Final answer:
If a child has a heart rate greater than 60 per minute but is not breathing or has ineffective breathing, the rescuer should immediately perform CPR.
Step-by-step explanation:
If a child has a heart rate greater than 60 per minute and a pulse, but has ineffective breathing or is not breathing, the rescuer should immediately perform CPR (cardiopulmonary resuscitation). CPR involves manually compressing the chest to push blood within the heart into the pulmonary and systemic circuits.
High-quality chest compressions should be performed at a rate of 100 compressions per minute. The goal is to provide oxygenated blood flow to the brain and vital organs until the child regains spontaneous breathing or receives medical assistance. It is important to start CPR as soon as possible as brain cells can start to die within minutes of loss of blood flow.