Question

A baby has been diagnosed with hemophilia. The mother reports that the child had started crawling and recently stopped. You recognize the child is potentially suffering from bleeding into the joint. You would instruct the mother to: (Select all that apply):

Answer 1

A baby with hemophilia showing a reluctance to crawl may have bleeding in the joint, requiring management of injuries, pain, and medical attention. Families should be educated about bleeding risks, and prophylactic treatments can prevent complications.

Step-by-step explanation:

A baby diagnosed with hemophilia and showing signs of reluctance to crawl, may indeed be experiencing bleeding into the joint, a common complication in this genetic disorder characterized by inadequate synthesis of clotting factors. Hemophilia leads to an increased risk of internal bleeding, particularly in joints and muscles, due to insufficient amounts of clotting factors, such as factor VIII in Hemophilia A or factor IX in Hemophilia B. When faced with joint bleeding, one should avoid further injury, provide adequate pain management, and seek immediate medical attention to manage the bleeding. Moreover, regular prophylactic infusions of the required clotting factor can help to prevent such bleeding episodes. It is essential to educate families about the signs and risks of bleeding and to create a comprehensive care plan.

Answer 2

a. Apply ice to the affected area.

b. Administer Tylenol (acetaminophen).

c. Put a gate across the stairs.

d. Apply knee and elbow protectors.

all of the above