Which factor should the nurse include when teaching a parent about the care of a newborn in a Pavlik harness for hip dysplasia?
a. The harness may be removed with every diaper change.
b. The harness is used to maintain the infant's hips in flexion and abduction and
external rotation.
c. The harness is only the first step of treatment.
d. The harness is worn for 2 weeks.
B
Feedback
A The harness must be worn for 23 hours per day and should be removed only
according to the physician's recommendation. Hips that remain unstable become
progressively more deformed as maturity takes place.
B The harness is used to maintain the infant's hips in flexion and external rotation
to allow the hips (femoral head and acetabulum) to mold and grow normally.
C With early diagnosis and treatment, the Pavlik harness is often the only treatment
necessary.
D The length of treatment is determined by radiographic documentation of the
maturity of the hips.
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