Which of the following symptoms is an indicator of respiratory distress in a pediatric patient?

Severe retractions are a significant indicator of respiratory distress in pediatric patients. In this context, retractions refer to the visible pulling in of the skin between the ribs or around the collarbone as a child struggles to breathe, demonstrating increased work of breathing. When a child is experiencing respiratory distress, their body is making greater efforts to increase airflow to the lungs, which often results in the muscles around the ribs being used more effectively, leading to this observable sign. This is one of the key clinical indicators that healthcare providers monitor when assessing respiratory function in children.

Other symptoms such as decreased appetite, abnormal skin color, or agitated behavior usually accompany respiratory distress; however, severe retractions specifically indicate that the child might be in trouble and requires immediate medical intervention. Understanding this clinical sign helps nurses quickly recognize and respond to a child's respiratory needs.