Term
| The average age for hearing loss identification in the 1990s |
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Definition
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Term
| When are APGAR scores taken? |
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Definition
| 1,5, and 10 minutes after birth |
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Term
| 6 things that APGAR scores assess |
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Definition
1. Respiratory Effect
2. Muscle tone
3. Heart rate
4. Color
5. Reflex
6. Irritability |
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Term
| Contraction of muscles around eyes in response to loud sound |
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Definition
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Term
| 2 problems associated with Startle Reflexes |
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Definition
1. Agreement among technicians
2. Can miss mild to moderate losses |
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Term
| Percentage of newborns screened for hearing loss at birth in 2007 |
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Definition
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Term
| 3 Goals of Healthy People 2010 |
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Definition
1. Increase the numbers of infants screened
2. Receiving diagnostic evaluations
3. Receiving early intervention services |
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Term
| Percentage of newborns screened at birth in Alabama in 2004 |
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Definition
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Term
| Number of newborns each year that have hearing loss |
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Definition
| 12,000; 3 in 1,000 births |
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Term
| Average age of HL identification prior to Universal Newborn Hearing Screening (UNHS) |
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Definition
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Term
| The first time the Joint Committee on Infant Hearing (JCIH) convened |
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Definition
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Term
| 4 types of representatives in the Joint Committee on Infant Hearing (JCIH) |
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Definition
1. ASHA
2. American Academy of Pediatrics (AAP)
3. American Academy of Otolaryngology- Head and Neck Surgery (AAO-HNS)
4. Some nursing reps involved from early on |
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Term
| 2 parts of the First Position Statement (1971) of the Joint Committe on Infant Hearing (JCIH) |
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Definition
1. Do not have appropriate techniques to implement mass screening for hearing loss
2. Identifying hearing loss is important, need more research |
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Term
| When was the first position statement of the JCIH made? |
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Definition
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Term
| When was the second position statement of JCIH made? |
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Definition
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Term
| What does the second position statement of JCIH say? |
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Definition
| Since appropriate screening tools not available, use a high-risk register |
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Term
| What is the goal of a high-risk register? |
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Definition
| Identify infants at high risk for hearing loss and screen them |
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Term
| Crib equipped with motion detectors that measured responses to very loud sounds |
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Definition
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Term
| 2 parts of the JCIH Year 2000 position statement |
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Definition
1. All infants shold be screened using objective, physiologic measures at birth
2. Monitor infants who pass newborn screening but have risk factors for late-onset/progressive hearing loss |
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Term
| 5 things the most recent JCIH position statement made modifications to |
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Definition
1. High-risk factors
2. Screening protocols
3. Medical evaluations
4. Monitoring of services
5. Entry into early intervention |
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Term
| When was the most recent JCIH position statement made? |
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Definition
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Term
| When did states begin to adopt policies supporting universal screening? |
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Definition
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Term
| 3 ways that universal hearing screening is accomplished |
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Definition
1. OAEs
2. ABR
3. Typical procedure |
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Term
| 4 issues to consider when using OAEs to accomplish universal hearing screening |
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Definition
1. Supplies relatively inexpensive (eartips)
2. Very good ability to detect conductive and cochlear hearing loss (moderate through profound, still miss some mild losses)
3. May miss neural hearing losses
4. Very susceptible to false positive from vernix, transient middle-ear fluid |
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Term
| 3 issues to consider when using ABR to accomplish universal hearing screening |
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Definition
1. More expensive
2. Will catch conductive, cochlear, and some neural losses
3. Much less susceptible to false positive from vernix, transient middle-ear fluid as compared to OAEs |
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Term
| What is the typical procedure for accomplishing universal hearing screening |
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Definition
| Screen using OAEs, then do ABR if baby fails |
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Term
| 11 risk factors identified in 2007 JCIH position statement |
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Definition
1. Caregiver concern regarding hearing, speech, language, or developmental delay
2. Family history of permanent childhood hearing loss
3. NICU stay > 5 days or any length for certain conditions including: assisted ventilation, exposure to ototoxic meds, hyperbilrubinemia, requiring exchange transfusion
4. In utero infections such as CMV, herpes, rubella, syphillis, and toxoplasmosis
5. Craniofacial anomalies, including those affective pinna, ear canal, ear tags, ear pits, and temporal bone anomalies
6. Physical findings, such as white forelock, associated with a syndrome that has SNHL or permanent CHL as a component
7. Presence of a syndrome associated with hearing loss or progressive/ late-onset hearing loss
8. Neurodegenerative disorders
9. Certain post-natal infections
10. Head trauma, especially those requiring hospitalization for basal skull/temporal bone fractures
11. Chemotherapy |
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Term
| 3 issues impacting all UNHS programs |
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Definition
1. Short hospital stays
2. Follow-up
3. False positives |
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Term
| What are UNHS programs referred to at the state level |
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Definition
| Early Hearing Detection and Intervention (EHDI) |
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Term
| 3 components of Early Hearing Detection and Intervention (EHDI) programs |
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Definition
1. Screening by 1 month
2. Identification by 3 months
3. Intervention by 6 months |
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