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: What might be a cause of the child 's speech impediment ?
Answer: 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 .