During initial assessment, which of the following is NOT typically observed for breathing assessment?

In the context of a pediatric patient assessment, breathing evaluation primarily focuses on the mechanics and effectiveness of the patient's respirations. The presence of accessory muscle use, audible wheezes, and the patient’s position are all critical indicators of respiratory distress and overall respiratory function.

Skin elasticity, while an important assessment feature in evaluating a child's hydration status or tissue perfusion, does not provide direct information about the respiratory function. During a respiratory assessment, healthcare providers observe how well the child is breathing, including examining any signs of increased work of breathing such as the use of accessory muscles. Wheezing indicates airway obstruction or constriction, which can be crucial in diagnosing conditions like asthma. The child's position can also give insights into respiratory distress; for example, leaning forward might suggest difficulty in breathing.

Therefore, while skin elasticity is a relevant clinical sign, it is not directly related to the assessment of breathing and does not help determine respiratory effectiveness, making it the correct answer for what is not typically observed during a breathing assessment.