Sophia has difficulty pronouncing words correctly and understanding what they mean. Which element of reading fluency does she struggle with?

The answer is Sophia has difficulty with accuracy.

Explanation:

Fluency in reading involves four major elements: accuracy, rate, prosody, and comprehension.  There is a correlation between fluency and comprehension. Many mistakenly think that reading more quickly will naturally improve reading comprehension. But the reader also needs to understand what they are reading. Prosody means that the reader can read naturally, with a confident level of expression and with an appropriate rhythm. Students who struggle with fluency also tend to read less than their peers and they have trouble developing other academic skills.

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