A nurse is caring for a preschool-aged child. The parent reports that they speak only in Spanish at home and that the child is having trouble recognizing letters in English at preschool. Which of the following responses should the nurse make?

A. "Speaking a different language at home shouldn't affect learning how letters sound.": Learning a second language can temporarily affect letter recognition and phonemic awareness in the new language. Dismissing the parent’s observation may create unnecessary concern and does not address the normal process of bilingual language acquisition. B. "Children who are learning a new language sometimes have difficulty learning new letters.": Bilingual children may experience temporary delays in recognizing letters or sounds in a second language due to limited exposure and differences in phonetics. This response normalizes the experience and reassures the parent while encouraging continued support in both languages. C. "It's great that you're teaching them another language at this age.": While promoting bilingualism is positive, this statement does not address the parent’s concern regarding letter recognition difficulties in English. It lacks guidance on supporting literacy development. D. "You should have them evaluated by our speech team.": Referral is unnecessary at this stage unless there are broader concerns such as speech delays or communication disorders. Difficulty recognizing letters in a second language is often a normal part of bilingual learning.