Final answer:
Option 4, the toddler's lack of reaction to sudden loud sounds, indicates a need to assess for hearing loss. Lack of reaction may point to hearing sensitivity issues, necessitating further evaluation by health professionals.
Step-by-step explanation:
Identifying Potential Hearing Loss in Toddlers
When assessing a toddler for hearing loss, several developmental cues can be instrumental. At 18 months, toddlers should be able to use simple words and follow commands. They generally respond to their name and are starting to combine words to form simple sentences. In the context of the nurse's question, the finding that indicates a need to assess for hearing loss would be:Option 4 - The toddler enjoys playing with toys that make noise but does not react to sudden loud sounds.
A lack of reaction to sudden loud sounds could suggest a potential deficit in auditory processing or hearing sensitivity. This contrasts with the other options, which are typically expected behaviors for an 18-month-old toddler. For example, touching and exploring objects is a part of normal sensory and cognitive development. Babbling and using simple gestures are also appropriate for communication at this age. Finally, responding to one's name without yet using words can still be considered normal as language skills develop at varying rates.
The importance of early identification and intervention for hearing issues cannot be overstressed. Early detection can significantly improve the outcomes for children with hearing impairments.