What complication should a nurse monitor for in an infant postoperative from myelomeningocele repair?

Hydrocephalus is a complication that often arises in infants undergoing repair of myelomeningocele due to the associated neural tube defect. Myelomeningocele, which is a form of spina bifida, can disrupt normal cerebrospinal fluid (CSF) flow or lead to increased levels of CSF production, resulting in the accumulation of fluid in the ventricles of the brain. This condition can manifest as increased head circumference, bulging fontanelles, and other neurological symptoms.

In the context of myelomeningocele, the disruption of the spinal cord and surrounding structures predisposes the infant to hydrocephalus. Postoperative monitoring is essential to identify any signs of this complication early so that appropriate interventions can be initiated. While the other options also represent serious concerns—such as surgical site infection and sepsis—they are not as directly associated with the specific surgical procedure for myelomeningocele repair. Spina bifida occulta is a less severe form of spina bifida that does not typically develop as a complication from the repair surgery. Monitoring for hydrocephalus is a critical aspect of postoperative care in these infants, allowing for timely management if this complication occurs.