Test 3 Flashcards
Contraindications to vaccines
1) Severe allergic reaction after previous dose or to vaccine component (like eggs in influenza)
2) Severely immunocompromised person should not receive LIVE vaccines
3) Pregnant women should not receive LIVE vaccines
4) Pertussis (DTAP/TDap) - person experiencing encephalopathy within 7 days of previous dose should not receive future doses of pertussis
5) Rotavirus - SCID and history of intussusception should not receive rotavirus vaccine
Most common precaution to receiving vaccines
Moderate or severe acute illness with or without fever
Pregnant women should receive which vaccines
TDAP and influenza (inactivated)
Which vaccines are live vaccines?
- MMR
- Varicella
- Rotavirus
- Influenza, live virus (intranasal)
Rotavirus contraindications
Live virus
1) severe allergic reaction to previous dose or component of vaccine
2) SCID severe combined immunodeficiency
3) previous episode of intussusception
When should first dose of rotavirus vaccine be given
2 months
First dose must be given before the child is 15 weeks old
When is the latest age the child can receive rotavirus vaccine
Child must receive all doses before they turn 8 months old
IM vaccines
- DTAP
- Hib
- Hep A
- Hep B
- Influenza
- Meningococcal Conjugate
- Pneumococcal Conjugate
SUBQ vaccines
- IPV
- MMR
- Pneumococcal Polysaccharide
- Varicella
Articulation
2 years = 50% intelligible
3 years = 75% intelligible
4 years = completely intelligible except difficult consonants
5 years = “t” “d” “k” “g” “y” and “ng”
Lexicon
the knowledge of the meaning and pronunciation of words.
Girls say first words between 8-11 months old; boys 14 months.
2 year old vocab is usually 200 words.
4-5 year olds add 50 words/month to their vocab.
Syntax
Grammar
refers to the word structure in sentences or phrases
8 months children develop receptive language (understand a new word before they are able to use it themselves).
12-18 months they use holophrases or single words (“milk” to mean I want milk).
2 years old they form short sentences.
Receptive syntax
Receptive- By 8 months, children develop receptive language. They understand other who use a new word or structure before they can use it themselves. (ie: when asked “where is the ball?” an 8 month old searches for the ball)
Holophrastic syntax
Between 12-18 months, children use single words to express whole ideas. They might say “milk” to mean the whole sentence, “I want a glass of milk”. Holophrastic sentences are denominative (labeling) or imperative (commanding).
Telegraphic syntax
Telegraphic- Around 18 months children begin using telegraphic speech, phrases that have many words omitted and sound like a telegram, to convey their message. (ie: “get milk”, “go bye-bye”)
