Which of the following therapeutic interventions would be appropriate for a neonate with a respiratory rate of 65 breaths/minute while displaying paradoxical chest wall movement with suprasternal and substernal retractions, grunting, nasal flaring, and cyanosis, along with the following blood gas data: pH 7.30; PaCO₂ 50 mm Hg; PaO₂ 60 mm Hg?

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According to American Association for Respiratory Care (AARC) clinical practice guidelines, neonates presenting with a respiratory rate greater than 30% of normal and paradoxical chest wall movement with suprasternal and substernal retractions, grunting, nasal flaring, and cyanosis should be considered for placement on CPAP as long as they are able to demonstrate adequate ventilation as defined by PaCO₂ less than 60 mm Hg and pH greater than 7.25.

Which of the Following Therapeutic Interventions Would Be Appropriate for a Neonate