Being hearing impaired does not only affect a child's academic performance, but can also influence a child's overall development and ability to succeed academically. Children with hearing impairment often experience delays in other areas of their development and an understanding of the inter-relatedness of these delays are important in order to address all these aspects, and thus minimise the impact on a child's overall development. The paper provides a neurodevelopmental profile of 4-year-old to 8-year-old rural hearing-impaired children based on the result of a psychometric assessment. Eighteen children were selected from a special needs school in the rural QwaQwa Free State area of South Africa and underwent a psychometric assessment using two test batteries (Griffiths mental developmental scales-extended revised and a neurodevelopmental evaluation scale). The neurodevelopmental profile will contribute to knowledge of the nature of the challenges faced by the hearing-impaired child in rural education and the neurodevelopmental origin of these challenges.