Nursing Intervention

• Assess the sac and measure the lesion

• Assess neurological system

• Assess and monitor for increasing ICP

• Measure head circumferences

• Protect the sac, cover with a sterile, moist (normal saline), nonadherent dressing and change the dressing every 2-4 hours

• Place patient in prone position and head to one side

• Use antiseptic technique

• Assess and monitor the sac for redness, clear or purulent drainage, abrasions, irritation, and signs of infection

• Assess for hip and joint deformities

• Administer medication: antibiotics, anticholinergics, and laxatives as prescribed