27. A nurse instructs the parents of an infant with developmental dysplasia of the hip in the care for a Pavlik harness. Instructions to prevent skin breakdown from the harness should include:
Select all that apply.
27. A nurse instructs the parents of an infant with developmental dysplasia of the hip in the care for a Pavlik harness. Instructions to prevent skin breakdown from the harness should include:
Select all that apply.
. Put an undershirt under the chest straps of the harness.
. Put kneesocks under the foot and leg pieces of the harness.
. Apply lotion and powder under the straps of the harness.
. Massage skin under the straps of the harness.
Test-Taking Tip
Remember that, when caring for infants/children, powder is rarely used because of its tendency to accumulate and "cake" and lead to skin irritation and breakdown.
Content Area: Child Health, Musculoskeletal; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Assistive Devices
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Answer 1 is correct because putting an undershirt under the chest straps of the harness prevents the straps from rubbing the skin and causing skin breakdown. Answer 2 is correct because putting socks under the foot and leg pieces of the harness prevents the straps from rubbing the skin and causing skin breakdown. Answer 3 is incorrect because lotion and powder applied under the straps of the harness can "cake" and irritate the skin and cause skin breakdown. Answer 4 is correct because massaging healthy skin under the straps of the harness once a day stimulates circulation and prevents skin breakdown.