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CMN 571 FINAL EXAM STUDY GUIDE
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CMN 571 FINAL EXAM STUDY GUIDE
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CMN 571 FINAL EXAM STUDY GUIDEInnate immunity: Everyone is born with innate (or
natural) immunity, a type of general protection. For
Review the types of example, the skin acts as a barrier to block germs
from entering the body. And the immune system
immunity (Start recognizes when certain invaders are foreign and
could be dangerous.
Module 1) Adaptive immunity: Adaptive (or active) immunity
develops throughout our lives. We develop adaptive
immunity when we're exposed to diseases or when
we're immunized against them with vaccines.
Passive immunity: Passive immunity is "borrowed"
from another source and it lasts for a short time. For
example, antibodies in a mother's breast milk give a
baby temporary immunity to diseases the mother has
been exposed to
Active immunity is usually permanent.Acquired
active immunity through exposure and infection with the disease or
artificially acquired through immunization.Onset is
a few weeks and usually last a lifetime
passive immunity A person is given antibodies to a disease rather than
produterm-61cing their own & it is short -term
immunity. ( Example Mother to baby).
This occurs when a significant portion of the
population is vaccinated and that provides a portion
herd immunity of immunity for those that have not developed
immunity. The population (herd) helps prevent
disease in the unprotected population. The herd
protects those who can not safely get vaccinations.
Generally 90 -95% of the population should be
vaccinated to haveeffective Herd immunity.
,Review the routine
immunization required
for infant and children 0-6
as found on the
CDC immunization schedule.
Immunization given @ birth Hep B (B=HepB)
Immunizations @ 2 mths HepB, DTaP, RV, Hib, IPV, PCV
(2 B Dr Hip)
Immunizations @ 4 mths DTaP, RV, HiB, IPV, PCV
(4 Dr Hip)
Immunizations @ 6 mths HepB, DTaP, RV, Hib,
Influenza (yrly) PCV, IPV (B
Dr Hip In 6mths)
Immunizations @ 1-1.5 yrs MMR, HepA, DTaP,
Hib, PCV, Varicella (1
MAD HPV)
Immunizations @ 4-6 yrs Varicella, DTaP,
IPV, MMR (Very
Dim 4-6pm)
How long should live- 3-11 months
virus vaccination be
delayed if an
immunoglobulin (1g) or
blood product was given?
What paperwork is Vaccine Information Sheets (VIS) for each vaccine
required to review with the given. Obtain from CDC website. Dr. Lang's notes.
caregiver/parent before
vaccination
administration?
. The pediatric formulation will have about 3-5 times
the amount of diphtheria component compared to the
adult formulation. Therefore, you will see it indicated
What is the difference
with an upper-case "D" (DTaP) and lower-case "d" in
between DTap and Tdap?
the adult formulation (Tdap, Td).
, Think of it like this, DTaP helps young children
develop immunity to diphtheria, tetanus, and
(whooping cough) pertussis. Tdap served as a
"booster" for continued protection.
How many HepB doses 3 doses recommended at birth, 1-2mos & 6-18 mos
does a child need before
6yo and which months are
they recommended?
Review " Newborn First, when you enter room. Introduce yourself & ask
Exam" by Dr. Nina Gold, if it's a good time to examine baby.
MD, this is Very
important! Video
What first?
-asleep or awake?
general observation -warm or cool?
-VS
If baby is in distress you notify resident/physician
need to
you can console child by: laying hand on head or pacifier if parents ok with it
Examine a newborn head to toe.
-hand behind posterior part of head, place
measuring tape in cm around head circumferance to
measure
-look at the shape
-Skull design: allow sskull to me malleable which can cause
transformation
Head -cephalhematoma: doesn't cross suture lines.
bleeding below periosteium. common after birth
using triceps. increased risk for jaundice
-caput succandanemum: cross suture lines; fluid
accumulation above periosteum; results from birth
canal but resolves in few days after birth
-rarely: subgaleal hemmorhage
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