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Question - The parents of a 3-year-old girl bring her to see you. They are concerned because their daughter has only an 8 to 10 word vocabulary, and she does not put words together into phrases or sentences. They report that she seems to have no hearing problems; she responds to her name and follows directions well. In general, she has been in good health. Aside from delayed speech, her development is normal. During the physical examination, which is also normal, the girl does not speak.
1. What expressive language skills should a child have by age 3 years?
2. Approximately how many words should 3-year-olds have in their vocabulary?
3. By what age should children's speech be intelligible to strangers at least 75% of the time?
4. What factors may be associated with delayed speech development?
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