When Performing an Otoscopic Examination of a 5-Year-Old Child with a History

When performing an otoscopic examination of a 5-year-old child with a history of chronic ear infections,the nurse sees that his right tympanic membrane is amber-yellow in color and there are air bubbles behind the tympanic membrane.The child reports occasional hearing loss and a popping sound with swallowing.The preliminary analysis based on this information is that:

A) this is most likely a serous otitis media.
B) the child has an acute purulent otitis media.
C) there is evidence of a resolving cholesteatoma.
D) the child is experiencing the early stages of perforation.