Review Question - QID 210675

A newborn infant is resuscitated and transferred to the neonatal intensive care unit. The infant has notable limb deformities as well as low-set ears and a flattened nose. He was born at 34 weeks gestation to a healthy mother who received regular obstetric follow-up. Resuscitation was notable for difficulty maintaining oxygenation in the newborn. His temperature is 98.7°F (37°C), blood pressure is 72/35 mmHg, pulse is 150/min, respirations are 61/min, and oxygen saturation is 92% on room air. Despite appropriate interventions, the infant is still struggling to maintain adequate oxygenation. Which of the following is most likely the cause of this patient's symptoms?