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PEDS EXAM 3 REVIEW EXAM 3 STUDY GUIDE
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PEDS EXAM 3 REVIEW EXAM 3 STUDY GUIDE
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lOMoAR cPSD| 22896205PEDS 2024-2025 EXAM 3 REVIEW EXAM 3
STUDY GUIDE
Module 6 Communicable Diseases and Integumentary Disorders
• Considerations when administering immunizations (pg. 513) o Immunization side
effects o Pain management o Warm compress to injection site.
o Mild illness is NOT considered a contraindication for vaccines
o Moderate/severe illness with/without fever better to hold the
immunization until later
o Contraindications
o Adverse effects: must be reported to the CDC o Documentation
• Immunizations Schedule: (birth to age 18 years) o Link:
https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html o
Recommendation for studying:
o Each age and what vaccines are due
• Critcial component o Immunization Success pg. 521:
Vaccines have significantly reduced the incidence of many
communicable diseases.
• Assessment
o Clinical Pearl: pg. 521
Routes of Vaccines:
IM
• DTaP, DT, Tdap, Td, Hib, Hep A, Hep B, HPV, flu, Meningococcal conjugate, PCV
IM or subcutaneous
• PPSV, IPV
Subcutaneous
• MMR, Varicella, meningococcal polysaccharide
Oral
• Rotavirus Pediatric vaccines:
Contraindications: allergy reaction to previous yeast infection
o Hepatitis B (newborn, 1-2 months, 6-9 months)
o
Hepatitis A
o Diphtheria, Tetanus, Pertussis/DT
o Haemophilus influenzae Type B
o Rotavirus
Live virus
Admin: oral in buccal
pg. 1
, lOMoAR cPSD| 22896205
SE of rotavirus: diarrhea, vomiting, cranky
o Pneumococcal
(PCV13 and PPSV23) o
Inactivated Poliovirus
o Influenza
Given at 6 months
SE from flu vaccine: pain at injection site, low grade fever, body
aches
Do not give to pregnant women or immunocompromised
o Measles, Mumps, Rubella
Not given to children under: 6 months of age unless traveling
SE from vaccine: Bumps (normal SE) MONITOR TO ENSURE
NO SPREAD
Given at (12 months, 18, and 4-6 years)
o Varicella
(Varivax)
o Meningococcal
(Menactra or Menveo)
o Meningococcal Serogroup B Vaccine (MenB-FHbp or MenB-4C)
o Tetanus, Diphtheria, and Acellular Pertussis
o Human Papillomavirus (HPV-Gardasil)
• Viral diseases:
Fifths Disease
Hand Foot Mouth
Influenza
Mononucleosis
Roseola
Rubeola
Rubella
Varicella o Critical Component: Caregiver Education pg.
524
Symptoms that require emergency medical services
difficulty breathing, weak, fast pulse; slow capillary refill;
symptoms of respiratory distress.
PEDS EXAM 3 REVIEW - PEDS EXAM 3 STUDY GUIDE |
, lOMoAR cPSD| 22896205
• Fifth’s disease: Erythema o Disease Process : human parvovirus B19 (HPV), contagious
until the rash appears
Affects school-age children 5 to 15 years of age o
Clinical Presentation :
Prodromal: Fever, upper respiratory symptoms, headache
Communicability: Contagious until the lacey rash appears
Rash: Erythema of the cheeks, giving the appearance of
“slapped cheeks.” The rash appears after the red cheeks appear and
is characterized by a lacy pattern on the trunk and extremities. o
Nursing interventions:
Droplet precaution
Sickle cell crisis, immune
deficiency disorders o Care giver education:
Home care: antipyretics, hydration
Tylenol and rest
antibiotics are not given for this
• Hands foot mouth
o Disease Process : Coxsackie virus or enterovirus.
o Transmission : Direct contact, droplet, fecal-oral o Clinical Presentation :
Cold symptoms, coryza, fever, sore throat. Small vesicles appear in the mouth
and on the palms of the hands and soles of the feet, and may also appear on
the genitalia and buttocks
o Caregiver education :
Give acetaminophen or ibuprofen for pain and fever
Over-the counter sprays and mouth washes that contain
local anesthetic to relieve pain in the mouth Influenza:
o It is important to prevent influenza in all patients, especially individuals in high-
risk categories. o Disease Process : Influence A or B. Transmission: cough,
sneeze, contaminated objects
o Clinical Presentation : Fever, chills, headache, sneezing, cough, malaise,
conjunctivitis, and myalgia (aching)
o Diagnostic Testing : Rapid Flu o Nursing interventions:
Flu can trigger croup in infants, PNA hospitalization, Post secondary
bacterial infections, increased severity for existing medical conditioner
(diabetes/asthma)
Nursing interventions includes emergency care such as in the hospital.
Influenza can trigger coup in infants. Acute hospital care
Pneumonia is a possible complication
Droplet precaution
Various other complications such as ear infection, sinus infections,
dehydration, etc.
o Caregiver Education : Antipyretic, hand
hygiene, supportive care, Tamiflu or or
Relenza within 48 hours, flu vaccine
pg. 3
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