Ch 41 Immunizations

Question 1

Tdap

Tetanus and diphtheria toxoids and pertussis vaccine

Answer 1

Administer one dose at 11-12 years

Question 2

Haemophilus influenza type B booster

Hib

Answer 2

Administer doses at 2,4,6 and at 12-15 months

Question 3

Td booster

Tetanus and diphtheria

Answer 3

Administer one dose every 10 years following DTaP

Question 4

Rotavirus RV oral vaccine

Answer 4

Max age of administration is 8 months
RV-5 vaccine administered as a 3 dose series at 2,4,6 months of age
RV-1 vaccine administered as a 2 dose series at 2&4 months

Question 5

Inactivated poliovirus vaccine

IPV

Answer 5

Administer doses at 2,4 and 6-18 months and at 4-6 years

Question 6

MMR

measles mumps and rubella vaccine

Answer 6

Administer at 12-15 months and at 4-6 years

Question 7

Varicella vaccine

Answer 7

Administer one dose at 12-15 months and 4-6 years or two doses administered 4 weeks apart if administered after age 11

Question 8

PVC

pneumococcal conjugate vaccine

Answer 8

Administer doses at 2,4,6 and 12-15 months

Question 9

Hepatitis A vaccine

Answer 9

Administer 2 doses after 12 months of age administer the second dose 6-18 months after the 1st.

Question 10

Hepatitis B Vaccine

Answer 10

Administer within 12 hr after birth with additional doses at 1-2 months and 6-18 months after the first

Question 11

Seasonal influenza vaccine

Answer 11

Annually beginning at 6 months administer trivalent inactivated influenza vaccine TIV
Starting at age 2 the live, attenuated influenza vaccine LAIV nasal spray can be used it is contraindicated in kids with asthma
Oct- nov is the ideal time dec is acceptable

Question 12

What are adverse effects of IPVs and contraindications and precautions

Answer 12

Adverse effects;Local reaction at injection site
Rare; vaccine associated paralytic poliomyelitis

Contraindications;pregnancy, unless woman is at high risk for contracting polio
Confirmed allergy to streptomycin, neomycin, or polymyxin B

Question 13

What are adverse effects as well as contraindications and precautions of MMRs

Answer 13

Adverse effects;local Reaction at injection site
Rash, fever, swollen glands
Possibility of joint pain lasting for days to weeks
Risk for anaphylaxis and thrombocytopenia

Contraindications; pregnancy or possibility of
Immunocompromised patients
Recent transfusion with blood products
history of thrombocytopenia

Question 14

What are adverse effects as well as contraindications and precautions of varicella vaccine

Answer 14

Adverse effect; varicella like rash, local or generalized such as vesicles on the body

Contraindications;cancers of the blood and lymphatic system
Allergy to,gelatin and neomycin
Immunocompromised recent transfusion of blood products

Question 15

What are adverse effects of PCV and PPV vaccines

Answer 15

Mild local reactions
Fever
No serious adverse effects

Question 16

What are adverse effects as well as contraindications and precautions of hepatitis A and Hepatitis B vaccines

Answer 16

Local,reaction at injection site
Mild fever
Anaphylaxis

Contraindications; hep a- pregnancy may be a contraindication
Hep b- allergy to bakers yeast

Question 17

What’s a contraindication of MCV4

Answer 17

History of Gillian barre syndrome

Question 18

What are adverse effects of HPV2 or HPV4 vaccine

Answer 18

Mild local reaction and fever
Fainting shortly after vaccination
Rare: risk for Gillian barre syndrome

Contraindications;
Pregnancy
Allergy to bakers yeast

Question 19

Wheat part of the body should vaccinations be administered

Answer 19

In the vastus lateralis for infants and young children

In the deltoid muscle for older children and adolescents

Question 20

For a vaccination, where should subcutaneous injections be given

Answer 20

Administer subcutaneous injections in the outer aspect of the upper arm or anterolateral thigh

Question 21

What should parents avoid the administration of aspirin to children to treat fever or local reaction

Answer 21

Because of the risk for Reye syndrome

Question 22

How should a parent treat a child’s pain prior to and after immunizations

Answer 22

Instruct parents to premedicate with. On opioid analgesic/ antipyretic prior to immunizations and the following 24 hours

Use acetaminophen for infants 2-6 months
Ibuprofen can be administered starting at 6 months

Question 23

DTaP

Dpitheria and tetanus, toxoids and acellular pertussis vaccine

Answer 23

Given at 2,4,6; 15 to 18 months and at 4 to 6 years