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 .
According to the above context, choose the best option to answer the following question.
Question: What might be a cause of the child 's speech impediment ?
Options:
- 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 .