A nurse is providing instructions to the parents of a 3-month-old with developmental dysplasia of the hip who is being treated with a Pavlik harness. Which statements by the parents demonstrate understanding of the instructions? Select all that apply
A) "We need to adjust the straps so that they are snug but not too tight."
B) "We should change her diaper without taking her out of the harness."
C) "We need to check the area behind her knees for redness and irritation."
D) "We need to send the harness to the dry cleaners to have it cleaned."
E) "We need to call the doctor if she is not able to actively kick her legs."
Ans: B, C, E
Instructions related to use of a Pavlik harness include changing the child's diaper while in the harness; checking the areas behind the knees and diaper area for redness, irritation, or breakdown; and calling the doctor if the child is unable to actively kick her legs. The straps are not to be adjusted without checking with the physician or nurse practitioner first. The harness can be washed with mild detergent by hand and air dried. A hair dryer can be used to dry the harness but only if the air fluffing setting is used.
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