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An 8 year old child with a repaired palatal cleft has received speech intervention for two years in order to reduce moderately severe hypernasality and nasal emission. Cognitive and linguistic skills are normal. All clinical data support a conclusion that abnormal speech characteristics are primarily the result of an inadequate velopharyngeal mechanism. There have been small improvements, but none in the past six to nine months. Which of the following is the most appropriate course of action for the SLP to take with the child at this point?A. terminating speech intervention and reassessing at three month intervals the potential for benefiting from renewed speech interventionB. Instituting an additional three months of articulation interventionC. Instituting a program of blowing, sucking, and swallowing exercises for a six-month trial periodD. Referring the child to a cleft palate team for consideration of sur
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