James is an 18-month-old child who has had a cough for 7 days with no general danger signs. He has a temperature of 37.5°C and a respiratory rate of 41 breaths/minute. How will you classify James' breathing?
Correct Answer: C
Rationale: The correct classification for James' breathing is "C: Normal breathing." The respiratory rate for a child of his age should be between 20-30 breaths/minute. Since James has a respiratory rate of 41 breaths/minute, it may seem elevated. However, it is important to consider that children under 2 years often have higher respiratory rates compared to older children and adults. In the absence of other danger signs such as chest in-drawing, grunting, or stridor, a respiratory rate of 41 breaths/minute in an 18-month-old child with a cough does not necessarily indicate very fast breathing. Therefore, James' breathing is classified as normal based on his age group and the absence of other concerning signs.
Summary:
A: Slow breathing - Incorrect, as James' respiratory rate is elevated, not slow.
B: Fast breathing - Incorrect, as James' respiratory rate does not meet the criteria for very fast breathing.
D: Very fast breathing - Incorrect