test 3 Flashcards
dtap vs Tdap
Dtap < age 7 - vaccine
Tdap > age 7 - vaccine booster
yearly flu shot starts at what age?
6 months
Will the immune system be overwhelmed by so many shots at one time?
The immune system will NOT be overwhelmed, your child comes in contact with more antigens daily than in the current vaccine schedule.
, MMR vaccine should not be administered to
severely immunocompromised
persons (1). However, certain conditions are commonly misperceived as
contraindications (i.e., are not valid reasons to defer vaccination).
Severely immunocompromised persons generally should not receive live vaccines
Pt experienced encephalopathy within 7 days after administration of a previous dose of
pertussis. What needs to happen for future vaccines?
containing vaccine not attributable to another identifiable cause should
not receive additional doses of a vaccine that contains pertussis
Severe Combined Immunodeficiency (SCID) disease and a history of intussusception
are both contraindications to the receipt of
rotavirus vaccines
The presence of a moderate or severe acute illness with or without a fever is a _______ to administering vaccinations
precaution. delay for moderate or severe illness
A personal or family history of seizures is a precaution for
MMRV vaccination; this is
because a recent study found an increased risk for febrile seizures in children 12-23
months who receive MMRV compared with MMR and varicella vaccine
LAIV vaccine has what contraindications
- Severe allergic reaction
(e. g., anaphylaxis)
-Concomitant use of
aspirin or aspirincontaining medication in
children and adolescents
-should not be administered to persons who have taken oseltamivir or zanamivir within the previous 48 hours, peramivir within the previous 5 days, or baloxavir within the previous 17 days.(e)
-pregnancy
-Children aged 2 through 4 years who have received a diagnosis of asthma or whose parents or caregivers report that a health care provider has told them during the preceding 12 months that their child had wheezing or asthma
-Persons with active
cerebrospinal
fluid/oropharyngeal
communications/leaks.
-Close contacts and caregivers of severely immunosuppressed persons who require a protected environment
-Persons with cochlear
implants
-Altered
Immunocompetence
-Anatomic or functional
asplenia (e.g. sickle cell
disease
Rotavirus should not be given after what age?
15 weeks
vaccine manufacturers voluntarily changed production methods to produce vaccines free of
thimerosal
Contraindications to the rotavirus vaccine
SCID and intussusception
MMR, Varicella zoster, influenza, Hep B, meningococcal,
and tetanus-containing vaccines are linked to
anaphylaxis
Vaccine injections can cause
syncope, fainting, deltoid
bursitis, shoulder pain, and loss of shoulder motion
ofebrile seizures (benign and without
sequelae) and measles inclusion body encephalitis (rare) in
immunocompromised c hildren can occur within a year of
vaccination
After MMR,
ofebrile seizures (benign and without
sequelae) and measles inclusion body encephalitis (rare) in
immunocompromised c hildren can occur within a year of
vaccination
Varicella zoster vaccine has a causal relationship to some
adverse events
Chickenpox rash, pneumonia, meningitis, hepatitis
in children with immunodeficiencies
Viral reactivation leading to meningitis or
encephalitis
vaccines are thimerosal-free or contain
trace amounts with two exceptions
Multidose vials of inactivated flu vaccine
o Multidose vials of one meningococcal vaccine that
contains thimerosal
which vaccines are live
MMR
Rotavirus
HBV – inactivated.Review specific recommendations with use in
premature infants.
Preterm infants weighing less than 2000 grams should be
immunized when they are 1 month old. Newborns greater than
2000 grams should be immunized at birth.
what does HIB prevent?
prevents
pneumonia, bacteremia, meningitis (bacterial meningitis in
children), epiglottitis, septic arthritis, cellulitis, otitis media, &
purulent pericarditis in those younger than 4 years.
Passive immunity:
injecting an individual with a solution of
preexisting antibodies to prevent or amend an infectious disease.
active immunity:
body makes its own antibodies via acquiring a disease or
vaccination
2 years old how much speech is recognized
25%
24-36 months, how much speech is recognized
66%
3 years old how much speech is recognized
90%
8 mos language
receptive
12-18 mos language
single words to express whole ideas (holophrases)
18 mos language
telegraphic speech go bye bye
2 yrs old language
short sentences
3 yrs old language
add plurals, 3 -4 word sentences,
4 years old language
use past tense
5 yrs old language
syntax is close to adult style
o future tense
o complete sentence of 5 -6 words
denotative meaning:
specific meaning
connotative meaning
broader range of feelings
when should you start using fluoride
Apply fluoride after 1st eruption of tooth (approx 6 months)
NP and dental
Observe for dental irregularities like caries, plaque,
demineralization (white spots), and staining
y/o children shift from being self-centered to thinking
of others
4-5
“It’s snowing because I want to play in it!”
egocentrism
Intellectual (dreams are actually real) and nominal (a horse can only be called a horse,
not a stallion or filly)
realism
2-3y/o think objects possess innate
person-like qualities that cause results “The
chair made me fall down”
Animism:
3-4y/o think things are caused by
some controlling force that controls the world
Artificialism:
Providers should introduce the topic of toilet trng at
18 mos
adequate calcium
500mg per day
16-32 oz milk
