Which nursing intervention is most appropriate when caring for an infant with a myelomeningocele in the preoperative stage?

Question

Quizplus · Accepted Answer

Measuring head circumference every shift is important in identifying developing hydrocephalus, which is a common complication in infants with myelomeningocele. This allows for appropriate interventions to be initiated promptly to prevent further neurological damage.

Answer: A
 Placing the infant supine is essential in minimizing pressure on the sac, which can further damage the nerves and result in increased neurological deficits. This also facilitates visualization and monitoring of the sac and surrounding skin for any changes or signs of infection.

Answer: D
 Applying a diaper to prevent contamination of the sac is crucial in maintaining a sterile environment and preventing infections, which can be detrimental to the infant's health. A diaper should be used instead of cloth or gauze dressing to minimize the risk of trauma to the sac.

Answer: B
 Applying a heat lamp to facilitate drying and toughening of the sac is contraindicated because heat can cause increased swelling and further damage to the nerves. It is not recommended as part of the preoperative care for infants with myelomeningocele.

Which Nursing Intervention Is Most Appropriate When Caring for an Infant