A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

A. "Sometimes my child acts bossy with his friends." Bossy behavior is a common part of social development in early childhood as children test boundaries and roles. It usually does not indicate a serious problem but reflects normal assertiveness. B. "My child has recently lost both front top teeth." Losing front teeth around age 6 is a normal part of the developmental process as primary teeth are replaced by permanent teeth. This statement is expected and not concerning. C. "My child often cheats when we play board games." Cheating at this age can be related to a child’s developing understanding of rules and fairness. While not ideal, it is common and often part of learning social norms, not an immediate concern. D. "The teacher says my child has to squint to see the board." Squinting to see the board suggests possible visual impairment, which can affect learning and development. This concern warrants further