text:  ON ADMISSION  Birth weight 1455 grams  50th percentile   head circumference 29.25 cm  50th percentile   length 41.5 cm  50th percentile . Nondysmorphic with overall appearance consistent with gestational age . Anterior fontanel soft   open   flat   red reflex present bilaterally   palate intact . Intermittent grunting   moderate intercostal retractions   diminished air entry   regular rate and rhythm without murmur   2 femoral pulses . Abdomen benign with no hepatosplenomegaly or masses . No external female genitalia . Normal back and extremities with stable hips   appropriate tone   skin pink with fair perfusion . 