Colorado Families for Hands & Voices

Colorado Families for Hands and Voices is dedicated to supporting families with children who are Deaf or Hard of Hearing without a bias around communication modes or methodology.

  • Facebook
  • Instagram
  • Twitter
  • About Us / Programs
    • Guide By Your Side (GBYS)
      • GBYS Coordinator
      • Northeast Region
      • Pikes Peak Region
      • Western Slope
      • Statewide
    • ASTra (Educational Advocacy: Questions and Support)
    • The Ascent Program: CO EHDI
    • O.U.R. Children’s Safety Project
    • About Us
      • Leadership
        • Staff Contacts
        • COHV Board
      • Become H&V
      • Annual Fundraising Gala
      • Families First Award
      • Supporting Families Without Bias
    • Contact Us
  • Resources
    • Start Here!
    • Informacion en Espanol
    • Publications
      • The Colorado Resource Guide
      • Bridge to Preschool
      • Beyond The IEP…
      • Colorado Parent Funding Toolkit
    • Products that might interest families: Masks during COVID-19
    • School Transition Resource Companion (preschool to 18)
    • Web Links
    • Site Map
  • Legislation
    • 2018 Newborn Screening Legislation
    • CO Hearing Aid Legislation
    • SENATE BILL 08-057
    • Provider Information
    • FAQ For Parents
  • Deaf/HH Plus
  • Inspiring Change
  • News & Events
  • Blog
You are here: Home / Roadmap For Families / Evaluation By Pediatric Audiologist

Evaluation By Pediatric Audiologist

Evaluation By Pediatric Audiologist

You are at a critical stage of the ‘roadmap’.  If your child has not passed the screen and the rescreen, this next step will determine if your child has a hearing loss.  It is important for you to follow through, and think about who should be at this next appointment with you.  You don’t need to automatically assume that your child has a hearing loss, but this appointment should get you the answers you need.

Quote from one mom: “I wish I had known that this was the appointment that we would find out for sure that my daughter had a hearing loss or not.  I kind of got lost in the process, and when I took our baby for this testing appointment, my husband was at work, and when the audiologist announced that our daughter had a permanent bilateral hearing loss, I was all alone.”

Diagnostic Audiology:

When children with hearing loss receive timely and appropriate diagnostic and intervention services, they can have positive speech, language and listening outcomes. The diagnostic hearing evaluation should be performed by a pediatric audiologist who has the technical expertise and desire to work with infants and children. They perform a series of tests to determine the type (part of the ear affected), degree (how much hearing loss exists) and configuration (frequency or pitches that are affected) of a child’s hearing loss.

Types of Hearing Tests for Infants & Children

Otoacoustic Emissions (OAE):

A cochlea that is functioning normally not only receives sound, it also produces low intensity, measurable sounds called OAEs. This test measures the sound being sent out from the inner ear. A tiny, flexible microphone is placed in the ear canal and the return sounds are analyzed by a computer. It is important to note that middle ear fluid or wax buildup can affect the outcome of the test. The infant or child should be sleeping or resting quietly for the best test results.

Auditory Brainstem Response (ABR):

This test gives accurate and reliable information about the condition of the inner ear (cochlea) and auditory nerve. While the baby is sleeping, electrodes (wires) are attached to the scalp and clicking sounds are made through tiny earphones in the baby’s ears. A computer measures the very tiny electrical signals caused by nerves firing in the auditory nerve and brainstem. The results of an ABR allow an audiologist to fit a child with a hearing aid. Generally, children under 6 months do not need sedation for this test. If your child does need to be sedated to ensure a deep sleep and an uninterrupted test, it must be done under hospital staff supervision.

Tympanometry (Tympanogram):

This test is used to assess the condition of the middle ear, movement of the eardrum (tympanic membrane) and the conduction of the middle ear bones by creating variations of air pressure in the ear canal. It does not measure hearing. A flat test result can mean there is fluid in the middle ear, indicating an ear infection. This can be a difficult test for younger children who are awake because they need to sit very still and not be crying, talking or moving.

How to have a successful ABR evaluation:

Keep your baby awake until quite late the night before the test (sleep-deprived) to ensure a sound sleep·  Try to feed your baby just before the testing so baby is relaxed, happy and sleepy (this can often be done at the facility).  Bring a blanket or stuffed toy that your baby is familiar with so they feel more comfortable during the test.  Allow for a block of time that may go beyond your scheduled time slot (sometimes more time is needed to complete the testing)

If you are having a sedated ABR, remember to:

Follow the audiologist instructions very carefully on what baby may eat before the testing·  Do not give your baby any sedation (over the counter medications or prescriptions) before arriving for the ABR · Complete the informed consent form and bring it with you to the hospital.

For more information about your decision-making process for sedated or unsedated testing, read this article:  To Sedate or Not: A Parent’s Right to Informed Consent

Resources:

  1. National Center for Hearing Assessment and Management at Utah State University: www.infanthearing.org
  2. Boys Town National Research Hospital: www.boystownhospital.org and www.babyhearing.org
  3. American Speech-Language-Hearing Association: www.asha.org

(sections of this page were derived with permission from Hawaii Department of Health, Newborn Hearing Screening Program)

 

Roadmaps

  • Colorado Roadmap
  • Colorado Roadmap Info
  • Congratulations on the birth of your baby!
  • Did Your Baby Pass or Not?
  • Questions To Ask
  • Outpatient Hearing Screen (or Rescreen)
  • Screening Results
  • Evaluation By Pediatric Audiologist
  • Test Results
  • “Your Child Has a Hearing Loss”
  • Next Steps
  • After Identification – Head Start Programs
  • Roadmap For Families
  • Printable local resources (pdf)

Welcome!

CO Families for Hands & Voices is dedicated to supporting families with children who are Deaf or Hard of Hearing without a bias around communication modes or methodology.  We’re a parent-driven, … Continue...

Mission Statement

Colorado Families for Hands & Voices is dedicated to supporting families with children who are Deaf or Hard of Hearing without a bias around communication modes or methodology. We’re a … Continue...

Supporting Families Without Bias

In the early-1990s, the Smithsonian Institute in Washington, D.C., was preparing an exhibit called "Silent America." It was intended to raise positive awareness … Continue...

Donate to COH&V

Visit our online donation pages to take advantage of our secure online process to help families raising deaf or hard of hearing children succeed! Donations fund our outreach activities to parents from … Continue...

Review

Recent Comments

  • Sara Kennedy on Child Abuse and Neglect – Helping Parents Talk to Children
  • Sara Kennedy on H&V Rises to the Challenge:  O.U.R. Children’s Safety Project

© Copyright 2015, Colorado Families for Hands & Voices · All Rights Reserved