State four (4) ways by which you can identify a child with hearing impairment in your home or school.

1. Difficulty in responding to sounds or voices, such as not turning towards a speaker when their name is called or not reacting to loud noises.

2. Delayed speech and language development, including difficulty in pronouncing words correctly or forming complete sentences.

3. Struggling to follow instructions or conversations, especially in noisy environments or when not directly facing the speaker.

4. Showing signs of frustration, withdrawal, or social isolation due to communication difficulties or feeling left out in group settings.

1. Delayed Speech and Language Development: Children with hearing impairments may have difficulty understanding and producing spoken language. They may have a limited vocabulary, trouble pronouncing words clearly, and struggle to follow conversations.

2. Difficulty Hearing Environmental Sounds: Children with hearing impairments may not respond to sounds around them, such as a door opening, a phone ringing, or a car horn. They may also have trouble determining the direction from which sounds come.

3. Loud or Unusual Speech: Children with hearing impairments may speak loudly to compensate for their diminished hearing. Their speech may also sound different from other children's, with inconsistent volume or pitch.

4. Behavioral Issues: Children with hearing impairments may exhibit behavioral issues due to their inability to communicate effectively. They may become withdrawn, frustrated, or hyperactive as a result of not being able to fully engage with their environment.