The nurse is teaching the parents of a 1-month-old infant with developmental dysplasia of the hip about preventing skin breakdown under the Pavlik harness. What statement by the parent would indicate a correct understanding of the teaching?
a. "I should gently massage the skin under the straps once a day to stimulate circulation."
b. "I will apply a lotion for sensitive skin under the straps after my baby has been given a bath to prevent skin irritation."
c. "I should remove the harness several times a day to prevent contractures."
d. "I will place the diaper over the harness, preferably using a superabsorbent disposable diaper that is relatively thin."
ANS: A
To prevent skin breakdown with an infant who has developmental dysplasia of the hip and is in a Pavlik harness, the parent should gently massage the skin under the straps once a day to stimulate circulation. The parent should not apply lotions or powder because this could irritate the skin. The parent should not remove the harness, except during a bath, and should place the diaper under the straps.
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