Pediatric Hearing Aid Fitting Flashcards

Which outcome measure uses parental report to assess functional hearing aid benefit in infants and toddlers?

Answer: PEACH (Parents' Evaluation of Aural/Oral Performance of Children)

The PEACH questionnaire is specifically designed for parents to report on young children's listening and communication behaviors with hearing aids.

What is the recommended maximum output (OSPL90) setting concern for pediatric fittings?

Answer: It must be limited to prevent noise-induced hearing loss from amplified sounds

Limiting OSPL90 protects residual hearing by ensuring amplified sounds do not reach levels that cause further hearing damage.

A child's audiogram shows a ski-slope high-frequency hearing loss. Which hearing aid feature most directly addresses the reduced high-frequency audibility?

Answer: Frequency lowering technology

Frequency lowering (e.g., frequency compression or transposition) shifts high-frequency speech cues into a region where the child has better hearing.

Under IDEA (Individuals with Disabilities Education Act), hearing aids for school-age children with hearing loss are:

Answer: The financial responsibility of the family, not the school

While schools must ensure hearing aids function properly during school hours, they are not required to purchase or replace hearing aids, which remain the family's responsibility.

Ling 6 Sound Test is used in pediatric audiology primarily to:

Answer: Provide a quick daily check of hearing aid function across the speech spectrum

The Ling 6 Sounds (/m/, /ah/, /oo/, /ee/, /sh/, /s/) span the speech frequency range and provide a quick check that hearing aids are transmitting audible sound.

Which type of hearing aid coupling is typically recommended for children with a profound hearing loss to prevent acoustic feedback?

Answer: Custom earmold with minimal or no venting

A full-shell or custom earmold with minimal venting provides the acoustic seal needed for high gain without feedback in profound hearing loss.

When is a remote microphone (FM/DM) system most beneficial for a school-age child with hearing loss?

Answer: In noisy or reverberant environments such as classrooms

Remote microphone systems deliver the teacher's voice directly to the hearing aid, significantly improving SNR in noisy, reverberant classrooms.