A nurse is providing a routine wellness examination for a 5-year-old boy. Which response by the parents indicates a need for an additional referral or follow-up?
a) "We often have to translate his speech to others."
b) "He can count to 30 but gets confused after that."
c) "He knows his name and address."
d) "He is always talking and telling detailed stories."
Answer: "We often have to translate his speech to others."