مولود عمره ساعات بقيلة نخاعية سحائية (Myelomeningocele) في أسفل الظهر، والكيس سليم بدون تسرب، وينتظر الجراحة غداً. حرارته طبيعية، ويحرك رجليه قليلاً. ما الرعاية الصحيحة للكيس؟

A newborn a few hours old has a lumbar myelomeningocele with an intact sac and no leak, awaiting surgery tomorrow. Temperature is normal and he moves his legs slightly. What is the correct care of the sac?

1. Apply a dry pressure dressing over it
2. Sterile saline-moist dressing; nurse prone
3. Leave it open to air so it dries and toughens
4. Lay the baby supine to protect the sac

Answer: B) Sterile saline-moist dressing; nurse prone. The sac is protected from rupture, drying and infection with a sterile moist dressing and the infant is nursed prone. Hydrocephalus is monitored and latex-free equipment used because of latex allergy risk.