Pediatric Immunizations

Question 1

What is a vaccine information statements?

Answer 1

Info sheets provided by CDC that explain to vaccine recipients, their parents, or legal guardians both the benefits and risks of a vaccine

Question 2

What can be a simple way to help with the pain of immunizations?

Answer 2

Can change the order of vaccines given when have to give multiple, certain orders can make it overall less painful

Question 3

If a child has an adverse reaction to a vaccine, where should you report it?

Answer 3

United States Department of Health and Human Services

Question 4

What is the typical administration schedule for Hepatitis B vaccine?

Answer 4

Ideally at birth during hospitalization, at 1-2 months, and at 6-18 months

Question 5

What patients do you want to AVOID hep B vaccines?

Answer 5

Avoid in patients with hypersensitivity to yeast or any vaccine components

Question 6

What is the recommended administration of TDaP?

Answer 6

5 dose series; 2 mos, 4 mos, 6 mos, 15-18 mos, and 4-6 years

Question 7

What are the contraindications to the TDaP vaccine?

Answer 7

anaphylactic reaction to vaccine or vaccine components, encephalopathy within 7 days of previous dose without another identifiable cause, progressive neurological disorder

Question 8

What are the 2 licensed formulations of DTaP?

Answer 8

Daptacel, Infranix

Question 9

How many licensed formulations of the Hib vaccine are there?

Answer 9

3 (PedVaxHIB, ActHIB/OMNIHib, Hiberix)

Question 10

PedVaxHIB is available as?

Answer 10

A 2 dose series @ 2 and 4 months and as a booster at 12-15 months

Question 11

ActHIB is available as?

Answer 11

A 3 dose series @ 2, 4, and 6 months and a booster at 12-15 months

Question 12

What are the contraindications to Hib vaccine?

Answer 12

None specifically

Question 13

Local reactions to the Hib vaccine occur in what percentage of patients?

Answer 13

25%

Question 14

What is the only available Polio vaccine available in the US?

Answer 14

Trivalent IPV (inactivated polio virus)

Question 15

How is IPV administered?

Answer 15

Subq or IM in 4 doses; 2, 4, 6-18 months and 4-6 years

Question 16

What adverse effects are assoc. with IPV?

Answer 16

None

Question 17

These vaccines are live, attenuated vaccines?

Answer 17

MMR (Measles, Mumps, Rubella), Varicella, Rotavirus

Question 18

What is the administration schedule of MMR?

Answer 18

1st dose at 12-15 months, 2nd dose at school entry

Question 19

What are the “true” contraindications to MMR vaccine?

Answer 19

pregnancy, known altered immunodeficiency, long term immunosuppressive therapy, and hematologic or solid tumors

Question 20

If patients develop this condition within 6 weeks of prior MMR dose, they should NOT receive the subsequent dose?

Answer 20

thrombocytopenia

Question 21

Possible adverse reactions to MMR vaccine?

Answer 21

Fever, rash, joint complaints, hypersensitivity reactions, development of ITP, and seizures

Question 22

What is the admin. schedule for varicella vaccine?

Answer 22

2 dose series; subq or IM, @ 12-15 months and again at 4-6 years

Question 23

Contraindications to varicella vaccine?

Answer 23

primary or acquired immunodeficiency, pregnancy, moderate or severe illnesses and previous anaphylactoid reaction to neomycin or gelatin

Question 24

What do you have to avoid for 6 weeks after the varicella vaccine?

Answer 24

salicylates d/t concern for Reye’s syndrome

Question 25

Adverse reactions to varicella vaccine?

Answer 25

Rash and fever

Question 26

Dose schedule for pneumococcal vaccine?

Answer 26

IM @ 2, 4, 6 months and the 4th dose btw 12-15 months of age

Question 27

This vaccine is recommended for children aged 2-10 who have an indication for vaccination?

Answer 27

Meningococcal

Question 28

What are indications for meningococcal vaccination in kids?

Answer 28

travelers to regions where meningitis is endemic and those with immune deficiencies

Question 29

Meningococcal vaccine is recommended for ALL children of what age?

Answer 29

11-18

Question 30

Universal immunization for this disease is recommended for children 12-13 months of age?

Answer 30

Hep A

Question 31

Hep A dose schedule if patient is 1-18 years old?

Answer 31

2 IM doses at least 6 months apart

Question 32

The influenza vaccine is recommended for all children > what age?

Answer 32

>6 months

Question 33

Give how many doses of influenza vaccine if it is child's first time?

Answer 33

2; give first then 2nd 28 days later

Question 34

There are ___ oral vaccines available for rotavirus?

Answer 34

2

Question 35

RV5, PRV, or RotaTeq is one type of rotavirus oral vaccine, what is the dose schedule?

Answer 35

3 doses @ 2, 4, and 6 months of age

Question 36

RV1, HRV, RotaRix is the other type of rotavirus oral vaccine, what is the dose schedule?

Answer 36

2 doses, @ 2 and 4 months of age

Question 37

What are the current recommendations for HPV vaccine in girls?

Answer 37

Recommended for routine administration in girls beginning in 11-12 years of age and for girls and women ages 13-26 who have no received or completed the vaccine series

Question 38

What are the current recommendations for HPV vaccine in boys?

Answer 38

Recommended for boys beginning in 11-12 year old range and men ages 12-21 who have not received or completed the vaccine series

Question 39

Gardasil is active against which HPV strains?

Answer 39

6, 11, 16 and 18

Question 40

What is the dose schedule for Gardasil?

Answer 40

3 doses, at time 0, at 2 and 6 month follow up

Question 41

Cervarix is active against which HPV strains?

Answer 41

16 and 18

Question 42

Dose schedule for Cervarix?

Answer 42

3 doses; at time 0, 1 and 6 month follow up