Speech & Language Development Disorders Flashcards

A bilingual child demonstrates language difficulties in both their home language and English. This finding:

Answer: Is consistent with DLD, which affects all languages a child speaks

DLD affects all languages a bilingual child speaks; difficulties present across both languages support a disorder rather than typical second-language acquisition.

Which standardized test is most appropriate for assessing narrative macrostructure and story grammar in school-age children?

Answer: TNL (Test of Narrative Language)

The Test of Narrative Language (TNL) specifically assesses narrative comprehension and production, including story grammar elements.

A toddler points to objects to show them to a caregiver but does not point to request objects. This behavior suggests:

Answer: Intact declarative pointing with absent imperative pointing, which may be a red flag for ASD

Absent imperative pointing (protoimperative) while declarative pointing is present is an atypical pattern that may signal ASD or social communication differences.

Intervention using aided AAC with a child who has complex communication needs is MOST supported by evidence when:

Answer: AAC is introduced early and alongside other communication modalities

Research supports early introduction of AAC alongside other communication modalities; AAC does not inhibit speech development and promotes communication.

A child with a cleft palate who receives surgical repair is still likely to need SLP services for:

Answer: Articulation, resonance, language, and literacy development

Children with cleft palate are at risk for articulation disorders, velopharyngeal insufficiency, language delays, and literacy difficulties requiring ongoing SLP involvement.

Which of the following is the BEST indicator of a true language disorder versus a language difference in a culturally and linguistically diverse child?

Answer: The child's difficulties are present across both languages and in comparison to same-language peers

Comparing the child's performance to same-language peers and evaluating across all languages is the most valid method to distinguish disorder from difference.

Nonword repetition tasks are valuable in assessing children with suspected DLD because they:

Answer: Tap phonological short-term memory, which is consistently weak in children with DLD

Nonword repetition is a robust clinical marker for DLD that reflects phonological working memory deficits and shows less influence from prior vocabulary knowledge.