The therapist notices that a preterm newborn has a grunting cry. Which of the following conditions is most consistent with this description?

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A loud and vigorous cry is usually a sign of a healthy infant. A moaning, weak, or faint cry suggests illness. Frequently, an infant with respiratory distress syndrome strains with a grunting cry. An infant with a piercing, high-pitched cry often has a neurologic injury, drug withdrawal, or increased intracranial pressure. Hoarse crying can be associated with laryngeal edema, as in recently extubated infants. However, a hoarse cry may also be heard with congenital hypothyroidism, cretinism, or hypocalcemia with laryngospasm.

The Therapist Notices That a Preterm Newborn Has a Grunting