A school-based clinician is assessing the velopharyngeal adequacy of Tanveer, a 13-year-old immigrant high school student from Pakistan. Tanveer was born with a cleft of the palate and lip; there was no repair until Tanveer's family came to the United States when Tanveer was 11 years old. In Pakistan, Tanveer and his family lived in a rural area where surgery was unavailable. Though the repair surgery in the United States a year ago was successful and Tanveer now has a more aesthetically pleasing appearance and better speech, there is still audible nasal emission and hypernasality when he speaks. The clinician plans to refer Tanveer to a local craniofacial team, but she still wants to conduct as thorough an examination as she can. Despite the lack of instrumentation available at her school site, the clinician does have access to an oral manometer. She uses this to provide a beginning point from which to refer Tanveer to the craniofacial team. After obtaining a ratio by comparing pressures achieved in the nostrils-occluded and the nostrils-open conditions, the clinician concludes that Tanveer especially needs to be referred to the craniofacial team for possible further surgery or a pharyngeal flap. When she did oral manometry, the clinician probably found that Tanveer had a ratio of ________.
A. had a ratio of .87
B. had a ratio of .91
C. had a ratio of 1.4
D. had a ratio of 1.0
E. had a ratio of .99