of hearing so that early intervention can support their communication and language development. Which of the following are developmental consequences of delayed detection of hearing loss and/or delayed referral for early intervention services?
a) Impaired ability to adapt to new situations.
b) Impaired motor skills at every age.
c) Low self-esteem.
d) Both a) and c)
3. Soon after birth, the facility where the baby is born performs a screening test to identify the newborn's hearing status. If the baby is born outside a birth facility, the screening may be performed by a midwife trained in hearing testing. If the baby receives a "Did Not Pass" result on this initial test, the normal process is for the screening to be repeated by
a) An audiologist who will determine whether the baby does indeed have hearing loss.
b) The primary care provider at the first medical appointment.
c) The birth facility, before the baby is discharged.
d) The midwife, who may perform the screening with portable equipment or refer the baby to an outpatient provider.
e) Both c) and d)
4. Late-onset hearing loss in children has various risk factors. The risks may include which of the following?
a) Head trauma and exposure to loud noises.
b) Second-hand smoke.
c) Meningitis, a NICU admission longer than five days and a family history.
d) Both a and c.
e) a, b and c.
5. The Texas Early Hearing Detection and Intervention (TEHDI) program identifies newborns who are deaf or hard of hearing so they can develop communication and social skills at the earliest stage. Which of the following is one of the goals detailed in TEHDI's 1-3-6 Month Practitioner's Guide?
a) All babies who are identified as deaf or hard of hearing will begin receiving appropriate early intervention services before 6 months of age.
b) All babies will be screened for hearing status before 3 months of age.
c) All babies who screen positive will begin receiving appropriate early intervention services by 3 months of age.
d) All babies who screen positive will have a diagnostic audiological evaluation before 1 month of age.
6. Newborn hearing screening is generally performed in a birth facility 12 to 24 hours after the baby is born using auditory brainstem response (ABR) or otoacoustic emissions (OAE). Which of the following BEST describes the differences between the ABR and the OAE hearing screening tests?
a) ABR measures the brain's responses to the sounds emitted by the test equipment, while OAE detects sound waves in the cochlear cells.
b) ABR is a behavioral test conducted while observing the newborn's response to sounds, while OAE is a physiological test that measures inner ear response to sounds.
c) ABR is more reliable than OAE and is the standard means of newborn screening.
d) ABR is only performed for newborns with a family history of hearing loss, while OAE is performed on any newborn suspected of compromised hearing.
7. Your 10-month-old patient Antonio is profoundly deaf. His mother wants to know whether there's an assistive device that might help him hear speech and other sounds. What is your best response?
a) Explain that certain kinds of hearing aids may help.
b) Tell her some deaf children are candidates for cochlear implants and refer her to a specialist.
c) Emphasize the importance for her son to start learning sign language.
d) All of the above.
8. Newborn screening in Texas has made it possible to:
a) Identify babies earlier who may be deaf or hard of hearing.
b) Reduce the number of newborns identified as deaf or hard of hearing.
c) Allow a child's speech, language and social skills to reach their full potential.
d) Both a and c
9. Matilda, a 20-year-old woman whose primary language is not English is in your office to discuss her newborn's "Did Not Pass" hearing screening result. You want to communicate the importance of additional testing and the fact that intervention services are available. How might you use culturally sensitive and effective health care in this situation?
a) Refer her to an audiologist who can better explain the results directly.
b) Use a professional interpreter to facilitate communication in her preferred language.
c) Make a note to follow up in writing in case she doesn't understand what you say.
d) Use visuals to explain what the results mean.