You receive a call to a local daycare center for a 3-year old boy who is not breathing. When you arrive and assess the child, you find him to be in cardiopulmonary arrest. You initiate CPR and request a back-up ambulance. In infants and children, the most detrimental effect of gastric distention is
A. increased ease of ventilations
B. decreased ventilatory volume
C. acute rupture of the diaphragm
D. less effective chest compressions