In what scenario should you consider delivering 2 initial breaths for a child or infant?

In the context of delivering initial breaths for a child or infant, the scenario of having a primary respiratory etiology is particularly critical. This situation typically arises when a child is not breathing adequately due to a respiratory issue, such as drowning, asthma, or severe allergic reactions affecting breathing. Providing two initial breaths serves to introduce oxygen into the lungs to address the lack of oxygen exchange, which is essential for the child's survival.

Delivering these breaths right after recognizing that the child has stopped breathing can help restore their normal respiratory function before beginning chest compressions, if needed. It is important to ensure that these breaths are delivered effectively, as they can provide the necessary oxygenation to sustain the child while preparing for further CPR steps.

Other scenarios mentioned—such as unconsciousness, choking, and unresponsiveness—may require different approaches. For instance, while a choking child may need back blows or abdominal thrusts to remove the obstruction rather than initial breaths, an unresponsive child may also need immediate chest compressions if there is no breathing. Thus, understanding the correct situations to administer initial breaths is vital in providing effective life support for children and infants.