35. The nurse notes the following labor history: “Mother pos…

35. The nurse notes the following labor history: “Mother positive for group B streptococcus (GBS) infection at 37 weeks gestation.  Membranes ruptured at home 14 hours before mother presented to the hospital at 40 weeks gestation.  Precipitous labor, no antibiotic given.” What should the nurse observe this infant for?