Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
A newborn who has myelomeningocele.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?
Correct answer
B
Rationale
The correct answer is B: Maintain the integrity of the sac. This is the priority because myelomeningocele is a neural tube defect where the spinal cord protrudes through an opening in the spine. Protecting the sac from infection and damage is crucial to prevent complications like meningitis. Promoting maternal-infant bonding (A) and providing stimulation (C) are important but secondary to ensuring the sac's integrity. Educating parents (D) is valuable but not the immediate priority.