Peds Exam 1
A child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second dose. Before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance? 1. Eggs 2.Penicillin 3.Sulfonamides 4.A previous dose of hepatitis B vaccine or component
A previous dose of hepatitis B vaccine or component. A contraindication to receiving the hepatitis B vaccine is a previous anaphylactic reaction to a previous dose of hepatitis B vaccine or to a component (aluminum hydroxide or yeast protein) of the vaccine. An allergy to eggs, penicillin, and sulfonamides is unrelated to the contraindication to receiving this vaccine.
The nurse should expect to administer the first dose of the measles, mumps, and rubella (MMR) vaccine at which age?
The first dose of the measles, mumps, and rubella vaccine should be administered at 12 to 15 months of age. A second dose is administered at 4 to 6 years of age.
The nurse is providing anticipatory guidance to the mother of a 10-month-old child. The mother asks how soon her daughter will be able to receive the chickenpox (varicella) vaccine. What is the best nursing response? 1."She will receive it today." 2."She can receive it when she is 12 months old." 3."She can receive it any time before her first birthday." 4."She will receive it before entry into kindergarten, at 4 to 6 years of age."
2."She can receive it when she is 12 months old." The varicella vaccination is recommended to be administered when the child is between 12 and 18 months of age; therefore, the remaining options are incorrect.
The nurse is preparing to administer an MMR (measles, mumps, and rubella) vaccine to a 15-month-old child. Before administering the vaccine, which question should the nurse ask the mother of the child? 1. "Has the child had any sore throats?" 2."Has the child been eating properly?" 3."Is the child allergic to any antibiotics?" 4."Has the child been exposed to any infections?"
3."Is the child allergic to any antibiotics?" Before the administration of MMR vaccine, a thorough health history needs to be obtained. MMR is used with caution in a child with a history of an allergy to gelatin, eggs, or neomycin because the live measles vaccine is produced by chick embryo cell culture and because MMR also contains a small amount of the antibiotic neomycin. The questions in the remaining options are not directed at addressing contraindications to administering immunizations.
A child is scheduled to receive inactivated poliovirus vaccine (IPV), and the nurse who is preparing to administer the vaccine reviews the child's record. The nurse questions the administration of IPV if which is documented in the child's record? 1.Recent recovery from a cold 2.A history of frequent respiratory infections 3.A history of anaphylactic reaction to neomycin 4.A local reaction at the site of injection of a previous IPV
3.A history of anaphylactic reaction to neomycin IPV contains neomycin. A history of anaphylactic reaction to neomycin is considered a contraindication to IPV. The presence of a minor illness such as the common cold is not a contraindication. In addition, a history of frequent respiratory infections is not a contraindication to receiving a vaccine. A local reaction to an immunization is not a contraindicatio
The clinic nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. The nurse should administer this vaccine by which method? 1.Subcutaneously in the gluteal muscle 2.Intramuscularly in the deltoid muscle 3.Subcutaneously in the outer aspect of the upper arm 4.Intramuscularly in the anterolateral aspect of the thigh
3.Subcutaneously in the outer aspect of the upper arm
A parent brings her 4-month-old infant to a well-baby clinic for immunizations. The child is up to date with the immunization schedule. The nurse should prepare to administer which immunizations to this infant? 1. Varicella, hepatitis B vaccine (HepB) 2.Diphtheria, tetanus, acellular pertussis (DTaP); measles, mumps, rubella (MMR); inactivated poliovirus vaccine (IPV) 3.MMR, Haemophilus influenzae type b (Hib), DTaP 4.DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV)
4.DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV)
A child who is 4 years old is seen for a well-child checkup. He has been regularly receiving immunizations. Which immunizations should the child receive at this visit?
At age 4, the child will receive the diphtheria, tetanus, and acellular pertussis vaccine, inactivated polio vaccine, MMR, and varicella vaccine.
A child is scheduled to receive immunizations. The child's mother reports to the nurse that the child has been receiving long-term immunosuppressive therapy. The nurse prepares the scheduled immunizations knowing that which vaccine is contraindicated?
MMR (measles, mumps, and rubella) Known altered immunodeficiency from long-term immunosuppressive therapy is a contraindication to MMR immunization because a live vaccine is given. The vaccines identified in the remaining options are not live vaccines and can be administered.
