
Dr. Jessica Dimmick, Au.D
July 31, 2026

New backpack, new shoes, new teacher, and somehow, hearing never makes the list. That's worth changing. A child who can't quite hear from the third row isn't going to raise their hand and say so. They're going to guess, zone out, or get labeled as inattentive. If your child is heading back into an Ankeny classroom this fall, a hearing check belongs right alongside the pencils and folders.
Here's the tricky part: children often don't realize their hearing has changed, especially when it's happened gradually. They adapt without thinking about it, sitting closer to the TV, watching other kids' faces to fill in what they missed, and asking "what?" a little more often than before. None of that jumps out as a red flag on an ordinary day.
Even mild hearing loss can quietly chip away at vocabulary, reading skills, and classroom confidence. A child straining to catch every word in a noisy room is working twice as hard just to keep up. That extra effort tends to show up as frustration or distraction long before anyone connects it to their hearing.
Some signs are easy to overlook at home but become more obvious once the school year picks up again. Watch for a pattern of these:
One or two of these on their own don't necessarily mean anything. A consistent pattern is worth following up on.
Your newborn's hospital screening caught a lot, but hearing can change well after infancy. Ear infections, fluid buildup behind the eardrum, and regular headphone use can all affect hearing as your child grows. Passing a screening at birth doesn't mean everything still checks out at age seven or ten.
A reasonable rule: if your child hasn't had a hearing evaluation in the last couple of years, back-to-school season is a natural time to take care of it. It's also the right move if you've noticed any of the signs above, if your child has had repeated ear infections, or if a teacher has flagged concerns about attention or classroom participation.
Many schools run basic hearing screenings, and those are a helpful first step. But a screening isn't the same as a full evaluation. If the school flags anything, or if something feels off even when the screening looked fine, a comprehensive test gives you a much clearer, more complete picture.
A full pediatric hearing evaluation is nothing like a quick beep-and-raise-your-hand test. It typically includes a look inside the ear canal, a check of how the eardrum is responding, age-appropriate tone testing, and speech testing to see how well your child understands words, not just detects sound.
For younger children who can't respond on command, we use methods that don't require them to say a word. We watch natural responses like eye movement or a head turn toward sound. The whole appointment is painless, and most kids actually enjoy it once they realize it feels more like a game than a typical checkup.
You'll leave with a clear explanation of the results and, if anything needs attention, a straightforward plan for next steps. No mystery, no waiting weeks to understand what the findings mean.
Catching a hearing concern early makes a real difference. Once the semester is underway and your child is already falling behind or struggling to follow along, getting back on track takes considerably more effort for them and for you.
At our Ankeny clinic on White Birch Circle, we work with kids from toddlers to teenagers, using testing approaches suited to each child's age and comfort level. You don't need a referral from the school or your pediatrician to come in.
Call us at 515-964-1134 to book a pediatric hearing evaluation before the first bell rings. A quiet appointment now is a lot easier than trying to untangle a concern three months into the school year. Your child deserves to walk into that classroom hearing every word.