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A 35 year old woman with good antenatal care presents at 32 weeks gestation with elevated blood pressure. It is determined that she has preeclampsia and the baby is born by caesarean section. The baby is handed to you floppy and blue without any respiratory effort. You place the baby on the warmer and gently suction the mouth, then dry and stimulate the baby. The baby's heart rate is approximately 100 bpm. What would be the likely causes of the baby's cyanosis and poor respiratory distress?

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The question is based on a 35 year old woman with good antenatal care, at 32 weeks of gestation is admitted with high blood pressure. The woman has preeclampsia and the baby is delivered through caesarean prematurely. The delivered baby is weak and needs resuscitation. The question is about the causes of baby's cyanosis and poor respiratory distress have been discussed in detail in the solution.

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