text:  ON ADMISSION  Birth weight was 5235 grams   length was 56 cm   and head circumference was 37.5 cm . Anterior fontanel open and flat . The palate was intact . Nares were patent . Bilateral breath sounds were clear and equal . No grunting   flaring   or retracting . No murmurs . A regular rate and rhythm . Pink and well perfused . The abdomen was soft and nondistended . There was no hepatosplenomegaly . There was a 3-vessel cord . The spine was intact . The anus was patent . Normal male genitalia . Tone was appropriate for gestational age . SUMMARY OF HOSPITAL COURSE BY ISSUES-SYSTEM  RESPIRATORY  The infant has remained on room air throughout his hospitalization with oxygen saturations of greater than 95 percent . Respiratory rates have been 40 s to 60 s. The infant has had two spontaneous desaturations which quickly self-resolved on day of life one . No other issues . No apnea or bradycardia . CARDIOVASCULAR  The infant has remained hemodynamically stable with heart rates in the 120 s to 140 s and mean blood pressures of 57 to 60 . FLUIDS   ELECTROLYTES AND NUTRITION  The infant was admitted to the Neonatal Intensive Care Unit for treatment of hypoglycemia . The infant was started on enteral feedings of Enfamil 20 calories per ounce by mouth ad lib and maintained glucoses in the middle to high 40 s taking by mouth feedings every two to three hours by mouth ad lib . On day of life one   the infant had a dextrose stick of 34 . At that time   an intravenous of D-10-W was started at 80 cc    kilogram per day . On day of life two   the infant began to wean off intravenous fluids   and this was completed by day of life four . Calories were increased to Similac 24 calories per ounce . Before discharge to the Newborn Nursery   the infant was taking Similac 22 calories per ounce by mouth ad lib and maintaining dextrose sticks in the 60 s. Weight on discharge was 5200 grams . GASTROINTESTINAL  No issues . HEMATOLOGY  No issues . NEUROLOGY  Normal neurologic examination . SCREENS  A hearing screen was performed with automated auditory brain stem responses and the infant passed on both ears . PSYCHOSOCIAL  The parents are involved . 