NSG 434 EXAM 1
What is the first vaccine new borns receive in the delivery room? - *answers *Hep B
(parents have to consent before giving)
What vaccines should the nurse expect an infant to receive before the first 6 months of
life? - *answers *DTaP (Diphtheria, Tetanus, and Pertussis)
Hib (Haemophilus Influenza type B)
Hep B (Hepatitis B)
PCV (Pneumococcal Conjugate Vaccine)
Rota
Where can the nurse obtain recommendations of an infant/child's vaccination schedule?
- *answers *ACIP (Advisory Committee on Immunization Practices)
CDC (Centers for Disease Control)
AAP (Committee of Infectious Diseases of the American Academy of Pediatrics
Hepatitis B virus - *answers *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) - *answers *4 doses: 2, 4, 6months, and 4<
years old
*need booster shot every 10 years
What is PEDIATRIX - *answers *it is a combination vaccine containing DTap, Hep B,
and IPV (inactivated Poliovirus)
Which vaccines are live? - *answers *Varicella
Rubella (MMR is a weakened virus)
Rotavirus
MMR (measles, mumps, rubella) - *answers *2 doses; 12-15 months & 4-6 years
*given SUB-Q
what are the contraindications for live attenuated vaccines (like Varicella, Rubella, and
Rota)` - *answers *immunocompromised children and pregnant females
(*recent blood transfusion= postpone 3 months)
PCV (Pneumococcal Conjugate Vaccine) - *answers *4 doses: 2, 4, 6, 12-15months
*given to children >2 who are immunocompromised and attend day care
Hib (Haemophilus Influenza type B) - *answers *4 doses: 2, 4, 6, 12-15months
(protects against serious infections- sepsis, bacterial meningitis, septic arthritis)
Varicella vaccine - *answers *2 doses: 12-15months & 4-6years
*SUB Q inj
*antibodies persist for 8 years (will need booster after 8 years)
, NSG 434 EXAM 1
what is a serious complication from varicella? - *answers *Reye's syndrome
Rotavirus vaccine - *answers **administered orally
RotaTeq= 3 doses: 2, 4, 6months
Rotarix= 2 doses: 2 and 4 months
Normal reactions that the nurse should teach the parent to expect after the
administration of a vaccine? - *answers *local tenderness, 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 administration at the anterolateral
thigh with infants? - *answers *minimum of 25mm (1in)
what is the correct needle length for a vaccination administration for toddlers -
*answers *25 to 32mm (1in to 1.25in)
what is the correct needle length for a vaccination administration for children? -
*answers *38 to 51mm (1.5" to 2")
How many injections (that are compatible) can be given at once? - *answers *2 in the
thigh, 1 in the arm (at least 2.5cm/1" apart)
Which sites should be avoided at all times? - *answers *Dorsolateral muscle and
anterolateral thigh for infants not walking
Diaper Dermatitis nursing interventions - *answers *keep skin dry!
-change diapers as soon as soiled
-avoid over-washing skin
Seborrheic Dermatitis (Cradle Cap) nursing interventions - *answers *shampoo daily
with mild soap/baby shampoo
use fine-tooth comb to loosen crusts after shampooing
Atopic Dermatitis (Eczema) nursing interventions - *answers *hydrate the skin, relieve
pruritus, tepid baths, emollient lotions & Benadryl (antibiotics does not cure)
-teach parents to keep nails short (file nails before 1 year)
Seborrheic Dermatitis (Cradle Cap) clinical manifestations - *answers *thick, adherent,
yellowish scaly, oily patches
Benadryl (diphenhydramine) for children - *answers *SE: drowsiness, fatigue, disturbed
coordination
(in children) nightmares, nervousness, and irritability
What is the first vaccine new borns receive in the delivery room? - *answers *Hep B
(parents have to consent before giving)
What vaccines should the nurse expect an infant to receive before the first 6 months of
life? - *answers *DTaP (Diphtheria, Tetanus, and Pertussis)
Hib (Haemophilus Influenza type B)
Hep B (Hepatitis B)
PCV (Pneumococcal Conjugate Vaccine)
Rota
Where can the nurse obtain recommendations of an infant/child's vaccination schedule?
- *answers *ACIP (Advisory Committee on Immunization Practices)
CDC (Centers for Disease Control)
AAP (Committee of Infectious Diseases of the American Academy of Pediatrics
Hepatitis B virus - *answers *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) - *answers *4 doses: 2, 4, 6months, and 4<
years old
*need booster shot every 10 years
What is PEDIATRIX - *answers *it is a combination vaccine containing DTap, Hep B,
and IPV (inactivated Poliovirus)
Which vaccines are live? - *answers *Varicella
Rubella (MMR is a weakened virus)
Rotavirus
MMR (measles, mumps, rubella) - *answers *2 doses; 12-15 months & 4-6 years
*given SUB-Q
what are the contraindications for live attenuated vaccines (like Varicella, Rubella, and
Rota)` - *answers *immunocompromised children and pregnant females
(*recent blood transfusion= postpone 3 months)
PCV (Pneumococcal Conjugate Vaccine) - *answers *4 doses: 2, 4, 6, 12-15months
*given to children >2 who are immunocompromised and attend day care
Hib (Haemophilus Influenza type B) - *answers *4 doses: 2, 4, 6, 12-15months
(protects against serious infections- sepsis, bacterial meningitis, septic arthritis)
Varicella vaccine - *answers *2 doses: 12-15months & 4-6years
*SUB Q inj
*antibodies persist for 8 years (will need booster after 8 years)
, NSG 434 EXAM 1
what is a serious complication from varicella? - *answers *Reye's syndrome
Rotavirus vaccine - *answers **administered orally
RotaTeq= 3 doses: 2, 4, 6months
Rotarix= 2 doses: 2 and 4 months
Normal reactions that the nurse should teach the parent to expect after the
administration of a vaccine? - *answers *local tenderness, 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 administration at the anterolateral
thigh with infants? - *answers *minimum of 25mm (1in)
what is the correct needle length for a vaccination administration for toddlers -
*answers *25 to 32mm (1in to 1.25in)
what is the correct needle length for a vaccination administration for children? -
*answers *38 to 51mm (1.5" to 2")
How many injections (that are compatible) can be given at once? - *answers *2 in the
thigh, 1 in the arm (at least 2.5cm/1" apart)
Which sites should be avoided at all times? - *answers *Dorsolateral muscle and
anterolateral thigh for infants not walking
Diaper Dermatitis nursing interventions - *answers *keep skin dry!
-change diapers as soon as soiled
-avoid over-washing skin
Seborrheic Dermatitis (Cradle Cap) nursing interventions - *answers *shampoo daily
with mild soap/baby shampoo
use fine-tooth comb to loosen crusts after shampooing
Atopic Dermatitis (Eczema) nursing interventions - *answers *hydrate the skin, relieve
pruritus, tepid baths, emollient lotions & Benadryl (antibiotics does not cure)
-teach parents to keep nails short (file nails before 1 year)
Seborrheic Dermatitis (Cradle Cap) clinical manifestations - *answers *thick, adherent,
yellowish scaly, oily patches
Benadryl (diphenhydramine) for children - *answers *SE: drowsiness, fatigue, disturbed
coordination
(in children) nightmares, nervousness, and irritability
