What summarizes Adam's condition at two hours of life?

The statement that Adam is an infant with respiratory distress and normal oxygen summarizes his condition accurately at two hours of life. In newborns, respiratory distress can manifest as labored breathing, grunting, or retractions, and it often requires careful monitoring and assessment. Despite the presence of respiratory distress, if the infant maintains normal oxygen saturation levels, this indicates that while there is a respiratory challenge, the infant's oxygenation is currently stable. This situation is common in certain conditions that might temporarily affect a newborn’s ability to breathe effectively but do not immediately compromise their overall oxygenation status.

In contrast, the other options do not align with this situation. The characterization of a healthy newborn with no distress would contradict the observation of respiratory distress. Diagnosing congenital abnormalities typically requires more time and testing than just two hours post-birth. Lastly, preparation for immediate surgery would imply a more urgent or severe assessment of the infant's condition, which is not indicated if the oxygen level remains normal despite the distress. Thus, the recognition of respiratory distress alongside normal oxygen saturation creates a clearer and more specific picture of Adam's condition at that critical early stage of life.