In the context of the introduction to organ systems, it would be best to place an infant with a meningomyelocele in which position prior to surgery?

• A. Lateral position
• B. Prone position
• C. Supine position
• D. Trendelenburg position

Answer: (B)

Verified step by step guidance

1. Understand the condition: Meningomyelocele is a type of spina bifida where there is a protrusion of the spinal cord and membranes through a defect in the spine. This condition requires careful handling to prevent further damage or infection.
2. Consider the anatomical implications: The protrusion in meningomyelocele is typically located on the back, so positioning the infant in a way that avoids pressure on the back is crucial.
3. Evaluate the options: Each position has different implications for pressure and access. The prone position (lying face down) minimizes pressure on the back and the protrusion, which is important for protecting the exposed spinal area.
4. Analyze the benefits of the prone position: By placing the infant in the prone position, you reduce the risk of additional trauma to the exposed spinal cord and membranes, and it also helps in preventing infection by keeping the area clean and dry.
5. Conclude with the best practice: Given the need to protect the meningomyelocele site, the prone position is the most appropriate choice prior to surgery, as it provides the best protection and care for the infant's condition.