Lack of understanding or something else?

My child has significant communication and speech delay. He has learnt so much but at time I wonder is it lack of understanding or is there something else

He can learn, but if went outside to do a scavenger hunt of all things green, he doesn't understand why he's outside. Even though I explain, that knowledge isn't there. The same if we where to go outside to get flowers that understanding isn't there

Would it be because he can't talk and understand what anything is, or would there be something else??

Any help?? 

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