In caring for an infant in a Pavlik harness, which instruction should the nurse include in the teaching plan?

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

Answer: (D)

Skin care under the harness is essential because the Pavlik harness holds the hips in a fixed position with straps that press against the skin. This constant pressure, plus moisture from sweat or diapering, can lead to skin irritation or breakdown if not noticed early. Regularly inspecting the skin where the straps contact the infant helps catch redness or irritation before it worsens, and checking three times daily aligns with routine care checks to ensure any developing problems are detected promptly and addressed by adjusting fit or treating the skin as needed.

Other practices described could interfere with the harness’s function or skin health. Clothing over the harness isn’t necessary for effectiveness and can complicate proper fit or hide early skin irritation. Applying lotions or powders under the harness is discouraged because they can irritate the skin and affect the fit. Using a diaper over the harness isn’t appropriate either and can trap moisture and cause rubbing.