The mother of a child with hemophilia asks the nurse how long her child will need to be treated for hemophilia. What is the best response to this question?
a. "Hemophilia is a life-long blood disorder.".
b. "There is a 25% chance that your child will have spontaneous remission and treatment will no longer be necessary.".
c. "Treatment is indicated until after your child has progressed through the toddler years.".
d. "It is unlikely that your child will need to be treated for his hemophilia because your first child does not have the disease.".
A
Hemophilia is a life-long hereditary blood disorder with no cure. Prevention by avoiding activities that induce bleeding and by treatment is life long. The management of hemophilia is very individual and depends on the severity of the illness. Because hemophilia has an X chromosome-linked recessive inheritance, there is a risk with each pregnancy that a child will either have the disease or be a carrier.
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