Which aspect is essential for a nurse to assess in a newborn after surgery for myelomeningocele?

Assessing neurological status and fontanel tension is essential after surgery for myelomeningocele because this condition involves a defect in the spinal cord where the nerves can be impacted. Post-operative care for a newborn with myelomeningocele requires careful monitoring of neurological function to identify any complications or changes that may indicate issues such as increased intracranial pressure or neurological deficits.

Fontanel tension, specifically, can provide critical information regarding intracranial pressure; a bulging fontanel may suggest increased pressure, whereas a sunken fontanel can indicate dehydration or inadequate fluid intake. Monitoring these aspects helps ensure that the baby is recovering well and that any complications are addressed promptly to support neurological health.

Other considerations, like skin integrity and temperature, fluid intake and output, and feeding patterns, while also important, are not as directly related to the specific risks and complications associated with spinal cord involvement and post-surgical concerns in myelomeningocele cases. Focusing on neurological assessment helps to prioritize the immediate needs of the newborn's recovery and overall well-being.