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The issues of language acquisition by children are discussed in linguistics, psychology, speech therapy, speech development methods and other areas of scientific knowledge. Lexical stock, its actualization and semantisation are closely related to the level of development of cognitive activity. This directly affects the child's ability to master the school curriculum. With speech underdevelopment, as a rule, insufficient formation of its lexical and semantic component is found. In this regard, the questions of the purposeful study of the lexical and semantic structure of speech of primary school students with its underdevelopment are theoretically and practically significant.