The nurse is caring for a child in respiratory distress who is experiencing substernal retractions. Select the red area where SUBSTERNAL retractions occur.

Rationale: A. Suprasternal retractions occurs at the notch above the sternum, not below it. B. Supraclavicular retractions are seen above the clavicles, often with severe distress. C. Intercostal retractions appear between the ribs, not beneath the sternum. D. Substernal retractions occur just below the sternum when the child is working hard to breathe. E. Subcostal retractions are located beneath the rib cage, closer to the abdomen, not at the sternum.