What information would the nurse most likely include in the plan of care for an infant with a myelomeningocele?

A. Apply a diaper tightly around the sac: Placing a diaper tightly over the myelomeningocele sac risks pressure, trauma, or rupture, which can lead to infection or leakage of cerebrospinal fluid. This is contraindicated in nursing care. B. Wrapping the infant tightly in a blanket: Tightly swaddling the infant can increase pressure on the sac and impede circulation, potentially causing injury or increasing infection risk. Infants with myelomeningocele require gentle handling and careful positioning. C. Keeping the exposed sac moist with saline-gauze: Maintaining a sterile, moist environment with saline-soaked gauze over the sac prevents desiccation, protects neural tissue, and reduces the risk of infection. This is a key evidence-based intervention in preoperative and ongoing care of infants with myelomeningocele. D. Position supine at all times with a pillow under the buttocks: Standard positioning with pillows under the buttocks can apply pressure directly to the sac, risking rupture. Infants are usually placed prone or on the side with careful support to avoid sac trauma.