The following information has been prepared to help you monitor behavioral responses of your child's hearing ability. The checklist indicates behaviors that are age appropriate for the detection of hearing loss. In addition, we have a list of what you can do to help your child learn to speak and to use his/her hearing.
If your child fails to respond as the checklist suggests, there may be problems that require further evaluation. Talk about it with your physician, who will then refer you to an ENT (ear, nose and throat) Specialist, as well as an Audiologist for further investigation.
Checklist For Speech And Hearing
3 - 6 months
- Your child should awaken or quieten to the sound of your voice.
- He/She will typically turn his/her eyes and head in the direction of the sound source.
7 - 10 months
- Your child should be able to turn their head and shoulders towards familiar sounds, even when they cannot see what is happening.
- Sounds do not have to be loud to cause them to respond.
11 - 15 months
- Your child should show understanding of some words by appropriate behavior. For example, they should be able to point to or look at familiar objects on request.
- They may jabber in response to a voice, and may cry when there is loud thunder or may frown when being scolded.
- Some children begin to identify parts of the body.
- They should be able to point to their eyes or nose on request.
- They should be using a few words, such as 'bye-bye'.
- The words may not be complete or pronounced perfectly, but are clearly meaningful.
- Your child should be able to follow a few simple commands without visual cues.
- He/She should be using a variety of everyday words heard at home.
- Children of this age enjoy being read to and shown simple pictures in a book, and will point them out when asked.
- Your child should be able to recite or sing short rhymes or songs and enjoy listening to music or watching cartoons.
- If your child has good hearing, these songs would make them happy, and he/she would usually react to the sound by running to look at or by telling someone what they hear.
- Your child should be able to understand and use some simple verbs (such as 'go'), prepositions (such as 'in' or 'on'), adjectives (such as 'big'/'small') and pronouns (such as 'I'/'you').
- He/She should be able to locate the source of the sound and be able to use complete sentences at least some times.
- Your child should be able to give connected accounts of a recent experience or event.
- He/She should be able to carry out a sequence of two simple directions - such as 'take the ball and give it to mummy'.
- Your child's speech should be understandable, even though at times they may mispronounce certain words.
- Most children by this age can carry on a conversation, if the vocabulary is within their experience.
- Imitate whatever sounds your child makes.
- Talk to your child using a pleasant tone of voice.
- Call out to your child while you work around the house… Like, “Hi my lil’ baby… What are you doing?”
- Keep on imitating your child's babbling sounds and talk to them… a lot.
- Hold your child close to you and sing to them or talk repeatedly.
- Talk about their favorite toys and play games such as "peek-a-boo".
- Make simple speech sounds to see if your child will imitate you (e.g. "gah-gah").
- Respond to him/her when your child calls out to you.
- Play singing games… it’s bound to increase the interaction.
- Show your child parts of the body… e.g. "Here's your nose" and place his hand on it.
- Show him/her simple picture books and talk about the pictures by describing them.
- Play "Where's papa?" and point to papa.
- Explain sounds… e.g. "What does a doggy say?" - Then vocalize 'bow-wow'.
- Read simple books to your child and ask questions like "Where's the cow?" and point out to a picture of the cow in the book.
- Ask them to put or take things away e.g. "Give papa the truck."
- Talk about everything he plays or sees.
Other Possible Signs to Look Out for in Your Child (Above 5 Years)
- Has speech delay or deteriorating speech.
- Continually asks to repeat what was said.
- Gives inappropriate responses to questions.
- Does not hear background noise.
- Likes the television to be tuned up.
- Absolutely hates sudden loud noise.
- Watches your face for visual cues.
- Forgets instructions and seems to daydream.
- Either shouts or whispers (as they are unable to monitor own voice levels).
- Has poor concentration.
- Appears slower than other children.
- Has balance problems (appears clumsy).
- Complains of noises in the ears.
It’s best to consult your physician for a further audiological investigation.
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The information published herein is intended and strictly only for informational, educational, purposes and the same shall not be misconstrued as medical advice. If you are worried about your own health, or your child’s well being, seek immediate medical advice. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website. Kimberly-Clark and/ or its subsidiaries assumes no liability for the interpretation and/or use of the information contained in this article. Further, while due care and caution has been taken to ensure that the content here is free from mistakes or omissions, Kimberly-Clark and/ or its subsidiaries makes no claims, promises or guarantees about the accuracy, completeness or adequacy of the information here, and to the extent permitted by law, Kimberly-Clark and/ or its subsidiaries do not accept any liability or responsibility for claims, errors or omissions.