What Observation in a Child Should Indicate the Need for a Referral

Multiple Choice

What observation in a child should indicate the need for a referral to a specialist regarding a communication impairment?

A) At 2 years of age, the child fails to respond consistently to sounds.
B) At 3 years of age, the child fails to use sentences of more than five words.
C) At 4 years of age, the child has impaired sentence structure.
D) At 5 years of age, the child has poor voice quality.