In a child wearing a Pavlik harness, which practice demonstrates proper skin assessment?

• A. Put clothing over harness for maximum effectiveness.
• B. Check for red areas under straps three times daily.
• C. Apply lotion or powder to minimize skin irritation.
• D. Use a thin absorbent disposable diaper over the harness.

Answer: (B)

Regular inspection of the skin under the harness is essential because the straps create constant contact, friction, and pressure points that can lead to irritation or breakdown if not monitored. Checking for red areas under the straps three times daily catches early signs of skin irritation before a more serious problem develops, allowing timely adjustments to the fit or skin care. Other options don’t focus on monitoring skin health: clothing over the harness can hide problems, applying lotion or powder under the harness can trap moisture and worsen irritation, and placing a diaper over the harness doesn’t address skin integrity. Red areas that appear under the straps and are noticed early can be managed before they progress.