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The parents of 4-year-old Mariah consult a clinician. They have moved several times since Mariah was born; her father is a construction worker, and her mother works full-time inside the home caring for Mariah and her three siblings. The family has "struggled financially," according to Mariah's mother, Mrs. E. The clinician obtains the following information from Mrs. E. about Mariah's history: Mariah was born with a cleft of the soft palate and "a funny-looking face." Mrs. E. shares that "it was a nightmare to feed Mariah when she was a baby—the milk always came out through her nose." Mrs. E. begins to get angry as she describes the hospital staff in the town where Mariah was born. She states, "They said Mariah had some sort of syndrome and that she might always have special needs. I think that's bunk. Those people were so insensitive. They were just too busy to work with her properly. Mariah will be fine. I know she has had her problems, but I'm going to put her into a Montessori preschool because she is so smart." When the clinician sees Mariah for the first time, she notes that Mariah has a wide nose, small ears, almond-shaped eyes, and an elongated face. In addition, the clinician finds during assessment that she has a significant expressive language delay. The clinician will probably also find that she has
A. articulation disorders and an intellectual disability. above-average IQ.
C. no history of failure to thrive.
D. normal hearing with no history of middle ear infections.