Which pediatric client is least at risk for developing otitis media?

The correct answer highlights that a breastfed infant is least at risk for developing otitis media. Breastfeeding has several protective factors that contribute to a reduced incidence of ear infections in infants. Breast milk contains antibodies and immune-enhancing factors that help bolster the infant’s immune system, providing better defense against infections, including those that can lead to otitis media.

Additionally, breastfeeding promotes proper positioning during feeding, which can help minimize the risk of fluid entering the ear; when infants are bottle-fed, especially while lying down, there is a higher likelihood of fluid accumulation behind the eardrum, increasing the risk of ear infections. Furthermore, breastfed infants tend to have fewer incidences of upper respiratory infections, which are often linked to the development of otitis media.

In contrast, the other options present factors that are associated with a higher risk of developing this condition. For example, bottle-fed infants and infants in daycare settings experience increased exposure to pathogens and potential ear-nose-throat complications. Likewise, exposure to environmental smoke is a known risk factor for respiratory complications in children, which can heighten the chances of developing otitis media.