NSG 434 EXAM 1
What is the first vaccine new borns receive in the delivery room? – answer 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? – answer 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?
– answer 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 - answer4 doses: at birth, 1, 2, 6 months
IM site: vastus lateralis for newborns and deltoid for toddlers and children
DTaP (Diphtheria, Tetanus, and Pertussis) - answer4 doses: 2, 4, 6months, and 4<
years old
*need booster shot every 10 years
What is PEDIATRIX - answerit is a combination vaccine containing DTap, Hep B, and
IPV (inactivated Poliovirus)
Which vaccines are live? - answerVaricella
Rubella (MMR is a weakened virus)
Rotavirus
MMR (measles, mumps, rubella) - answer2 doses; 12-15 months & 4-6 years
*given SUB-Q
what are the contraindications for live attenuated vaccines (like Varicella, Rubella, and
Rota)` - answerimmunocompromised children and pregnant females
(*recent blood transfusion= postpone 3 months)
PCV (Pneumococcal Conjugate Vaccine) - answer4 doses: 2, 4, 6, 12-15months
*given to children >2 who are immunocompromised and attend day care
Hib (Haemophilus Influenza type B) - answer4 doses: 2, 4, 6, 12-15months
(protects against serious infections- sepsis, bacterial meningitis, septic arthritis)
, Varicella vaccine - answer2 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? - answerReye's syndrome
Rotavirus vaccine - answer*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? - answerlocal 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? - answerminimum of 25mm (1in)
what is the correct needle length for a vaccination administration for toddlers - answer25
to 32mm (1in to 1.25in)
what is the correct needle length for a vaccination administration for children? -
answer38 to 51mm (1.5" to 2")
How many injections (that are compatible) can be given at once? - answer2 in the thigh,
1 in the arm (at least 2.5cm/1" apart)
Which sites should be avoided at all times? - answerDorsolateral muscle and
anterolateral thigh for infants not walking
Diaper Dermatitis nursing interventions - answerkeep skin dry!
-change diapers as soon as soiled
-avoid over-washing skin
Seborrheic Dermatitis (Cradle Cap) nursing interventions - answershampoo daily with
mild soap/baby shampoo
use fine-tooth comb to loosen crusts after shampooing
Atopic Dermatitis (Eczema) nursing interventions - answerhydrate 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 - answerthick, adherent,
yellowish scaly, oily patches
What is the first vaccine new borns receive in the delivery room? – answer 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? – answer 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?
– answer 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 - answer4 doses: at birth, 1, 2, 6 months
IM site: vastus lateralis for newborns and deltoid for toddlers and children
DTaP (Diphtheria, Tetanus, and Pertussis) - answer4 doses: 2, 4, 6months, and 4<
years old
*need booster shot every 10 years
What is PEDIATRIX - answerit is a combination vaccine containing DTap, Hep B, and
IPV (inactivated Poliovirus)
Which vaccines are live? - answerVaricella
Rubella (MMR is a weakened virus)
Rotavirus
MMR (measles, mumps, rubella) - answer2 doses; 12-15 months & 4-6 years
*given SUB-Q
what are the contraindications for live attenuated vaccines (like Varicella, Rubella, and
Rota)` - answerimmunocompromised children and pregnant females
(*recent blood transfusion= postpone 3 months)
PCV (Pneumococcal Conjugate Vaccine) - answer4 doses: 2, 4, 6, 12-15months
*given to children >2 who are immunocompromised and attend day care
Hib (Haemophilus Influenza type B) - answer4 doses: 2, 4, 6, 12-15months
(protects against serious infections- sepsis, bacterial meningitis, septic arthritis)
, Varicella vaccine - answer2 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? - answerReye's syndrome
Rotavirus vaccine - answer*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? - answerlocal 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? - answerminimum of 25mm (1in)
what is the correct needle length for a vaccination administration for toddlers - answer25
to 32mm (1in to 1.25in)
what is the correct needle length for a vaccination administration for children? -
answer38 to 51mm (1.5" to 2")
How many injections (that are compatible) can be given at once? - answer2 in the thigh,
1 in the arm (at least 2.5cm/1" apart)
Which sites should be avoided at all times? - answerDorsolateral muscle and
anterolateral thigh for infants not walking
Diaper Dermatitis nursing interventions - answerkeep skin dry!
-change diapers as soon as soiled
-avoid over-washing skin
Seborrheic Dermatitis (Cradle Cap) nursing interventions - answershampoo daily with
mild soap/baby shampoo
use fine-tooth comb to loosen crusts after shampooing
Atopic Dermatitis (Eczema) nursing interventions - answerhydrate 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 - answerthick, adherent,
yellowish scaly, oily patches
