A 2-month-old recently diagnosed with developmental dysplasia of the hip (DDH) is beginning treatment with a Pavlik harness. Which instructions should the nurse provide to the parents? Select all that apply.

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11ecbb05_cae8_6136_b433_67dfebced646_MD0009_00 Developmental dysplasia of the hip (DDH) is instability or dislocation of the hip joint that may be present at birth or develop during the first few years of life. Nonsurgical treatment methods, such as a harness or cast, are most successful when initiated during thefirst 6 months of life. After this time, surgery is frequently required. A Pavlik harness, the most common tool used in treating early DDH, maintains the infant's hips in a slightly flexed and abducted position, allowing for proper hip development. Pavlik harnesses are typically worn for about 3-5 months or until the hip joint is stable. The straps are adjusted periodically by the health care provider to account for infant growth. Instructions on care for the infant wearing a Pavlik harness are as follows: Regularly assess skin for redness or breakdown under the straps Dress the child in a shirt and knee socks under the harness to protect the skin (Option B) Avoid lotions and powders to prevent irritation and excess moisture (Option A) Lightly massage the skin under the straps every day to promote circulation (Option C) Only apply 1 diaper at a time as wearing ≥2 diapers (previous treatment practice) increases risk of incorrect hip placement Apply diapers underneath the straps to keep harness clean and dry (Option D) (Option E) The Pavlik harness is usually worn all the time, particularly during the first few weeks of treatment. Some providers may allow the harness to be removed for a short bath once a day, but it should be left in place for all other care activities, including diaper changes. Educational objective: The Pavlik harness maintains the infant's hips in a slightly flexed and abducted position to allow for proper joint development. Care of the infant with a harness includes dressing the child in a shirt and knee socks, keeping the skin dry, regularly assessing for skin breakdown, massaging the skin to promote circulation, and applying diapers under the straps.

A 2-Month-Old Recently Diagnosed with Developmental Dysplasia of the Hip