Q. A 28-year-old woman gives birth to a preterm infant at 30 weeks gestation. The neonate is noted to have increasing respiratory distress, grunting, nasal flaring, and intercostal retractions shortly after birth. A chest X-ray reveals diffuse bilateral atelectasis with a ground-glass appearance. Which of the following best explains the primary pathophysiological mechanism underlying this infant's respiratory distress?

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