Which is an important nursing intervention when caring for an infant with a myelomeningocele in the preop stage?
1. Place infant supine to decrease pressure on the sac.
2. Apply a heat lamp to facilitate drying and toughening of the sac.
3. Measure head circumference daily to identify developing hydrocephalus.
4. Apply a diaper to prevent contamination of the sac.
3
Rationale:
1. The infant will be placed prone, not supine, and the defect will be protected from trauma or infection.
2. A sterile saline dressing may be used to cover the sac to maintain integrity. Therefore, applying heat would not be recommended.
3. The infant should be monitored for developing hydrocephalus, so the head circumference should be monitored daily.
4. A sterile saline dressing may be used to cover the sac to maintain integrity. Therefore, applying a diaper around the defect would not be recommended.
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