Immunizations

Question 1

heb b vaccinations

Answer 1

series of 3 (0-2 months)
first dose before hospital discharge (monovalent or a combinations vaccine containing hep b)
second dose 1-2 months
3rd dose should be given at 6 months of later

Question 2

monovalent

Answer 2

given by itself

Question 3

if infants are born to hep b positive mothers

Answer 3

give 0.5 ml hep b immune globulin within 12 hours of life

then test HBsAG and antibody HBsAG after 3 or more doses of Hep B series

Question 4

if infants are born to to mother’s of HBsAg unknown status

Answer 4

determine/check mothers status after birth
administer hep b within 12 hours of life
if mother test positive, HBIG should be given no later than 1 week of age

Question 5

rotavirus vaccine can cause what?

Answer 5

intussusception can be see after 3 weeks of getting vaccine

Question 6

rotavirus is a series of?

Answer 6

3 from 6 weeks to 32 weeks
must be completed by 32 weeks
do not administer after 32 weeks

Question 7

DTap is a series of?

Answer 7

3 (2-4-6 months) and 2 boosters (15 months, 6 years)

is not indicated for children >7 years of age

Question 8

what 3 vaccines do you not give after the age of 5

Answer 8

Hib, Pneumococcal, Rotavirus,

Question 9

Tdap is a series of?

Answer 9

1 lifetime dose (11-12 years)

Td booster every 10 years

Question 10

Hib is a series of?

Answer 10

3 (2-4-6 months) and 1 booster @ 12 months

Question 11

Pneumococcal vaccine (PCV13 or PS23) is a series of?

Answer 11

PCV13- 3 (2-4-6 months) and 1 booster @ 12 months
PS23- is given to children ages 24-59 months that have completed the PCV13 series and are immune compromised should receive 1 dose at age 24 months

Question 12

what is cosidered immune compromised?

Answer 12

hemoglobinopathies
asplenia
spenic dysfunction
HIV
congenital immunodeficiency
 renal failure
nephrotic syndrome
chronic cardiac disease
chronic pulmonary disease
DM
Native Americans, African Americans, or Alaskan descent, or attending day care

Question 13

polio vaccine is a series of?

Answer 13

4 (2-4-6 months and 6 years)
inactivated polio vaccine
oral (live virus) is discouraged but can be given only at number 3 and 4
contraindicated in those with hx of anaphylaxis to streptomycin

Question 14

Influenza dose?

Answer 14

is given annually beginning at age 6 months
if 1st dose give 2 doses 1 month apart if less than 9 years
in children 6-35 months the dose is .25 ml IM
in children greater than or equal to 3 years .5 ml IM

Question 15

MMR is a series of?

Answer 15

2 (1 year and 12 years)
if exposed can be given as early as 6 months but will need to continue primary series
do not give to pregnant or immunosuppressed

Question 16

Varicella series?

Answer 16

2 (12 months and 12 years, min. 3 months apart)
prefer to separate by 1 month of MMR
do not give when pregnant or immunocompromised
contraindicated in persons with streptomycin allergy

Question 17

Hep A series of?

Answer 17

2 (1year to 2 years, 6 months apart)

Question 18

meningococcal series of?

Answer 18

2 (ages 11-12 and booster at 16)

if 1 st dose is at 16, no booster is necessary

Question 19

HPV series?

Answer 19

3 (11 or 12, 2nd dose given 1 month after 1st, then 3rd dose is given 6 months after initial dose)
sit at least 15 minutes after receiving vaccine due to risk of labile syncope

Question 20

catch up on vaccines

Answer 20

if there is a break resume vaccines according to the child’s are regardless of the vaccines missed

Question 21

what 3 things need to be report with vaccines

Answer 21

anaphylaxis
encephalitis
death