A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

The correct answer is C: Maintain the integrity of the sac. This is the priority because myelomeningocele is a neural tube defect where the spinal cord is exposed through an opening in the spine. It is crucial to protect the sac from infection and injury to prevent complications such as meningitis. Providing age-appropriate stimulation (A) and promoting bonding (D) are important but secondary to ensuring the sac's integrity. Educating parents (B) is also essential but not as urgent as protecting the sac.