Clinical description s/o hypothermia in neonate. A room temperature of 24degC provides a cold environment for newborn infants. At bih, infants (especially preterm) are wet, have a relatively large surface area for their weight, and have little subcutaneous fat. Within minutes of delivery, the infants are likely to become pale or blue and their body temperature drops. A preterm infant is likely to have respiratory distress and unable to oxygenate properly, lactate can accumulate and lead to a metabolic acidosis. Infants rarely shiver in response to a need to increase heat production. Therefore, to prevent infant from hypothermia, Place the infant under a warmer. If the tachypnea persists after warming the infant, sepsis, pneumonia, and primarysurfactant deficiency are all possible.