MCOLES State Licensing Practice Exam

If an infant is not breathing, what is the first course of action?

1. Use an AED to revive the infant

2. Begin CPR

3. Administer rescue breathing and CPR if there is no pulse

4. Check for any obstructions in the airway

The correct answer is: Administer rescue breathing and CPR if there is no pulse

When it comes to an infant who is not breathing, the appropriate initial response is to administer rescue breathing and CPR, particularly if there is no pulse. In emergencies involving infants, it is critical to assess their condition quickly. If the infant shows no signs of breathing, the next immediate step is to provide rescue breathing to try to restore adequate airflow. CPR should be initiated promptly after that, as the lack of breathing often accompanies a lack of circulation. In distinguishing this approach, it's vital to understand that simply starting CPR without confirming the absence of a pulse may not provide the most effective outcome. Instead, rescue breathing can help reestablish oxygen flow before beginning chest compressions. The incorrect options highlight alternative responses that are not the most suitable first actions. Using an AED is not appropriate for infants as it may not be designed for their small body size, and attempting to focus solely on checking for obstructions might delay vital intervention time. While checking for obstructions is important and can be done after assessing breathing, it should not take precedence over the immediate need for rescue breathing and CPR if the infant is unresponsive and not breathing.