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Online EHDI Case 5 (Case Questions without Answers)

Online EHDI Case 5: A NICU Graduate with Neural Hearing Loss 

 Part 1

Samantha is 3 months old. She is visiting her pediatrician today for her 3 months old check up visit. She is accompanied by her parents. Samantha was born at 32 weeks gestation. She was delivered via c-section and was admitted to the NICU for 4 weeks because she was born with severe birth depression which required vigorous resuscitation and had some evidence of hypoxic ischemic encephalopathy (HIE) in the neonatal period.

She passed her universal newborn hearing screening (UNHS) at the hospital using the otoacoustic emissions test (OAEs) before she was discharged. Her parents report that Samantha is nursing well and has between 6 to 8 wet diapers a day and a few bowel movements.

Upon examination, Samantha is well and within her developmental age norms.


1. Was the newborn hearing screening handled properly? 


2. What are your recommendations at this time?

Click <HERE> for answers to Part 1

Part 2

Samantha who is now 4.5 months old returns with her parents per your request to discuss the outcome of her audiologic evaluation, which was conducted 1 week ago. The audiologist who conducted this evaluationcalled you and mailed a copy of the results which are as follow:

Right/Left ear:
    Tympanometry: Normal
    OAEs: Present across frequency range
    ABR: No response

You have asked the family to come see you to further discuss the audiological results and help the family have the appropriate referrals.


1. How do you interpret Samantha’s Audiologic results?

2. What happens next?

Click <HERE> for answers to Part 2


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