The nurse should suspect a hearing impairment in an infant who demonstrates which behavior?
a. Absence of the Moro reflex
b. Absence of babbling by age 7 months
c. Lack of eye contact when being spoken to
d. Lack of gesturing to indicate wants after age 15 months
ANS: B
The absence of babbling or inflections in voice by age 7 months is an indication of hearing difficulties. The absence of the Moro reflex and eye contact when being spoken to does not indicate a hearing impairment. The child with hearing impairment uses gestures rather than vocalizations to express desires at this age.
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