You have been referred a new 6-year-old first grade student, Ruthie, for a possible speech sound disorder. After a comprehensive assessment, you determine that Ruthie has a moderate articulation disorder as evidenced by difficulty with the following phonemes: /k, g, f, v, l, s, z/. Ruthie seems to have good phonological awareness - she can rhyme and identify the first phoneme in most words. Her teacher reports that she struggles in class with early literacy tasks. What other assessments might you do and what would be your next step with Ruthie?
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