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A 30-week infant was placed on CPAP 6 cm H2O at birth for grunting and retractions. At 3 hours of life, FiO2 needs have climbed from 0.30 to 0.45 to keep SpO2 at 90–95%, breath sounds are equal, and the chest X-ray shows a diffuse ground-glass pattern with air bronchograms. What should the nurse anticipate?
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