Where should you place your fingers when performing chest compressions on an infant?

• A. Over the xiphoid process
• B. On the back between the shoulder blades
• C. On the upper sternum near the clavicles
• D. Right below imaginary horizontal line between the nipples

Answer: (D)

In infant CPR, place two fingers on the center of the chest, on the sternum in the lower portion, just below the nipple line. This location positions your compressions to directly press the heart and minimizes risk to the xiphoid process or abdominal organs. Pressing higher up near the clavicles would be less effective at compressing the heart, and pressing on the back between the shoulder blades is not how chest compressions are done. The landmark just below the nipple line provides the correct site for effective, safer compressions. Use about 1.5 inches (4 cm) of depth at a rate of 100–120 compressions per minute, with full chest recoil between compressions.