Choice A rationale:

Watchful waiting is a management approach for mild cases of otitis media, especially if the infection is suspected to be viral and not bacterial.

It involves monitoring the child's symptoms without immediate antibiotic treatment.

Watchful waiting allows healthcare providers to assess the progression of symptoms before deciding on further interventions, such as prescribing antibiotics.

Therefore, this choice is a valid way to manage otitis media in children.

Choice B rationale:

Antibiotics or antivirals are commonly prescribed to manage otitis media, especially when the infection is bacterial.

Antibiotics help treat the bacterial infection and reduce inflammation in the middle ear.

Antivirals may be considered if the infection is caused by a virus.

Prescribing appropriate medications is a standard and effective way to manage otitis media in children, helping to alleviate symptoms and prevent complications.

Choice C rationale:

Myringotomy is a surgical procedure in which a small incision is made in the eardrum to drain fluid from the middle ear.

This procedure is often performed when there is persistent fluid accumulation, recurrent infections, or hearing loss due to otitis media.

Myringotomy helps relieve pressure in the middle ear, promote drainage, and improve hearing.

While it is a medical intervention, it is a valid way to manage otitis media, especially in cases where other treatments have not been effective.

Choice D rationale:

Administration of over-the-counter pain relievers, such as acetaminophen or ibuprofen, is a common approach to managing pain and discomfort associated with otitis media.

These medications can help reduce ear pain and fever, providing relief to the child while the infection resolves.

While pain relievers do not directly treat the underlying infection, they play a supportive role in managing symptoms and improving the child's comfort level during the illness.