Which of the following may indicate a child needs evaluation for a developmental delay?

The indication that a child may need evaluation for a developmental delay is supported by the child's failure to respond to voices. This behavior is a significant concern because responding to sounds and voices is a crucial aspect of auditory processing and social engagement typically expected in early childhood development. If a child does not react to their name being called or show interest in sounds around them, it could signal a potential hearing issue or a delay in social or cognitive development.

The other choices, while they might raise some concerns, do not necessarily indicate a developmental delay. A child’s inability to make friends can be influenced by various factors, such as shyness or situational contexts, which may not be related to developmental delays. Excessive energy levels might suggest hyperactivity or other behavioral issues, but it does not directly indicate a developmental delay. Normal speech development indicates that the child is progressing as expected in this area, so it does not warrant concern for a delay. Consequently, the failure to respond to voices acts as a more definitive sign that warrants evaluation.