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Grand Rounds: Implementation of Pediatric Audiology in a Neonatology Follow-up Clinic, presented in partnership with Yale New Haven Children's Hospital

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1.  The following are risk factors for early childhood hearing loss as outlined on the JCIH Position Statement (2019), EXCEPT:
  1. Neonatal intensive care for more than 10 days.
  2. In utero infection with cytomegalovirus (CMV).
  3. Aminoglycoside administration for more than 5 days.
  4. Hyperbilirubinemia with exchange transfusion.
2.  Diagnostic audiologic follow up for infants with a prolonged NICU stay of greater than 5 days is recommended:
  1. Only if the infant received antibiotics.
  2. By 9 months of age.
  3. If the infant fails to meet appropriate speech and language milestones.
  4. Only if the infant refers on their newborn hearing screening.
3.  Which of the following are barriers to audiological follow up for high-risk infants with a history of extended NICU stay?
  1. Referral rate/timeline of referrals from primary care providers.
  2. Family's challenges with time/transportation for multiple specialty appointments.
  3. There are no barriers to audiologic follow up for this population.
  4. Both A & B
4.  Outcome benefits of the collaboration between YNHH NICU GRAD and Pediatric Audiology for high risk infants include which of the following?
  1. Early identification of chronic middle ear dysfunction and ENT referral.
  2. Decreased lost to follow up rate.
  3. Improved timeline for intervention for infants identified with hearing loss.
  4. All of the above
5.  The YNHH NICU GRAD program is based on a medical and developmental model and includes multidisciplinary involvement by which of the following specialists?
  1. Neonatologists
  2. Audiologists
  3. Dietician
  4. All of the above

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