Post-Test Evaluation - "Hemophilia and Nutrition Considerations" (#137096)

After reviewing the PowerPoint presentation "Hemophilia and Nutrition Considerations" (#137096), please complete the following post-test evaluation. An asterisk indicates a required response. A certificate of completion will be emailed within 2 weeks of submission. Direct questions to Julie McDougal, Center of Excellence in MCH Education, Science & Practice, UAB School of Public Health. 

Objective 1: Describe the types, prevalence & treatment of Hemophilia

The correct answers are:
About 20,000 people in the U.S. have Hemophilia
In children with Hemophilia, the standard treatment includes prophylactic Factor injections or infusions and multidisciplinary education

Objective 2: Discuss considerations for patients with Hemophilia such as weight, exercise & bleeding

The correct answers are:
Increased size puts increased stress on muscles and joints, where the majority of bleeds occur, so maintaining a healthy weight is important
It is harder to find veins for injections in overweight patients
Strong muscles protect joints and reduce the number of bleeds

Objective 3: Categorize the different levels of acceptable & unacceptable activity

The correct answers are:
Level 1 activities, considered “safe” for people with Hemophilia, include swimming, hiking, and golfing
Level 1.5 activities, considered “safe to moderately safe” for people with Hemophilia, include bicycling, treadmills, and weight training.
Level 2 activities, considered “moderately safe” for people with Hemophilia, include bowling, jumping rope, jogging, tennis, and yoga.
Level 2.5 activities, considered “moderately safe to dangerous” for people with Hemophilia, include baseball, basketball, cheerleading, gymnastics, and soccer.
Level 3 activities, considered “dangerous” for people with Hemophilia, include football, hockey, lacrosse, and wrestling. 

Objective 4: Explain indicated medical & nutritional considerations & interventions

The correct answers are:
Co-existing conditions (Hepatitis C, Hypertension, HIV, Type II Diabetes) are often seen in patients with Hemophilia
Joint damage limits the ability to perform activities of daily living (like grocery shopping and food preparation) which influences nutritional intake

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