ATI Peds Ch 35-36 & 39-40: Immune, Communicable
Dis, Cancers, Ped Emer questions with correct
answers
Vaccines stimulate what? Correct Answer-stimulate the immune system
to produce antibodies against specific diseases
Vaccines contain what? Correct Answer-The same antigen as the
disease, but it is wither killed or weakened, not strong enough to cause
the disease
Antibodies disappear when? Correct Answer-After they have destroyed
the infection/ antigen. But memory cells are formed to protect from
future exposures to the same infection. This is called immunity
Who makes recommendations and creates guidelines regarding
immunizations? Correct Answer-The Advisory Committee on
Immunization Practices (ICIP)
Hep B vaccination
*ages
*considerations
*S/E
* contraindications Correct Answer-*3 doses given at birth, 1-2 months,
6-18 months
* at least 4 weeks b/t doses 1&2, and 8 weeks b/t 2&3
,* local reaction , temp 99.9 or higher
* Allergy to baker's yeast
Rotovirus (RV) vaccination
*ages
* considerations
* S/E
* contraindications Correct Answer-* 2 doses given at 2 and 4 months, if
kid is >15 weeks and has not received the 1st one you should not give it
* Irritability, mild N&V
*intussusception and immunocompromised
DtaP
*ages
* S/E
* contraindications Correct Answer-*4 doses given 2, 4, 6 months and
15-18 months, booster q 10 years
* Local reaction at site, fever, irritability, crying that lasts >3 hrs,
seizures and acute encephalopathy
* An occurrence of encephalopathy 7 days after, seizures with in 3 days
of immunization, a hx of uncontrolled crying lasting > 3 hrs with prior
shots
HIB Correct Answer-*3 doses given at 2, 4, and 12-15 months
,PVC (pneumococcal) Correct Answer-4 doses given at 2,4,6,12-15
months
Inactivated poliovirus (IPV)
contraindications Correct Answer-* 4 doses given 2,4,6-18 months and,
4-6 years
* allergy to neomycin and or streptomycin and polymyxin B
*DO NOT GIVE IS PREGNANT
infuenza
comtraindications Correct Answer-Given yearly as early as 6 weeks
MUST be 2 or older to receive live vaccine
Usually given around October
* hypersensitivity to eggs, LAIV (live vaccine nasal),
MMR
Ages
*S/E
*contraindications Correct Answer-*2 doses 12-15 months and 4-6 years
* if traveling internationally give between 6-11 months in addition to the
routine ones
* local reactions: rash, fever, swollen glands in cheeks, neck and under
jaw, possible joint pain lasting days- weeks, anaphylaxis and
thrombocytopenia
, *pregnancy, ALLERY to gelatin and neomycin, HX of
thrombocytopenia, immunosuppression, recent blood transfusion or
immunoglobulins
varicella
S/E
contraindications Correct Answer-2 doses given at 12-15 months & 4-6
yrs.
* varicella like rash on body and seizures
* pregnancy, cancers in the blood and lymphatic system, allergy to
gelatin and neomycin, corticosteroids, immunosuppression
HEP A
S/E Correct Answer-2 doses given at 12-2 years and 6-18 months
following
* HA, loss of appetite, tiredness, local reaction at injection site
meningococcal
contraindications Correct Answer-1 dose 11-12 years, can be given as
early as 9 months
* if given prior to 16 a booster is recommended
* Gullain- Barre
Human Papillomavirus
S/E
