A nurse is educating a client who has a urinary alteration about the common causes of dysuria. Which of the following client statements indicates an understanding of the teaching?

A. Encourage frequent eye contact with the newborn during feedings: While eye contact supports bonding, it can overstimulate infants with neonatal abstinence syndrome. These newborns often struggle with processing sensory input, and sustained eye contact may lead to increased irritability or stress.
B. Provide frequent stimulation for the newborn: Excessive stimulation, such as noise or handling, can aggravate symptoms like tremors, crying, and poor feeding. These infants benefit more from a quiet, low-stimulation environment that helps them regulate their nervous system.
C. Wrap the newborn loosely in a blanket: Loose wrapping fails to provide the gentle pressure needed to soothe the infant. A snug swaddle helps reduce excessive movement and startle reflex, making the newborn feel secure and calm.
D. Decrease the lighting levels in the nursery: Lowering lights creates a more calming environment and reduces sensory overload. This helps lessen irritability, promotes sleep, and is a standard comfort measure for neonates with withdrawal symptoms.

A. Apply internal fetal monitor: Internal monitoring requires ruptured membranes and cervical dilation, which are not present. External monitoring is adequate at this stage of gestation and clinical condition.
B. Encourage bed rest: Bed rest helps reduce maternal blood pressure and cerebral stimulation, which lowers the risk of seizure activity. It also promotes uteroplacental perfusion, supporting fetal oxygenation and growth.
C. Assess DTR: Hyperreflexia is a common neurologic sign of severe preeclampsia and can indicate impending seizures. Regular DTR assessment also helps evaluate the therapeutic effect of magnesium sulfate if administered.
D. Decrease lighting in the client's room: Dimming the lights minimizes sensory stimulation that can provoke seizures in clients with preeclampsia. It also contributes to a calming environment that supports neurologic stability.
E. Prepare for amniocentesis: Amniocentesis is not currently indicated because there's no concern for fetal lung maturity, genetic testing, or intraamniotic infection. Clinical focus is on maternal stabilization.
F. Initiate contact precautions: There are no clinical signs or lab findings indicating an infectious process that requires isolation. Standard precautions remain appropriate for this non-infectious condition.
G. Check urinary output: Oliguria may signal renal impairment, which is a complication of severe preeclampsia. Monitoring urine output also helps determine fluid status and the need for intervention or delivery.
H. Monitor blood pressure: Continuous or frequent BP monitoring helps detect progression to severe preeclampsia or eclampsia. It guides timely decisions about antihypertensive use or early delivery planning.