Lippincott Maternal Health Practice Exam

In the context of managing care for a neonate who has been exposed to narcotics in utero, it is essential to prioritize a monitored quiet environment as part of the nursing care plan. Neonates with narcotic withdrawal may exhibit symptoms such as irritability, hyperactivity, and increased sensitivity to stimuli. A calm and quiet environment helps to minimize overstimulation, which can exacerbate withdrawal symptoms and lead to further stress for the infant.

Creating a controlled setting allows for better monitoring of the neonate's condition and provides a space that promotes rest and recovery. This approach is vital to help potential complications and facilitate the process of withdrawal from narcotics, as the neonate adjusts to being outside the womb.

In contrast, increasing sensory exposures or promoting frequent physical activity may lead to heightened stress and discomfort for the neonate, which is counterproductive in managing withdrawal symptoms. Additionally, engagement in group care routines might increase the risk of overstimulation and should be approached with caution in this vulnerable population. By ensuring a monitored quiet environment, the nursing care plan effectively addresses the specific needs of neonates exposed to narcotics during pregnancy.