A nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates an understanding of the teaching?

A. Instruct the parent to avoid eye contact with the newborn during feeding – This is not recommended. While overstimulation should be minimized, gentle eye contact and bonding are still encouraged during feeding to promote attachment.

B. Weigh the newborn daily – Weight loss and feeding difficulties are common in NAS. Daily weight monitoring is essential to evaluate nutritional status and fluid balance.

C. Plan to administer naloxone – Naloxone is contraindicated in opioid-exposed neonates because it can precipitate acute withdrawal and seizures.

D. Instruct the parent to avoid breastfeeding – Breastfeeding is generally encouraged unless the mother is using illicit substances or is HIV-positive. Methadone is not a contraindication for breastfeeding.

E. Maintain a low stimulation environment – NAS newborns are easily overstimulated. A quiet, dimly lit environment helps reduce symptoms like irritability and tremors.

F. Swaddle the newborn with flexed extremities – Swaddling provides comfort and containment, helping to reduce stress responses in NAS infants.

G. Perform Ballard newborn screening each shift – The Ballard score is used once to assess gestational age and is not repeated every shift.

A. Polyhydramnios is not a complication of amniocentesis; it is a condition related to excess amniotic fluid.
B. Preterm labor can be triggered by the procedure due to uterine irritation or infection.
C. Urinary tract infection is unrelated to amniocentesis unless catheterization was performed, but it is not a direct complication.
D. Amnionitis (intra-amniotic infection) is a serious complication resulting from infection introduced during the procedure.
E. Leakage of amniotic fluid can occur if the amniotic sac is punctured improperly or does not seal properly after the procedure.