NSG 434 EXAM 1 | QUESTIONS AND ANSWERS | LATEST UPDATE
What is the first vaccine new borns receive in the Hep B (parents have to consent before giving)
delivery room?
What vaccines should the nurse expect an infant to DTaP (Diphtheria, Tetanus, and Pertussis)
receive before the first 6 months of life? Hib (Haemophilus Influenza type B)
Hep B (Hepatitis B)
PCV (Pneumococcal Conjugate Vaccine)
Rota
Where can the nurse obtain recommendations of an ACIP (Advisory Committee on Immunization Practices)
infant/child's vaccination schedule? CDC (Centers for Disease Control)
AAP (Committee of Infectious Diseases of the American Academy of Pediatrics
Hepatitis B virus 4 doses: at birth, 1, 2, 6 months
IM site: vastus lateralis for newborns and deltoid for toddlers and children
, DTaP (Diphtheria, Tetanus, and Pertussis) 4 doses: 2, 4, 6months, and 4< years old
*need booster shot every 10 years
What is PEDIATRIX it is a combination vaccine containing DTap, Hep B, and IPV (inactivated
Poliovirus)
Which vaccines are live? Varicella
Rubella (MMR is a weakened virus)
Rotavirus
MMR (measles, mumps, rubella) 2 doses; 12-15 months & 4-6 years
*given SUB-Q
what are the contraindications for live attenuated immunocompromised children and pregnant females
vaccines (like Varicella, Rubella, and Rota)` (*recent blood transfusion= postpone 3 months)
PCV (Pneumococcal Conjugate Vaccine) 4 doses: 2, 4, 6, 12-15months
*given to children >2 who are immunocompromised and attend day care
Hib (Haemophilus Influenza type B) 4 doses: 2, 4, 6, 12-15months
(protects against serious infections- sepsis, bacterial meningitis, septic arthritis)
Varicella vaccine 2 doses: 12-15months & 4-6years
*SUB Q inj
*antibodies persist for 8 years (will need booster after 8 years)
what is a serious complication from varicella? Reye's syndrome
Rotavirus vaccine *administered orally
RotaTeq= 3 doses: 2, 4, 6months
Rotarix= 2 doses: 2 and 4 months
Normal reactions that the nurse should teach the parent local tenderness,
to expect after the administration of a vaccine? erythema swelling at the
injection site low-grade
fever
behavioral changes: eating less, drowsiness, prolong crying
what is the correct needle length for a vaccination minimum of 25mm (1in)
administration at the anterolateral thigh with infants?
what is the correct needle length for a vaccination 25 to 32mm (1in to 1.25in)
administration for toddlers
what is the correct needle length for a vaccination 38 to 51mm (1.5" to 2")
administration for children?
How many injections (that are compatible) can be given 2 in the thigh, 1 in the arm (at least 2.5cm/1" apart)
at once?
What is the first vaccine new borns receive in the Hep B (parents have to consent before giving)
delivery room?
What vaccines should the nurse expect an infant to DTaP (Diphtheria, Tetanus, and Pertussis)
receive before the first 6 months of life? Hib (Haemophilus Influenza type B)
Hep B (Hepatitis B)
PCV (Pneumococcal Conjugate Vaccine)
Rota
Where can the nurse obtain recommendations of an ACIP (Advisory Committee on Immunization Practices)
infant/child's vaccination schedule? CDC (Centers for Disease Control)
AAP (Committee of Infectious Diseases of the American Academy of Pediatrics
Hepatitis B virus 4 doses: at birth, 1, 2, 6 months
IM site: vastus lateralis for newborns and deltoid for toddlers and children
, DTaP (Diphtheria, Tetanus, and Pertussis) 4 doses: 2, 4, 6months, and 4< years old
*need booster shot every 10 years
What is PEDIATRIX it is a combination vaccine containing DTap, Hep B, and IPV (inactivated
Poliovirus)
Which vaccines are live? Varicella
Rubella (MMR is a weakened virus)
Rotavirus
MMR (measles, mumps, rubella) 2 doses; 12-15 months & 4-6 years
*given SUB-Q
what are the contraindications for live attenuated immunocompromised children and pregnant females
vaccines (like Varicella, Rubella, and Rota)` (*recent blood transfusion= postpone 3 months)
PCV (Pneumococcal Conjugate Vaccine) 4 doses: 2, 4, 6, 12-15months
*given to children >2 who are immunocompromised and attend day care
Hib (Haemophilus Influenza type B) 4 doses: 2, 4, 6, 12-15months
(protects against serious infections- sepsis, bacterial meningitis, septic arthritis)
Varicella vaccine 2 doses: 12-15months & 4-6years
*SUB Q inj
*antibodies persist for 8 years (will need booster after 8 years)
what is a serious complication from varicella? Reye's syndrome
Rotavirus vaccine *administered orally
RotaTeq= 3 doses: 2, 4, 6months
Rotarix= 2 doses: 2 and 4 months
Normal reactions that the nurse should teach the parent local tenderness,
to expect after the administration of a vaccine? erythema swelling at the
injection site low-grade
fever
behavioral changes: eating less, drowsiness, prolong crying
what is the correct needle length for a vaccination minimum of 25mm (1in)
administration at the anterolateral thigh with infants?
what is the correct needle length for a vaccination 25 to 32mm (1in to 1.25in)
administration for toddlers
what is the correct needle length for a vaccination 38 to 51mm (1.5" to 2")
administration for children?
How many injections (that are compatible) can be given 2 in the thigh, 1 in the arm (at least 2.5cm/1" apart)
at once?