What observation in a child should indicate the need for a referral to a specialist regarding a communication impairment?
a. At 2 years of age, the child fails to respond consistently to sounds.
b. At 3 years of age, the child fails to use sentences of more than five words.
c. At 4 years of age, the child has impaired sentence structure.
d. At 5 years of age, the child has poor voice quality.
ANS: A
If a 2-year-old child fails to respond consistently to sounds, it is an indication for referral to a specialist regarding communication impairment. At age 3 years, the child failing to use sentences of three words would be an indication for referral; impaired sentence structure would be seen in a 5-year-old child and poor voice quality in an older child who has a communication impairment.
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