Immunization

Question 1

Hepatitis B vaccine

Answer 1

3 dose series
-to be completed before 18months of age
-first dose prior to hospital discharge
-second and third dose 1month and 6months after initial dose

-CDC recommends that infants born to mothers who are positive for hepatitis B (HBsAG) should receive HepB vaccines 0.5ml dose of hepatitis B immune globulin (HBIG) when 12 hours of birth

-HBsAG status of the mother is unknown, NP should determine mothers status, and administer HepB within 12 hours of birth to baby.
-if mother is positive for antigen, HBIG should be administered to newborn by no later than 1 week of age

Question 2

Rotavirus Vaccine (Rota)

Answer 2

3 dose series
-causes diarrhea
-6week minimum
-completed by 32 weeks (8months )

Question 3

DTaP Vaccine

Answer 3

3 dose series and 2 boosters
-2months/4months/ 6months
1st booster 15-18months
2nd booster 4-6 years of age

Question 4

Tdap vaccine

Answer 4

Single dose at 11or 12 years of age
boosters every 10 years

Question 5

Haemophilis Influenza Type B (Hib) conjugate Vaccine

Answer 5

3 dose series and 1 booster
-2months/ 4months/ 6 months/ booster 12-15mo
-children at 5 years and later

Question 6

Pneumococcal Vaccine (PCV13 or PPSV23)

Answer 6

PCV13 vaccine (Prevnar)
-recommended for children younger than 5 years
-3 doses and one booster
-2months/ 4months/ 6months/ booster 12-15mo

PPSV23 vaccine (Pneumovax)
-for children 2 years of age who are at high risk
-HIV, renal failure, nephrotic syndrome, and diabetes

Question 7

Polio Vaccine (IPV)

Answer 7

3 dose series and 1 booster
-2months/ 4months/ 6months/ booster 4-6years

Question 8

Influenza Vaccine

Answer 8

-6months of age and older
-6-35months of age 0.25ml IM
-0.50ml IM for children 3 years of age and older

-children younger than 9years of age 2 doses administered 1 month apart if not previously vaccinated

-9 years and older single dose annually

-Trivalent covers 3 strains
-quadrivalent covers 4 strains

Question 9

MMR vaccine

Answer 9

2 dose series
-12-15months/ 4-6years

-receive as early as 6months of age if exposed to measles or is traveling to endemic areas
-primary series must be at the appropriate time

Question 10

Varicella Vaccine

Answer 10

2 dose series
-admin between 1-2years
-separate dose by 6months

Question 11

Meningococcal Vaccine

Answer 11

Conjugate
-for children at risk 2months -10years

Polysaccharide
-11or 12 years and booster 16-18years
-no booster if first dose at 16 years or later

Question 12

HPV Vaccine

Answer 12

3 dose series
-recommended for both males and females
-11-12 years/ 1-2 months after/ 6months after

-advise patient to be seated and wait 15min after administration bc it can cause postural hypotension, labile syncope, and vasovagal responses