Which area of development is least likely to be affected in a child with chronic otitis media?

Chronic otitis media primarily impacts the auditory system, leading to potential issues with hearing that can influence speech and language development significantly. In children with this condition, difficulties with hearing can hinder their ability to acquire and practice language skills, which may affect their overall speech development.

While there can be secondary effects on social skills due to communication challenges, the fundamental performance in cognitive abilities typically does not show a direct impact from chronic otitis media. Cognitive abilities refer to the intellect and the processes of thinking, learning, memory, and problem-solving, which are less directly influenced by hearing issues.

Gross motor skills usually pertain to physical development and movement, which are not reliant on hearing abilities. Thus, while children with chronic otitis media may experience delays in speech and language due to hearing difficulties, their cognitive development is often more resilient to these types of auditory impairments. Consequently, cognitive abilities are least likely to be negatively affected by chronic otitis media in comparison to speech and language skills, making it the correct choice.