The school nurse is assessing the tympanic membranes of a 3-year-old child. Which of the following demonstrates proper technique?
a. Using an inverted otoscope grip while pulling the auricle downward
b. Pulling the auricle upward and backward
c. Holding the handle of the otoscope between the thumb and index finger while the child lies on the weight scale
d. Using an inverted otoscope grip while pulling the auricle upward
A
Using the inverted otoscope grip while pulling the auricle downward is a common approach with child examinations because it prevents accidental movement of the otoscope deeper into the ear canal, as could occur with an unexpected pediatric reaction to the ear examination. The other techniques could result in injury to the child's tympanic membrane.
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