The nurse is teaching a family how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip
Which of the following is appropriate for the nurse to include in parental education in relation to the Pavlik harness? 1. Apply lotion or powder to minimize skin irritation.
2. Put clothing over the harness for maximum effectiveness of the device.
3. Check at least two or three times a day for red areas under the straps.
4. Place a diaper over the harness, preferably using a thin, superabsorbent, disposable diaper.
3
Rationale:
1. Lotion or powder can contribute to skin breakdown, and should not be used.
2. A light layer of clothing should be worn under the brace to assist in preventing skin breakdown, not over the brace.
3. The skin underneath the straps of the brace should be checked two or three times a day for red areas, which might indicate skin breakdown.
4. The diaper should be placed under the brace, along with a light layer of clothing.
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