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What is the primary goal in managing a child with myelomeningocele post surgery?

  1. Preventing infection

  2. Promoting mobility

  3. Monitoring for complications

  4. Ensuring nutritional needs are met

The correct answer is: Monitoring for complications

The primary goal in managing a child with myelomeningocele post-surgery is to monitor for complications. This is crucial because myelomeningocele, a type of spina bifida, involves the protrusion of the spinal cord and nerves through an opening in the spine, which can lead to various risks following surgical repair. Post-operative complications can include cerebrospinal fluid leaks, infection at the surgical site, and new neurological deficits. By closely monitoring the child for signs of these complications, healthcare providers can promptly address any issues that arise, improve the child's prognosis, and facilitate better long-term outcomes. This vigilant monitoring directly impacts the child's recovery, enabling other goals, like promoting mobility and ensuring nutritional needs are met, to be effectively pursued afterward.