In the continuing assessment of a preterm infant,the nurse notices continued respiratory distress even though oxygen and ventilation have been provided.The nurse should suspect:

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Other symptoms might include hypotension,prolonged capillary refill,and tachycardia followed by bradycardia.Intervention is necessary.Preterm infants are susceptible to temperature instability.The goal of thermoregulation is to provide a neutral thermal environment.Hypoglycemia is likely to occur if the infant is attempting to conserve heat.CNS injury is manifested by hyperirritability,seizures,and abnormal movements of the extremities.Urine output and testing of specific gravity are appropriate interventions for the infant with suspected renal failure.This neonate is unlikely to present with respiratory distress.

In the Continuing Assessment of a Preterm Infant,the Nurse Notices