While working with a 10-year-old boy who is having a well-child checkup, the nurse would expect which of the following findings when inspecting the ear using an otoscope? Select all that apply.
A)Tympanic membrane appears to be bulging.
B)Cone of light noted at the 4 o'clock position.
C)Retraction of the tympanic membrane is noted.
D)There is a shiny, pearl-gray color to the tympanic membrane.
E)Pinna appears red and swollen.
F)S-shaped external auditory canal lined with fine hairs.

Question

Quizplus · Accepted Answer

B) A cone of light should be noted at the 5 o'clock position on the right ear and the 7 o'clock position on the left ear in a normal tympanic membrane.
D) The tympanic membrane should have a shiny pearl-gray color in a normal examination.
F) The external auditory canal should be an S-shaped canal lined with fine hairs in a normal examination. 
A bulging tympanic membrane (A) could indicate middle ear infection, while a retracted tympanic membrane (C) could indicate Eustachian tube dysfunction. A red and swollen pinna (E) may indicate inflammation or infection.

While Working with a 10-Year-Old Boy Who Is Having a Well-Child