When caring for a drug-exposed neonate, what is a primary nursing intervention according to maternal prenatal records?

Minimizing environmental stimuli is a primary nursing intervention for a drug-exposed neonate due to the heightened sensitivity these infants have to sensory input. Drug exposure can lead to withdrawal symptoms and neurodevelopmental issues, which often result in increased irritability and discomfort when subjected to excessive noise, light, or other stimuli. As a result, a calm and quiet environment helps to create a sense of safety and stability, allowing the infant to adapt more comfortably to external conditions.

In contrast, assessing vital signs every hour, while important, is more of a supportive measure than a primary intervention related to environmental factors. Placing the infant in a well-lit area can be counterproductive, as bright lights can be distressing and lead to further agitation. Providing stimulation, although beneficial in some contexts for development, is counter-indicated as the neonate may struggle with overstimulation from drugs being present in their system. Thus, minimizing environmental stimuli is essential for promoting the neonate's well-being and recovery.