If a child has a central pulse of 68 bpm and improved perfusion, what is the next step?

When a child presents with a central pulse of 68 beats per minute and improved perfusion, it indicates that the child has a heart rate that is near the lower limit of normal and shows signs of improved circulation. In this context, the next step focuses on providing adequate oxygenation without over-ventilating, which is critical for the recovery of the child's condition.

Delivering one ventilation every 2 to 3 seconds is appropriate because it ensures that the child receives enough oxygen while maintaining a safe ventilation rate that does not compromise their cardiovascular status. This frequency allows for proper gas exchange while avoiding potential complications associated with excessive ventilation, such as hyperventilation that can reduce blood flow due to decreased venous return.

This choice considers the balance between adequate ventilation and the child's current physiological status. Monitoring the child's response following this intervention is also crucial to ensure continued improvement in perfusion and overall condition.