Paeds Vivas · preventive-and-community-paediatrics
Newborn hearing screening — branching viva
Branching viva from bilateral refer counselling through NICU modality choice, high-risk pass surveillance, cCMV progressive risk and lost-to-follow-up recovery.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the postnatal ward registrar. A well term newborn has a bilateral hearing screen refer. The examiner releases information in stages about counselling, modality, residual risk and follow-up failure.
Station opening
Examiner: "The screen says refer. The baby looks perfect. What do you tell the parents?" [8]
Strong candidate (must-hit)
- Refer means more testing, not proven deafness. [1]
- Books diagnostic audiology against a 1-3-6 clock. [1]
- Does not use startle or feeding to cancel the pathway. [7]
- Names an owner and contact plan. [8]
Weak candidate
References11ShowHide
- [1]American Academy of Pediatrics, Joint Committee on Infant Hearing Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics, 2007.PMID 17908777
- [2]Yoshinaga-Itano C Language of early- and later-identified children with hearing loss. Pediatrics, 1998.PMID 9794949
- [3]Kennedy CR Language ability after early detection of permanent childhood hearing impairment. The New England journal of medicine, 2006.PMID 16707750
- [5]Pimperton H The impact of universal newborn hearing screening on long-term literacy outcomes: a prospective cohort study. Archives of disease in childhood, 2016.PMID 25425604
- [7]Grindle CR Pediatric hearing loss. Pediatrics in review, 2014.PMID 25361905
- [8]Awad R Meeting the Joint Committee on Infant Hearing Standards in a Large Metropolitan Children's Hospital: Barriers and Next Steps. American journal of audiology, 2019.PMID 31084570
- [11]Pollick SA Newborn congenital cytomegalovirus screening and hearing outcomes: a systematic review of current literature. Current opinion in otolaryngology & head and neck surgery, 2024.PMID 39146216
- [12]Corazzi V Late-onset, progressive sensorineural hearing loss in the paediatric population: a systematic review. European archives of oto-rhino-laryngology, 2024.PMID 38411671
- [15]Lund A Newborn hearing screening in infants at risk of hearing loss: diagnostic outcomes, false-negative results, and the role of surveillance. International journal of pediatric otorhinolaryngology, 2026.PMID 42143905
- [17]Sommerfeldt J Hearing Loss Assessment in Children. Pediatrics in review, 2026.PMID 35593817
- [18]Pimperton H The impact of early identification of permanent childhood hearing impairment on speech and language outcomes. Archives of disease in childhood, 2012.PMID 22550319