A5. Essential items for diaper changing and hygiene include diapers (cloth or disposable), wipes for cleaning the baby's bottom, diaper rash cream or ointment, a changing pad or mat for a clean surface, a diaper pail with a secure lid for disposing of used diapers, baby lotion or oil for moisturizing delicate skin, baby nail clippers or scissors for trimming nails, and a gentle baby soap or cleanser for bath time. Additionally, having a soft towel and washcloths handy for bath time can make the process smoother.