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434 EXAM 1. QUESTIONS WITH CORRECT ANSWERS

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Exam of 12 pages for the course NSG 434 at NSG 434 (434 EXAM 1.)

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NSG 434
Course
NSG 434

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434 EXAM 1

Help A vaccine schedule - answer2 doses 12-24 months. 2nd dose cant be given
sooner than 6 mos.
(bad for diaper changes- fecal oral route)
*need before daycare*

Hep B schedule - answer Birth (before discharge), 1, 2, and 6 months
*able to give when other vaccines are administered

best site for IM injection in kids – answer Vastas lateralis in newborn
deltoid in toddlers and children older than 1 yr

never give shot where ? – answer dorsal gluteal. (Sciatic nerve or antibodies dont get
produced as well there)
also, not enough research for ventral gluteal.

Inactivated Poliovirus (IPV) – answer Polio : A virus that may cause paralysis
1st dose: 2 months
2nd dose: 4 months
3rd dose: 6-18 months
4th dose: 4-6 years

(DTaP) - answerDiphtheria, tetanus, pertussis. Four doses: 2, 4, and 6 months of age,
and fourth dose on or after four years old - DTaP is recommended

Pertussis (whooping cough) - answerAn airborne bacterial infection that affects mostly
children younger than 6 years. Patients will be feverish and exhibit a "whoop" sound on
inspiration after a coughing attack; highly contagious through droplet infection.

Diphtheria - answeracute infection of the throat and upper respiratory tract caused by
the diphtheria bacterium. respiratory manifestations result in morbidity

PEDIARIX - answercombination vaccine containing DTaP, Hep B, and IPV

(MMR) - answermeasles, mumps, rubella; Two doses: 12 to 15 months of age and 4 to
6 years of age (school entry) and booster at college age.

During measles outbreaks - answersecond dose may be given earlier provided 4 weeks
have elapsed since previous dose

ProQuad - answerMMRV - Measles, Mumps, Rubella, AND Varicella (SQ).

, attenuated live virus vaccine should not be administered to children with immune
deficiencies and pregnant females

STORE FROZEN and indicates specific temperatures for the storage. This is due to the
Varicella.

difference between rubella(german measles) and measles (rubeola) - answermeasles
first appears in hairline, the goes head to toe. it involves palms and soles. *tiny white
spots in mouth are a hallmark*
rubella: starts on face and moves down. covers whole body but clears up in 3 days.

(PCV 13) - answerPneumococcal Conjugate Vaccine
Four doses: 2, 4, and 6 months, and 12 to 15 months of age
-protects against 13 types of pneumococcal bacteria. like Bacterial Meningitis,
Epiglottitis, Sepsis

(Hib) - answerHaemophilus influenzae Type B
protects against lots of serious infection.
Four doses: (Same as PCV 13)
*Administered by IM injection using separate syringe and a site separate from any
concurrent vaccinations*
not associated with the flu.

Varicella - answerTwo doses: 12 to 15 months and 4 to 6 years of age
-Must have 2 doses to ensure they will have one-third less breakthrough illness
compared with children who have 1 dose
-Children who do contract varicella have less vesicles, lower fever, and faster recovery.
-May be given simultaneously with DTaP, IPV, HepB, or Hib vaccine anddddd MMR

Influenza - answer-Recommended annually (usually in the Fall) starting at 6 months of
age. for first time you get 2 separate doses 4 weeks apart
*assess for egg allergies*

Can you give the influenza vaccine with other vaccines? - answeryes, May give at same
time as other vaccinations:
-Use separate syringe
-Use separate injection site
IM injection

Rotavirus - answerSignificance: Acute gastroenteritis, bad diarrhea
-Both rotavirus vaccines are administered orally, by putting drops in the infant's mouth.
Each requires multiple doses:

(HPV) - answerhuman papillomavirus
-Beginning at 11 or 12 years old (can start as early as age 9)
(IM)

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NSG 434
Course
NSG 434

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