Praxis SLP Licensure Exam

A SLP report states that a 4-year-old child shows simple phrase repetitions and occasional sound prolongations of up to 3 seconds. Which statement is the MOST ACCURATE regarding this behavior?

1. The child is showing only core behaviors of stuttering

2. The child's prolongations and tense posturing are insignificant

3. The child is at low risk for advanced stuttering

4. The child is showing core and secondary stuttering behaviors

The correct answer is: The child is showing core and secondary stuttering behaviors

The behavior described in the report indicates that the child is exhibiting core aspects of stuttering, such as simple phrase repetitions and sound prolongations. Core behaviors are characterized by the disruptions in the flow of speech, which include repetitions and prolongations. In addition to these core features, some children may develop secondary behaviors, which are typically learned responses or strategies to cope with the feelings of frustration or anxiety associated with stuttering. The inclusion of simple phrase repetitions and sound prolongations, particularly since the prolongations last up to 3 seconds, suggests that the child may not only be experiencing primary stuttering symptoms but is also potentially beginning to develop secondary behaviors. This could include things like tension, avoidance, or physical movements in response to the stuttering. As a result, the statement highlighting that the child is showing both core and secondary stuttering behaviors is the most accurate because it acknowledges the complexity of the stuttering that may be present in this child’s speech patterns, indicating a more comprehensive understanding of their speech behavior.