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 of the following 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.
B
Feedback:
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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