A 2-week-old child responds to a bell during an initial health supervision examination. The child's records do not show that a newborn hearing screening was done. Which is the best action for the nurse to take?
A) Do nothing because responding to the bell proves he does not have a hearing deficit.
B) Immediately schedule the infant for a newborn hearing screening.
C) Ask the mother to observe for signs that the infant is not hearing well.
D) Screen again with the bell at the 2-month-old health supervision visit.
Ans: B
Guidelines for infant hearing screening recommend universal screening with an auditory brain stem response (ABR) or evoked otoacoustic emissions (EOAE) test by 1 month of age. All the other answers rely on behavioral observation. Studies have shown that behavioral observations are not a reliable method of screening for hearing loss.
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