A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?
Explanation & Rationale
The correct answer is Choice C Choice A rationale: Lengthening the harness straps weekly can interfere with proper hip positioning and the effectiveness of the Pavlik harness. The straps should be adjusted only by a healthcare professional to ensure correct alignment and fit. Choice B rationale: Positioning the diaper over the straps can lead to improper harness function and hygiene issues. The diaper should be placed under the straps to maintain the harness's positioning and effectiveness, reducing the risk of skin irritation. Choice C rationale: Massaging the skin under the straps daily helps to promote circulation and prevent skin breakdown. Regular skin checks and massages can also help to identify any early signs of irritation or pressure sores, ensuring infant comfort and safety. Choice D rationale: Applying lotion to the skin beneath the straps twice daily can increase the risk of skin irritation and breakdown due to moisture accumulation. It is better to keep the skin clean and dry, with occasional massages to maintain skin integrity