The nurse should suspect a hearing impairment in an infant who fails to demonstrate which behavior?
a. Babbling by age 12 months
b. Eye contact when being spoken to
c. Startle or blink reflex to sound
d. Gesturing to indicate wants after age 15 months
ANS: A
The absence of babbling or inflections in voice by at least age 7 months is an indication of hearing difficulties. Lack of eye contact is not indicative of a hearing loss. An infant with a hearing impairment might react to a loud noise but not respond to the spoken word. The child with hearing impairment uses gestures rather than vocalizations to express desires at this age.
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