I saw a 9 year old girl for a well child check a month or so ago . She is a beautiful girl , and she has a speech impediment . As is our routine , we did a hearing screen , which she failed .

Question with options to choose from: What might be a cause of the child 's speech impediment ?
Pick from: + The child has a speech problem which may cause hearing impediment . + The child has a hearing problem which may cause speech impediment . + None of the above choices . + The child has a speech impediment which may result in hearing problems .
The child has a hearing problem which may cause speech impediment .