Moderate

A 4-year-old child is unresponsive, has abnormal gasping, and shows no signs of circulation during a rapid assessment. Which action has priority?

Correct answer: B. Begin chest compressions while help is activated

  • A. Place the child in the recovery position and observe
  • B. Begin chest compressions while help is activated
  • C. Give oral glucose and reassess consciousness
  • D. Insert an oral airway before calling for help

Explanation

Abnormal gasping is not normal breathing, so the child requires immediate paediatric resuscitation. Chest compressions and activation of the emergency response take priority because circulation and oxygen delivery are failing.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Paediatric Emergencies

Paediatric emergencies cover rapid assessment using airway, breathing and circulation, basic life support, respiratory distress, choking, shock, seizures, poisoning, burns, severe dehydration and trauma. Questions focus on recognising danger signs, prioritising immediate nursing actions, calculating weight-based treatment and distinguishing compensated from decompensated shock.

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