Correct option is D
Sol. Severe pneumonia in children is clinically diagnosed when signs such as chest indrawing, poor feeding, restlessness, lethargy, or even cyanosis are observed. These symptoms suggest compromised lung function and oxygen exchange, requiring immediate antibiotic therapy and supportive care. According to IMNCI (Integrated Management of Neonatal and Childhood Illness) guidelines, all three symptoms in the options indicate severe illness.
Explanation of each option:
· (a) Restlessness – True. It can be an early sign of hypoxia or fever in pneumonia and may indicate disease progression.
· (b) Not taking feeds – True. Poor feeding is a danger sign in infants and often accompanies serious infections like pneumonia.
· (c) In drawing of chest wall – True. Chest indrawing is a classic sign of respiratory distress, used in classifying pneumonia severity.
· (d) All of these – Correct. All symptoms listed are indicators of severe pneumonia and warrant urgent medical attention.