The first thing I'd do at the meeting is to ask how the numbers on the report card are assigned, and what they represent. Our elementary school used a "1-4" report card (rather than letter grades), and the system was not just a # vs letter, but represented very different concepts - "4" represented total mastery of the curriculum that was to be learned over the course of the year, so the students were actually expected to be either a 1 or 2 through at least the first semester. If this is what's up, I wouldn't put too much thought (or discussion) into the grades. If instead the numbers correlate to "A/B/C" etc grades, then ask how the grades are calculated (classwork vs tests etc) and ask where your dd is having challenges vs where she is doing well.

Also be sure to ask all the questions you can think of that have to do with the teachers' notes that your dd is having difficulty with focus in class. Try to brainstorm a way together that will help with reminders so that the teacher isn't having to remind her over and over again.

Best wishes,

polarbear