A newborn is diagnosed with a myelomeningocele. Which of the following is the priority nursing intervention immediately after birth?

A. Administering a high-protein diet is incorrect because oral or enteral feeding is not the immediate priority after birth in an infant with myelomeningocele. The initial focus is on protecting the exposed neural tissue and preventing infection, not nutritional supplementation. B. Covering the sac with a sterile, moist dressing and positioning the infant prone is correct because a myelomeningocele involves exposed spinal cord and meninges, placing the infant at high risk for infection and trauma. A sterile, nonadherent, moist dressing (often saline-soaked) prevents drying and rupture of the sac, while the prone position minimizes pressure on the defect until surgical repair can be performed. C. Placing the infant in a supine position is incorrect because this position increases pressure on the spinal defect, raising the risk of rupture and infection. While monitoring vital signs is important, positioning must prioritize protection of the lesion. D. Beginning oral feeding immediately is incorrect because feeding is not the immediate concern and may be delayed until the infant is stabilized and evaluated. Additionally, the risk of aspiration and the need for surgical intervention take precedence.