- Ask the health-care provider if the harness can be removed for daily
sponge bathing. - Teach the parents how to use the harness and care for the patient.
Explain the benefits of the harness and that it is temporary.
If the patient is in a hip spica cast: - Assess for compartment syndromeand nerve compression syn-
drome. - Make sure that the cast near the perineum is clean of fecal matter
and urine. - Teach the parents how to care for the patient who is in a hip spica
cast. Explain the benefits of the cast and that it is temporary.
CHAPTER 13/ Musculoskeletal Conditions^287
Why place an undershirt between the skin and the Pavlik harness?
a. To keep the skin moist
b. To prevent infection caused by pins of the Pavlik harness
c. To prevent skin abrasions and irritation by the harness
d. To keep the skin clean
Answer:✔ ROUTINE CHECKUP 3
Osteogenesis Imperfecta
What Went Wrong?
Osteogenesis imperfecta is a genetic bone disease characterized by bones frac-
turing easily without any obvious cause. There are four classifications of
osteogenesis imperfecta:
Type I (most common): Bones fracture easily before puberty.
Type II (most severe): Severe bone deformity and numerous fractures
resulting in respiratory problems at or shortly after birth resulting in
death.
Type III: Fractures present at birth and may have healed.
Type IV: Fractures are greater than type I and occur before puberty.Signs and Symptoms
Easy bruising
Hyperextensible ligaments
Epistaxis