Which nursing intervention is appropriate for an infant wearing a Pavlik harness?

• A. Assess skin 2-3 times daily
• B. Remove harness briefly for routine baths
• C. Place diapers under the straps
• D. Apply lotion under straps

Answer: (C)

With a Pavlik harness, the skin under the straps is prone to irritation and breakdown from constant friction and moisture. The best nursing intervention is to place a diaper under the straps. The diaper acts as a protective barrier, absorbing urine or stool and preventing direct contact between moisture and the skin, as well as reducing rubbing from the harness. Avoid applying lotions under the straps, since lotions can irritate skin and make the harness slip. The harness should remain in place as prescribed, and you’ll still routinely inspect the skin, but the key preventive step is keeping a diaper under the straps to protect the infant’s skin.