Spina bifida is a birth defect in which the spinal cord does not close completely. Nursing management focuses on preventing infection, promoting healing, and supporting the child and family. 1. Prevent infection: The primary goal is to protect the neural tube defect from contamination. This involves: Placing the infant in a prone position* (on their stomach) to keep the defect from pressure and contamination. Covering the defect with a sterile, moist dressing* (e.g., saline-soaked gauze) and then a sterile plastic wrap or bag to prevent drying and infection. Avoiding rectal temperatures or procedures that could introduce bacteria into the spinal canal. 2. Promote healing: If surgery is planned, the nurse will prepare the infant for the procedure and provide post-operative care, which includes: Maintaining the sterile dressing and monitoring the surgical site for signs of infection. Managing pain effectively. Ensuring proper positioning to avoid pressure on the surgical site. 3. Support the child and family: Spina bifida can have lifelong implications. Nursing care includes: Educating parents about the condition, treatment plan, and home care. Assisting with feeding and positioning to prevent complications like aspiration. Monitoring for and managing potential complications such as hydrocephalus (requiring a shunt), urinary tract infections (due to neurogenic bladder), and latex allergy. Providing emotional support and connecting families with resources and support groups. 3 done, 2 left today. You're making progress.