Reya Is a 2 1/2-Year-Old Whose Parents Have Brought Her

Reya is a 2 1/2-year-old whose parents have brought her to the office because she has been cranky and apparently does not feel well. When asked where it hurts, she points to her throat. The physician has asked you to obtain a specimen for a rapid strep test, but Reya refuses to open her mouth. Which of the following is the best way to open Reya's mouth to obtain the specimen?

A) Tickle the child until she opens her mouth to laugh
B) Grasp her lower jaw firmly and pull downward
C) Ask Reya's mother to tell her to open her mouth
D) Squeeze Reya's nostrils shut until she opens her mouth to breathe
E) Inform the physician that you were unable to get the specimen