What is the most important principle of nursing care for an infant with myelomeningocele?

The most important principle of nursing care for an infant with myelomeningocele is asepsis. This condition involves a defect in the spinal column where the spinal cord and surrounding tissues protrude through the opening in the vertebrae, exposing them to potential infection. Maintaining strict aseptic technique is crucial because any contamination in the area can lead to serious complications, including meningitis or other infections.

Preventing these infections is vital as they can exacerbate the infant's existing health challenges and affect recovery prospects. Proper wound care and management of the defect are paramount to ensuring that the site remains clean and free from pathogens. The focus on asepsis supports both the immediate care needs of the infant and their long-term health outcomes.

While hygiene, exercise, and rest all have their roles in the overall care for infants, they do not hold the same critical importance as maintaining aseptic conditions when specifically addressing the risks associated with myelomeningocele. Hygiene is important for general health, exercise may be limited in these infants due to their condition, and rest is part of overall care but does not directly address the urgent need to prevent infection at the site of the defect.