EPI Flashcards

1
Q

ADS

A

Auto Disable Syringe

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2
Q

BCG

A

Bacillus Calmette-Guerin

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3
Q

CCM

A

Cold Chain Monitor

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4
Q

CCD

A

Center for Child Development

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5
Q

CHO

A

City Health Officer

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6
Q

DOH

A

Department of Health

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7
Q

DPT

A

Diphtheria, Pertussis, Tetanus

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8
Q

FIC

A

Fully Immunized Child

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9
Q

HEP B

A

Hepatitis B

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10
Q

MDVP

A

Multi-Dose Vial policy

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11
Q

MV

A

Measles Vaccine

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12
Q

OPV

A

Oral Polio Vaccine

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13
Q

SCB

A

Safety Collector Box

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14
Q

SIA

A

Supplemental Immunization Activites

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15
Q

TT

A

Tetanus Toxoid

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16
Q

VVM

A

Vaccine Vial Monitor

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17
Q

WHO

A

World Health Organization

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18
Q

The biological state of being able to resist disease or a toxin

A

Immunity

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19
Q

Primary objective of immunization

A

Induce immunological memory against specific diseases to neutralize infective toxins once exposed.

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20
Q

Diseases targeted by the program (6)

A
Diphtheria
Pertussis
Tetanus
Poliomyelitis
Measles
Tuberculosis
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21
Q

Routine schedule for immunization in the Philippines

A

Every Wednesday

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22
Q

Immunization in barangay health stations

A

Monthly

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23
Q

Immunization in barangay health stations in remote areas

A

Quarterly

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24
Q

Purpose of holes in the VVM

A

Keep the vaccine cold and viable

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25
Q

True or False. A child can be immunized if they have a low grade fever.

A

True

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26
Q

What to ask the parents if child to be immunized has cough, colds, fever, infection?

A

“How many days?”

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27
Q

True or False. A child can receive vaccine if they are undergoing chemotherapy. Explain.

A

False; children undergoing chemotherapy are immunocompromised

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28
Q

True or False. A child with cancer can receive vaccine. Explain.

A

False; cancer patients are immunocompromised because chemotherapy is an immunosuppressive drug.

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29
Q

Minmin just underwent transplant surgery. He is taking medications to prevent his body from rejecting the organ. Can he receive immunization?

A

No.

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30
Q

Hyungsik experienced a severe allergic reaction after his first dose of BCG vaccine. Should he still receive a second dose?

A

No.

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31
Q

Tatlong tusok sa bagong-anak

A

BCG
DPT
Newborn Screening

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32
Q

Puncture site for newborn screening

A

Sole of the foot

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33
Q

Schedule for first dose of BCG Vaccine

A

Anytime after birth

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34
Q

Storage temperature for BCG Vaccine

A

+2 to +8 degrees C

35
Q

When to give first dose of OPV

A

6 weeks old

36
Q

When to administer second dose of OPV

A

10 weeks old

37
Q

When to administer 3rd dose of OPV

A

14 weeks old

38
Q

How many doses of OPV is given?

A

3

39
Q

Storage temperature for OPV

A

-15 to -25 degrees C

40
Q

True or False. Freezing temperature damages BCG vaccine.

A

False. It does not damage the vaccine but it can break the ampules.

41
Q

An early start of this vaccine prevents pertussis.

A

DPT

42
Q

When to administer DPT

A

6 weeks
10 weeks
14 weeks

43
Q

DPT storage temperature

A

+2 to + 8 degrees C

44
Q

Component of DPT that is damaged by freezing

A

DT

45
Q

Component of DPT that is damaged by heat

A

P

46
Q

Frequency of Hep B Vaccine (1st to 3rd Dose)

A

After 24 hours of birth (given at the same time with BCG)
6 weeks
14 weeks

47
Q

Storage temperature of Hep B Vaccine

A

+2 to +8 degrees C. Both freezing and heat damages the vaccine.

48
Q

A vaccine that prevents 85% of measles

A

Measles Vaccine

49
Q

When is measles vaccine given?

A

At 9 months

50
Q

Storage temperature of Measles

A

-15 to -25 degrees C

51
Q

What to take note when storing measles vaccine diluent

A

Keep everything cold

52
Q

True or False. Tetanus Toxoid protects both the mother and the child.

A

True. But the first dose only protects the mother.

53
Q

TT storage temperature

A

+2 to + 8 degrees C

54
Q

The nurse stored the TT vaccine in the freezer. The contents froze. Should it still be administered?

A

No.

55
Q

A mother asks when her child should be given the first dose of rotavirus vaccine. As a nursing student, you know that the first dose is given before the child turns __ weeks.

A

15

56
Q

Frequency for rotavirus vaccine

A

2-4-6 months

57
Q

Until when should a child receive rotavirus vaccine?

A

Before they turn 8 months.

58
Q

Vaccines that are most sensitive to sunlight and fluorescent light.

A

BCG and Measles

59
Q

Color of BCG and Measles vaccine vials and the reason behind this

A

Brown to protect from light.

60
Q

The last day by which a vaccine can be used if it is not indicated.

A

Last day of the month.

61
Q

Are diluents interchangeable?

A

Diluents are not interchangeable; they contain chemicals and additives to stabilize a specific vaccine after reconstitution

62
Q

OPV, DPT, TT, and HEP B vaccines are stored in what type of vials?

A

Multi-Dose

63
Q

Criteria for multi-dose vials (5)

A
  1. The expiry date has not passed.
  2. Vaccines are stored under appropriate cold chain conditions
  3. Vaccine vial septum has not been submerged in water
  4. The aseptic technique has been used to withdraw the doses
  5. The VVM (vaccine vial monitor), if attached, has not reached its discard point
64
Q

Why does MDVP not apply to BCG and Measles?

A

once reconstituted it must be discarded at the end of six hours

65
Q

Large constructed room or self-contained equipment are located at the national and regional level for storage of large quantities of vaccines. It has a 24 hour, 7 days a week temperature monitoring system with alarm and back up refrigerator that automatically turns on when power is interrupted

A

Cold Rooms

66
Q

designed for large quantities of vaccines that requires a temperature between -15 t0 -25 degrees C particularly OPV

A

Walk-in freezer

67
Q

Used at regional, provincial, city, and municipal level. Should be able to store a month’s supply of vaccines and diluents, 25% reserve stocks, frozen ice packs,
bottles of water or unfrozen ice packs ( to act as buffer if there is power failure

A

Refridgerator/Freezer

68
Q

a front opening freezer for use at the national,

regional, and provincial/city level that can quickly freeze up to 145 ice packs

A

Ice pack freezer

69
Q

Insulated carriers lined with frozen ice packs to keep vaccines and diluents cold during transport or short storage (2 to 7 days)

A

Cold box/Transport box

70
Q

Smaller insulated carriers but can stay cold for only 24 to 72 hours

A

Vaccine carriers

71
Q

Rectangular plastic bottles that can be filled with water, frozen, and used to keep vaccines cold

A

Ice packs

72
Q

It enables the health worker to verify at the time of use, whether the vaccine is in usable condition and has not lost its potency and efficacy due to high temperature exposure

A

Vaccine Vial Monitor

73
Q

VVM stage when inner square is lighter than the outer circle. It can be used if the expiry date has not passed.

A

Stage 1

74
Q

VVM stage where inner square matches the outer circle.

A

Discard point; stage 2

75
Q

VVM stage where inner circle is darker than the outer circle.

A

Stage 4.

76
Q

When is TT1 given to mothers?

A

20 Weeks AOG

77
Q

Purpose of TT1

A

Protection for the mother

78
Q

When is TT2 given to mothers?

A

4 weeks after TT1

79
Q

Benefits of TT2

A

Protects the infant from neonatal tetanus and gives 3 years of protection for the mother.

80
Q

TT3 for mothers is given __ months after TT2.

A

At least 6.

81
Q

Benefits of TT3

A

Infants will be protected from the neonatal tetanus; 5 years protection for the mother.

82
Q

TT4 is given __ months after TT3?

A

12 months. At least one year later. Infants born to the mother will have protection against neonatal tetanus and gives 10 years of protection for the mother/

83
Q

TT5 is given __ months after TT4.

A

At least one year and gives lifetime protection for the mother and all infants born to her