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Pragmatic Recommendations For Children With Hearing Loss Children with hearing loss may find it difficult to learn pragmatic language. There are some tests and checklists that can help evaluate pragmatic speech development. For example, the Language Use Inventory is a valid and standardized checklist that is that is completed by families of students aged 18-47 months. 1. Take Turns Turning is a ability that allows people to communicate and understand each other more effectively. It helps peopl