An important nursing intervention when caring for an infant with a myelomeningocele in the preoperative stage would be to
1. place infant supine to decreasepressure on the sac.
2. apply a heat lamp to facilitate dryingand toughening of the sac.
3. measure head circumference everyshift to identify developing hydrocephalus.
4. apply a diaper to preventcontamination of the sac.
Answer:3
Rationale: The infant should be monitored for developing hydrocephalus,so the head circumference should be monitored daily. The infant will be placed prone,not supine,and the defect will be protected from trauma or infection. Therefore,applying heat and a diaper around the defect would not be recommended. A sterile saline dressing may be used to cover the sac to maintain integrity.
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