Guidelines for Children With Suspected Hearing Loss
| Age, mo . | Normal Development . |
|---|---|
| 0–4 | Should startle to loud sounds, quiet to mother's voice, momentarily cease activity when sound is presented at a conversational level |
| 5–6 | Should correctly localize to sound presented in a horizontal plane, begin to imitate sounds in own speech repertoire or at least reciprocally vocalize with an adult |
| 7–12 | Should correctly localize to sound presented in any plane, should respond to name, even when spoken quietly |
| 13–15 | Should point toward an unexpected sound or to familiar objects or persons when asked |
| 16–18 | Should follow simple directions without gesture or other visual cues; can be trained to reach toward an interesting toy at midline when a sound is presented |
| 19–24 | Should point to body parts when asked; by 21 mo, can be trained to perform play audiometry |
| Age, mo . | Normal Development . |
|---|---|
| 0–4 | Should startle to loud sounds, quiet to mother's voice, momentarily cease activity when sound is presented at a conversational level |
| 5–6 | Should correctly localize to sound presented in a horizontal plane, begin to imitate sounds in own speech repertoire or at least reciprocally vocalize with an adult |
| 7–12 | Should correctly localize to sound presented in any plane, should respond to name, even when spoken quietly |
| 13–15 | Should point toward an unexpected sound or to familiar objects or persons when asked |
| 16–18 | Should follow simple directions without gesture or other visual cues; can be trained to reach toward an interesting toy at midline when a sound is presented |
| 19–24 | Should point to body parts when asked; by 21 mo, can be trained to perform play audiometry |
Source: Matkin ND. Pediatr Rev. 1984;6:151.