A nurse is providing discharge teaching to the guardian of an infant who had a large myelomeningocele repair in the lumbar area. Which of the following instructions should the nurse include?

Clean intermittent catheterization every 8 hr.

Use a rectal thermometer to stimulate the passage of stool twice per day.

Check toys and pacifiers for the presence of latex.

Anticipate gradual loss of function in the lower extremities.