Immunizations
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| What is the schedule for the Hep B vaccine? | 3 doses: (1st) Birth, with a minimum of 4 weeks between the next dose. (2nd) 1 to 2 months with a minimum of 8 weeks before the 3rd dose. (3rd) Given no earlier than 24 weeks and 16 weeks after the 1st dose.
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| What is the schedule for Rotavirus (RV)? | 2 doses given at 2 months and 4 months.
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| What are nursing considerations for the RV vaccine? | Minimum age to receive the first dose is 6 weeks.
Maximum age for the first dose is 14 weeks, 6 days.
Maximum age for the last dose is 8 months.
Series should not be initiated for children older than
15 weeks.
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| What is the schedule for the Diphtheria, tetanus, and pertussis (DTaP)? | 2 months, 4 months 6 months, 15 to 18 months, 4 to 6 years, 11 to 12 years, Booster every 10 years.
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| What are the nursing considerations for the DTaP? | Minimum age of 6 weeks for the first dose. Minimum of 6 months between doses 3 and 4. Booster can be either Tdap or Td.
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| What is the schedule for the Haemophilus influenzae type b (hib)? | Minimum age of 6 weeks. 3 doses: 2 months, 4 months, 2 to 15 months.
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| What is the dosing schedule for the Pneumococcal (PCV)? | 4 doses: 2 months, 4 months, 6 months, 12 to 15 months. Minimum 6 weeks of age for the first dose.
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| Schedule for the inactivated poliovirus (iPV)? | 4 doses: 2 months, 4 months, 6 to 18 months, 4 to 6 years.
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| Nursing considerations for the iPV? | Minimum 6 weeks of age. Final dose should be administered after 4 years and at least 6 months from the previous dose
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| Schedule for the measles, mumps, rubella (MMR) | 2 doses: 12 to 15 months and 4 to 6 years.
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| Nursing considerations for the MMR? | Minimum age is 12 months for the initial dose. However, MMR should be given to children ages 6 months through 11 months if traveling internationally. These children still need the scheduled MMR immunizations.
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| Scheduled doses for the Varicella (VaR)? | 2 doses: 12 to 15 months
4 to 6 years. Minimum age is 12 months for the initial dose.
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| Scheduled doses for the hepatitis a (hep a)? | 2 doses: 12 months to 2 years, 6 to 18 months following. Administer the final dose 6 to 18 months after the first. Minimum age is 12 months for the initial dose.
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| Scheduled dose for meningococcal (mCV4)? | 1 dose: 11 to 12 years of age.
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| Nursing considerations for the mCV4? | Minimum age 9 months. Can be given earlier for high-risk groups.
If vaccine given prior to 16 years, a booster is
recommended.
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| Scheduled doses for human papillomavirus? | 3 dose: 1st dose at11 to 12 years of age, Administer second dose 1-2 months after first dose, Administer third dose 6 months after first dose.
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| Nursing considerations for the human papillomavirus? | Minimum age 9 years old. Dose is typically given at 11 to 12 years of age.
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| True or false: The common cold and other minor illnesses are contraindications for receiving vaccinations. | False. Moderate or severe illnesses with or without fever are contraindications to receiving immunizations.
With acute febrile illness, immunization is deferred until symptoms resolve. The common cold and
other minor illnesses are not contraindications.
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| Which two vaccines have the adverse effect of seizure? | DTaP and Varicella vaccines.
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| Which vaccines are contraindicated for the Immunocompromised? | RV, MMR, Varicella, & influenza.
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| Intussusception is a contraindication for what vaccine? | RV
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| The Hep B vaccine is contraindicated for which food allergy? | Bakers yeast.
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| True or false: Inconsolable crying for up to 3 hours after the DTaP is an expected side effect. | True. Although it is contraindicated if the pt has a history of uncontrollable, inconsolable crying after a prior immunization (may have lasted MORE than 3
hr and occurred within 48 hr of immunization).
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| After the Varicella vaccine what is an expected "normal" side effect? | Varicella-like rash that is local or
generalized (vesicles on the body).
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| True or False: A child cannot receive the Varicella vaccine while receiving corticosteroids. | True.
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| Which vaccine cannot be given if there is a hypersensitivity to eggs? | Influenza.
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| Which vaccine cannot be given if there is a hypersensitivity to yeast? | HPV2 or HPV4
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| Which vaccines cannot be given if there is allergies to gelatin and neomycin? | MMR and Varicella
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| How should the nurse administer a concentrated oral sucrose pacifier when giving an injection? | 2 minutes before, during, and 3 min after the injection.
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| Where does the nurse report an adverse event related to a vaccine? | Vaccine Adverse Event Reporting System.
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