Praxis SLP Licensure Exam

What is the most accurate assessment of a preschooler exhibiting disfluencies in speech?

1. He is showing normal disfluency

2. He is at risk of stuttering due to family history

3. A wait and see approach is best for preschoolers

4. Direct therapy is needed

The correct answer is: He is at risk of stuttering due to family history

The choice indicating that the preschooler is at risk of stuttering due to family history is the most accurate assessment in this context. Research indicates that a significant number of children who exhibit disfluencies in their speech, particularly those with a family history of stuttering, may have an increased likelihood of developing a persistent stuttering problem. Family history can be a strong indicator of an individual's vulnerability to speech disorders, as genetic factors often play a role in the manifestation of such issues. In young children, observing disfluencies is relatively common, especially during language development. However, when there's a noted family history of stuttering, it warrants closer observation and potentially earlier intervention strategies. This proactive approach is essential for those who may be more predisposed to developing a speech fluency disorder as they grow older. While the other options may seem plausible, they lack the necessary nuance regarding risk factors associated with speech development in this specific case. Emphasizing the influence of genetics helps caregivers and professionals decide on the appropriate monitoring and support strategies to implement early, which can significantly affect the child’s communicative outcomes.