text:  Her admission physical revealed a birth weight of 901 gm   20th percentile  length 34 cm   25th percentile  head circumference 25 cm   25th percentile . Anterior fontanelle open   soft and flat . Red reflex was difficult to appreciate bilaterally . Pupils were large but equal and reactive . Palate deferred due to oral intubation . No defect noted during procedure . Increased work of breathing prior to intubation   but presently comfortable . Breath sounds slightly crackly   symmetric equal air entry . Cardiovascular regular rate and rhythm without murmur . Peripheral pulses plus 2 and symmetric . Abdomen soft without hepatosplenomegaly . Three-vessel cord   clamped . Normal female external genitalia . Normal back and hips . Skin was pink and well-perfused . Appropriate tone and activity .