If the Defendant in an Action Is a Child or Patient

If the defendant in an action is a child or patient, which of the following statements is untrue?

A) No steps may be taken other than issue and service until a litigation friend has been appointed for the defendant.
B) If the defendant becomes a patient after issue no further steps may be taken until the court gives permission and a litigation friend has been appointed.
C) The case cannot be issued until a litigation friend has been identified for the defendant.
D) The court may order that a child has sufficient maturity and understanding to conduct the action himself without a litigation friend.