What breathing position may indicate distress while in water?

The answer is significant because when a person is in water and tilts their head back to keep their mouth above water, it often indicates they are struggling to breathe effectively. This position can suggest distress, as the individual may be trying to stay afloat while also gasping for air or feeling panicked.

In contrast, breathing steadily with the head above water is a sign of normal behavior when someone is comfortable and not in distress. Low and controlled breathing typically indicates a calm state, while deep breathing with a relaxed posture suggests that the individual is not experiencing any difficulty. These other options represent signs of comfort and control rather than distress in the water.