Parents have understood teaching about prevention of childhood otitis media if they make which statement?

A) "We will only prop the bottle during the daytime feedings."
B) "Breastfeeding will be discontinued after 4 months of age."
C) "We will place the child flat right after feedings."
D) "We will be sure to keep immunizations up to date."

Parents have understood the teaching about preventing childhood otitis media if they respond they will keep childhood immunizations up to date. The child should be maintained upright during feedings and after. Otitis media can be prevented by exclusively breastfeeding until at least 6 months of age. Propping bottles is discouraged to avoid pooling of milk while the child is in the supine position.