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You would say "a" one year old child, because it is based on the *sound* rather than the letter. One has a W (consonant) sound to start it, so it uses an "a" rather than an "an."

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10y ago
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6d ago

You would say "a one year old child" because the sound of the word "one" starts with a consonant sound. Use "an" when the following word starts with a vowel sound.

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Q: Do you say a one year old or an one year old as in I care for a one year old child or I care for an one year old child?
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