A nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome.. Hypotension and bradycardia

A nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. Which assessment signs noted in the newborn would alert the nurse to the possibility of this syndrome?
a) Tachypnea and retractions
b) Acrocyanosis and grunting
c) Hypotension and bradycardia
d) Presence of a barrel chest with acrocyanosis.
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