RQI Pediatric Advanced Life Support (PALS) Practice Test

Which is an appropriate intervention for an apnea child?

Provide one breath every 2 to 3 seconds Deliver continuous chest compressions without ventilation Observe for spontaneous breathing for 60 seconds Withhold ventilation until the child becomes fully responsive

Correct Answer:

Provide one breath every 2 to 3 seconds

Explanation:

When a child is not breathing but still has a pulse, the priority is to provide ventilation to restore oxygen delivery. Give rescue breaths at about one breath every 2 to 3 seconds (roughly 20 breaths per minute), making sure each breath causes the chest to rise. This supports oxygenation and helps maintain circulation until the child resumes breathing or the condition worsens. Continuous chest compressions without ventilation aren’t appropriate here because the body still needs oxygen supplied through breaths. Waiting to see if spontaneous breathing returns or withholding ventilation until the child is fully responsive would delay critical support.

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