The mother of an 18 month old states that she is concerned due to the fact that her child has been diagnosed with otitis media three times in the last year. Which answer would be appropriate to alleviate the mother's concerns?
1. A child's airway is short and narrow. As the child grows, the airway will grow, and the number of alveoli will increase.
2. A child's tonsils are larger than an adult's and block emptying of the Eustachian tubes. As the child grows, the tubes get longer even though tonsils don't change.
3. A child's Eustachian tubes are shorter and more horizontal, allowing nasopharyngeal secretions to enter. As the child grows, the incidence of OM will decrease.
4. A child's larynx is more flexible than an adult's and easily stimulated to spasm. As he grows, he will be less sensitive to laryngospasms and pooling of secretions.
3
1. Although choice 1 is correct, it does not address the ears and recurrent infection.
2. A child's tonsils are not larger than an adult's. They do not block the emptying of the Eustachian tubes.
3. A child's Eustachian tubes are shorter and more horizontal, allowing nasopharyngeal secretions to enter. As the child grows, the incidence of OM will decrease.
4. A child's larynx is not more flexible than an adult's.
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