A nurse is providing discharge teaching to the guardian of an infant who had a large myelomeningocele repair in the lumbar area. Which of the following instructions should the nurse include?

A. Clean intermittent catheterization every 8 hr: Some infants with myelomeningocele may require intermittent catheterization due to neurogenic bladder; however, the frequency and need depend on urologic evaluation and provider orders. It is not a universal discharge instruction for all infants after repair. B. Use a rectal thermometer to stimulate the passage of stool twice per day: Rectal stimulation is contraindicated because infants with myelomeningocele often have decreased sensation, increasing the risk of rectal injury, trauma, or infection. Bowel programs should be guided by the healthcare provider. C. Check toys and pacifiers for the presence of latex: Infants with myelomeningocele have a high risk of developing latex allergy due to repeated early exposure during surgeries and medical care. Avoiding latex-containing products is essential to prevent serious allergic reactions. D. Anticipate gradual loss of function in the lower extremities: Neurologic deficits associated with myelomeningocele are typically present at birth and do not progressively worsen after surgical repair. Teaching should focus on protecting existing function rather than expecting gradual loss.