A nurse is performing an otoscopic exam on a school-age child. Which direction should the nurse pull the pinna for this age of child?
a. Up and back
b. Down and back
c. Straight back
d. Straight up
ANS: A
With older children, usually those older than 3 years of age, the canal curves downward and forward. Therefore, pull the pinna up and back during otoscopic examinations. In infants, the canal curves upward. Therefore, pull the pinna down and back to straighten the canal. Pulling the pinna straight back or straight up will not open the inner ear canal.
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