أي ملاحظة عند طفل مصاب بضيق نفس تدل على جهد تنفسي شديد؟

Which finding in a breathless child indicates severe work of breathing?

1. A strong cry with tears on examination
2. Playing and eating normally with siblings
3. Nasal flaring with intercostal recession
4. Calm, regular breathing at 22 with pink colour

Answer: C) Nasal flaring with intercostal recession. Nasal flaring, intercostal, subcostal and suprasternal recession, grunting and head bobbing in infants are signs of severe respiratory effort needing intervention.