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Maternal Child Exam 1: Immunizations 2024/2025 Questions With Completed & Verified Solutions.
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Maternal Child Exam 1: Immunizations 2024/2025 Questions With Completed & Verified Solutions.
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Maternal Child Exam 1: ImmunizationsWhat is recommended for routine immunizations? - ANS Hepatitis B virus
Diphtheria, Tetanus, Pertussis
Polio
Rotavirus
Hib
Influenza
Hepatitis A
Measles, Mumps, Rubella
Varicella
Meningococcal
HPV - human papilloma virus
What is the importance of childcare shots? - ANS Prevents meningococcal infections
Death, limb and digit amputation, scarring, hearing loss, and neurologic disability
Ensure college freshmen in dorms and military recruits are vaccinated
Administer at age 11-12
Booster age 16-18 if first dose before age 16
Can get earlier with certain conditions with increased risk
HPV4 approved for males ages 9-26
HPV2 or HPV4 for females
What vaccine is given at birth? - ANS HepB
What vaccines is given at 2 months? - ANS HepB (1-2 mos) + DTaP + PCV13 + Hib + Polio +
RV
What vaccines is given at 4 months? - ANS DTaP + PCV13 + Hib + Polio + RV
What vaccines is given at 6 months? - ANS HepB (6-18 mos) + DTaP + PCV13 + Hib + Polio
(6-18 mos) + RV
What vaccines is given at 12 months? - ANS MMR (12-15 mos) + PCV13 (12-15 mos) + Hib
(12-15 mos) + Varicella (12-15 mos) + HepA (12-23 mos)
What vaccines is given at 15 months? - ANS DTaP (15-18 mos)
What vaccines is given at 4-6 years (kindergarten)? - ANS DTaP + IPV + MMR + Varicella + Flu
What vaccines is given at 11-12 years (7th grade)? - ANS Tdap booster + Meningococcal
vaccine + HPV + Flu
, What vaccines is given at 16-18 years (12th grade)? - ANS Meningococcal vaccine booster +
Flu
What is important to know about HBV? - ANS Dosing at birth, 1-2 months, 6 months
Infants should weigh at least 2 Kg
Give in vastus lateralis or deltoid (older children)
Contraindicated in yeast allergy
Hepatitis B immune globulin (HBIG)- given within 12 hours of birth if mother is HBsAg positive.
If HBsAg is unknown, administer HBV in first 12 hours, check status, and administer HBIG as
soon as possible within the first week
What is important to know about RV? - ANS Vaccine available since 2006
Prevention of diarrhea caused by rotavirus
Oral vaccine
Rotarix- 2 doses, first at 6 weeks, second 4 weeks later. Give before 24 weeks
RotaTeq- 3 doses, first at 6-12 weeks, 2 doses at 4-10 week intervals, not after 32 weeks
May give/schedule with immunizations
First Dose: 2 months of age
Second Dose: 4 months of age
Third Dose: 6 months of age (if needed)
Child must get the first dose of rotavirus vaccine before 15 weeks of age, and the last by age 8
months
Small risk of intussusception
Babies with "severe combined immunodeficiency" (SCID) should not get rotavirus vaccine.
Babies who have had a type of bowel blockage called "intussusception" should not get rotavirus
vaccine. This is also a complication of the vaccine.
Babies who are mildly ill can get the vaccine. Babies who are moderately or severely ill should
wait until they recover. This includes babies with moderate or severe diarrhea or vomiting
What is important to know about DTap? - ANS Diphtheria-Nasopharyngitis or laryngotracheitis
with airway obstruction
Tetanus-Tightening of muscles in body and jaw (lockjaw)
Pertussis-Severe cough, pneumonia
DTaP approved for children under 7 years
Given at 2 mo, 4 mo, 6 mo, 15-18 mo, and 4-6 years
Td or Tdap boosters every 10 years
Contraindication: Pertussis is contraindicated if encephalopathy within 7 days of prior dose
What is important to know about Hib? - ANS Hib can cause epiglottitis, bacterial meningitis,
pneumonia, septic arthritis and pneumonia
Before Hib, over 20,000 annual infections with about 1000 deaths
Children over 5 years old usually do not need Hib vaccine.
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