APEA Peds vaccines\ APEA Peds Questions
and Answers 2024
Mycoplasma or Chlamydia
Tx: azithromycin or alternatives: levoflaxacin and doxy
Atypical Pneumonia
Meningococcal Conjugate Vaccine (MenACWY)
• 2- or 3-dose series depending on age at initial vaccination
• Age 9-14 years: 0, 6-12 months later
• Age ≥15 years (26 years!!!): 0, 1-2 months, 6 months
• Can start at 9 years (0, 6-12 months)
• preferred prior to sexual activity
HPV (Human Papillomavirus)
A 15-year-old patient who is sexually active is in your clinic to receive her first HPV
vaccine. How should the NP handle this?
1. Do not administer today.
2. A negative pregnancy test is needed prior to vaccination.
3. Administer today without checking pregnancy status.
4. Refer this patient to OB-GYN clinic.
3. Administer today without checking pregnancy status.
if Preg; HOLD this vaccine
Adverse Reactions
• Adverse reactions can be: local (redness), systemic (fever)-seen with shingles
vaccines, or allergic
• Most common reactions among adolescents are to:
HPV, MenACWY, and Tdap all increase risk of (syncope)
Spacing of Vaccines
• A vaccine given 4 days prior to the scheduled time to receive it is considered a valid
dose
• A vaccine given 5 days prior to the scheduled time to receive it is considered
an INVALID dose and should be repeated
What if they still refuse?
• Exclude children from your practice: NOT RECOMMENDED! (child needs care and it’s
not child’s fault)
• Teach about clinical presentation of vaccine-preventable diseases
• Remind caregiver to call before bringing child to office visit if child is ill!
• Alert other HCPs about which patients are not immunized
• Sign CDC’s
refusal-to-vaccinate form
, CDC recommends monitoring a child after immunization for:
1. 15 minutes.
2. 30 minutes.
3. 45 minutes.
4. 60 minutes.
1. 15 minutes.
Your 60-year-old patient has become employed at a daycare for children with special
needs. She is going to be working in the area with infants who have asthma. What
guidance does CDC have for her?
1. She should receive the shingles immunization to prevent chickenpox.
2. She should receive a Tdap if she has not had one within 10 years.
3 She should get a pneumococcal vaccine.
4. CDC has no specific recommendations.
She should receive a Tdap if she has not had one within 10 years.
A 12-month-old girl received the varicella immunization 1 week ago. How long must she
wait before receiving the MMR immunization?
1. 1 week
2. 2 weeks
3. 3 weeks
4. She may receive it today
3 weeks
Diagram of the basics for peds
Diagram of the basics for teens
DTAP hint think of D as dwarf <7
Tdap hint think of T as tall >7
HPV *goal is to be given BEFORE sex begins
traditionally given at age 11, protects against
strains 16/18 cause cervical CA
strains 6/11 cause genital warts
Catch up Vaccinations
pneumonic: It is time for many happy vaccinations
It's-IPV
Time for -Tdap or Td
Many -MMR & possibly meningitis
and Answers 2024
Mycoplasma or Chlamydia
Tx: azithromycin or alternatives: levoflaxacin and doxy
Atypical Pneumonia
Meningococcal Conjugate Vaccine (MenACWY)
• 2- or 3-dose series depending on age at initial vaccination
• Age 9-14 years: 0, 6-12 months later
• Age ≥15 years (26 years!!!): 0, 1-2 months, 6 months
• Can start at 9 years (0, 6-12 months)
• preferred prior to sexual activity
HPV (Human Papillomavirus)
A 15-year-old patient who is sexually active is in your clinic to receive her first HPV
vaccine. How should the NP handle this?
1. Do not administer today.
2. A negative pregnancy test is needed prior to vaccination.
3. Administer today without checking pregnancy status.
4. Refer this patient to OB-GYN clinic.
3. Administer today without checking pregnancy status.
if Preg; HOLD this vaccine
Adverse Reactions
• Adverse reactions can be: local (redness), systemic (fever)-seen with shingles
vaccines, or allergic
• Most common reactions among adolescents are to:
HPV, MenACWY, and Tdap all increase risk of (syncope)
Spacing of Vaccines
• A vaccine given 4 days prior to the scheduled time to receive it is considered a valid
dose
• A vaccine given 5 days prior to the scheduled time to receive it is considered
an INVALID dose and should be repeated
What if they still refuse?
• Exclude children from your practice: NOT RECOMMENDED! (child needs care and it’s
not child’s fault)
• Teach about clinical presentation of vaccine-preventable diseases
• Remind caregiver to call before bringing child to office visit if child is ill!
• Alert other HCPs about which patients are not immunized
• Sign CDC’s
refusal-to-vaccinate form
, CDC recommends monitoring a child after immunization for:
1. 15 minutes.
2. 30 minutes.
3. 45 minutes.
4. 60 minutes.
1. 15 minutes.
Your 60-year-old patient has become employed at a daycare for children with special
needs. She is going to be working in the area with infants who have asthma. What
guidance does CDC have for her?
1. She should receive the shingles immunization to prevent chickenpox.
2. She should receive a Tdap if she has not had one within 10 years.
3 She should get a pneumococcal vaccine.
4. CDC has no specific recommendations.
She should receive a Tdap if she has not had one within 10 years.
A 12-month-old girl received the varicella immunization 1 week ago. How long must she
wait before receiving the MMR immunization?
1. 1 week
2. 2 weeks
3. 3 weeks
4. She may receive it today
3 weeks
Diagram of the basics for peds
Diagram of the basics for teens
DTAP hint think of D as dwarf <7
Tdap hint think of T as tall >7
HPV *goal is to be given BEFORE sex begins
traditionally given at age 11, protects against
strains 16/18 cause cervical CA
strains 6/11 cause genital warts
Catch up Vaccinations
pneumonic: It is time for many happy vaccinations
It's-IPV
Time for -Tdap or Td
Many -MMR & possibly meningitis
