The nurse evaluating children for speech or language dysfunction should begin the evaluation with: ...

A

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A Correct. The nurse evaluating children for speech or language dysfunction should begin the evaluation with a hearing test or tests to see if hearing ability is normal. The link between hearing loss and poor communication has been well documented.
B Incorrect. An evaluation for speech or language dysfunction should not begin with language screening tests such as the Denver Articulation Screening Examination. The child's hearing ability needs to be evaluated first. If it is normal, then a language screening test should be administered.
C Incorrect. An evaluation for speech or language dysfunction should not begin with a report from the parents on the prenatal history and the circumstances at time of delivery. The child's hearing ability needs to be evaluated first.
D Incorrect. An evaluation for speech or language dysfunction should not begin with the history of childhood illnesses and immunizations. The child's hearing ability needs to be evaluated first.