A nurse is interviewing the parents of a 3-year-old child. Which of the following statements from the parents should the nurse recognize as a manifestation of a hearing loss in the child?

A. A monotone voice in a young child is a possible manifestation of hearing loss. Children learn to modulate their voice based on the sounds they hear. If a child has a hearing impairment, they may be unable to hear pitch, tone, or volume correctly, resulting in flat or monotone speech. B. While repetition can occur in children with hearing loss, it is also common in normal speech development and not specific to hearing issues. Repeating statements could reflect language processing or mimicry rather than hearing difficulty. C. Quick responses to questions and short sentences suggest normal hearing and comprehension. D. Preferring to play in groups does not necessarily indicate a hearing issue.