There are various ways that one can use when unable to comprehend a topic or lesson being taught. Here, we see that Josephine is listing main ideas down, or writing specific items down that will help her remember in the future.
Look at the answer choices. Only A matches the above description.
B is incorrect because she's not raising her hand to ask any specific question. C is wrong because nowhere in the excerpt does there suggest any distractions. And, D is not right because nothing indicates Josephine recalling any previous facts she learned to help her in this situation.