The parent of a newborn diagnosed with myelomeningocele asks about common long-term complications. What is the nurse's best response?

Rationale: A. Learning disabilities may occur but are not as consistently associated with myelomeningocele as other complications. B. Urinary tract infections can occur due to neurogenic bladder, but they are considered secondary complications. C. Hydrocephalus is a very common long-term complication of myelomeningocele, occurring in up to 80–90% of cases. It often requires a ventriculoperitoneal (VP) shunt. D. Skin breakdown is a concern in immobile children but is not as prevalent or immediately life-altering as hydrocephalus.