NURS 5432 FNP 1 EXAM Study
Guide | Complete Questions
and Correct Answers | Newest
Exam | Verified Answers | Just
Released
Vaccinations - ANSWER-Should not be delayed due to minor illnesses, even if they
illicit low-grade fever. However, for moderate to severe infections, vaccinations
could be postponed.
Premature infants immunization schedule - ANSWER-Should follow a schedule for
immunizations based on their chronological age, not their gestational age.
Vaccine dose adjustment for premature or low-birthweight patients - ANSWER-
Vaccine doses should not be adjusted (reduced) for these patients.
Chronic diseases and vaccinations - ANSWER-Chronic diseases are not outright
contra-indications; however, vaccination with DTaP should be deferred until the
neurologic condition has been clarified and/or is stable.
,Rotarix vaccine schedule - ANSWER-Doses should be given 28 days apart - for
infants, given at age 2 mo and 4 mo, completed by 24 weeks.
Rotateq vaccine schedule - ANSWER-3 doses completed by 32 weeks of age.
Immunodeficient children and live-virus vaccines - ANSWER-Should not be given
live-virus vaccines.
Examples of live-virus vaccines - ANSWER-Oral polio vaccine [OPV, not available in
the United States], Rotavirus, MMR, VAR, MMRV, yellow fever, LAIV (live
attenuated), Live-bacteria vaccines (BCG or live typhoid fever vaccine).
Live virus vaccine eligibility for children with malignancy - ANSWER-If malignancy
is in remission or chemo hasn't been administered within 90 days they can receive
live virus vaccine.
Known allergies and vaccines - ANSWER-MMR, IPV, and VAR contain microgram
quantities of neomycin, and IPV also contains trace amounts of streptomycin and
polymyxin B; children with known anaphylactic responses to these antibiotics
should not be given these vaccines.
Egg antigens in vaccines - ANSWER-Trace quantities of egg antigens may be
present in both inactivated and live influenza and yellow fever vaccines.
Influenza vaccination guidelines for children with egg allergies - ANSWER-
Guidelines for influenza vaccination in children with egg allergies have recently
changed.
,Egg protein allergy - ANSWER-Trace amounts of egg protein are generally
considered below the threshold needed to induce an allergic reaction.
Influenza vaccine for children - ANSWER-Children with severe egg allergy can be
vaccinated with influenza vaccine with no special precautions beyond those for
any other vaccine.
RV vaccine - ANSWER-Rare incidence (1 in 20k-100k) of intussusception.
Contraindications for RV vaccine - ANSWER-RV1 should not be given to infants
with a severe latex allergy; container for RV1 med has latex.
SCID and RV vaccines - ANSWER-Both vaccines (RV1 + RV5) are contraindicated in
infants with severe combined immunodeficiency (SCID).
Biologic response modifier - ANSWER-RV vaccines should be avoided in infants
whose mother received a biologic response modifier (eg, etanercept) during
pregnancy.
Acute gastroenteritis and vaccination - ANSWER-Vaccination should be deferred in
infants with acute moderate or severe gastroenteritis.
Developmental milestones at 3 months - ANSWER-They can lift their heads with
good control.
, Developmental milestones at 6 months - ANSWER-Sit independently.
Developmental milestones at 4 months - ANSWER-Roll over from front to back by
6 months.
Hand to hand transfer - ANSWER-Occurs at 5-6 months.
Pincer grasp - ANSWER-Develops at 8-10 months.
Crawling - ANSWER-Occurs at 9 months.
Pinch grasp - ANSWER-Occurs at 12 months.
Walking - ANSWER-Occurs at 1 year.
Child learning to walk - ANSWER-Has a wide based gait at first, then walks with
legs closer together, develops heel toe gait, and arms swing symmetrically by 18-
24 months.
Self-feeding - ANSWER-Occurs by 15 months.
Scoop with a spoon - ANSWER-Occurs at 18 months.
Running - ANSWER-Occurs by 18 months.
Guide | Complete Questions
and Correct Answers | Newest
Exam | Verified Answers | Just
Released
Vaccinations - ANSWER-Should not be delayed due to minor illnesses, even if they
illicit low-grade fever. However, for moderate to severe infections, vaccinations
could be postponed.
Premature infants immunization schedule - ANSWER-Should follow a schedule for
immunizations based on their chronological age, not their gestational age.
Vaccine dose adjustment for premature or low-birthweight patients - ANSWER-
Vaccine doses should not be adjusted (reduced) for these patients.
Chronic diseases and vaccinations - ANSWER-Chronic diseases are not outright
contra-indications; however, vaccination with DTaP should be deferred until the
neurologic condition has been clarified and/or is stable.
,Rotarix vaccine schedule - ANSWER-Doses should be given 28 days apart - for
infants, given at age 2 mo and 4 mo, completed by 24 weeks.
Rotateq vaccine schedule - ANSWER-3 doses completed by 32 weeks of age.
Immunodeficient children and live-virus vaccines - ANSWER-Should not be given
live-virus vaccines.
Examples of live-virus vaccines - ANSWER-Oral polio vaccine [OPV, not available in
the United States], Rotavirus, MMR, VAR, MMRV, yellow fever, LAIV (live
attenuated), Live-bacteria vaccines (BCG or live typhoid fever vaccine).
Live virus vaccine eligibility for children with malignancy - ANSWER-If malignancy
is in remission or chemo hasn't been administered within 90 days they can receive
live virus vaccine.
Known allergies and vaccines - ANSWER-MMR, IPV, and VAR contain microgram
quantities of neomycin, and IPV also contains trace amounts of streptomycin and
polymyxin B; children with known anaphylactic responses to these antibiotics
should not be given these vaccines.
Egg antigens in vaccines - ANSWER-Trace quantities of egg antigens may be
present in both inactivated and live influenza and yellow fever vaccines.
Influenza vaccination guidelines for children with egg allergies - ANSWER-
Guidelines for influenza vaccination in children with egg allergies have recently
changed.
,Egg protein allergy - ANSWER-Trace amounts of egg protein are generally
considered below the threshold needed to induce an allergic reaction.
Influenza vaccine for children - ANSWER-Children with severe egg allergy can be
vaccinated with influenza vaccine with no special precautions beyond those for
any other vaccine.
RV vaccine - ANSWER-Rare incidence (1 in 20k-100k) of intussusception.
Contraindications for RV vaccine - ANSWER-RV1 should not be given to infants
with a severe latex allergy; container for RV1 med has latex.
SCID and RV vaccines - ANSWER-Both vaccines (RV1 + RV5) are contraindicated in
infants with severe combined immunodeficiency (SCID).
Biologic response modifier - ANSWER-RV vaccines should be avoided in infants
whose mother received a biologic response modifier (eg, etanercept) during
pregnancy.
Acute gastroenteritis and vaccination - ANSWER-Vaccination should be deferred in
infants with acute moderate or severe gastroenteritis.
Developmental milestones at 3 months - ANSWER-They can lift their heads with
good control.
, Developmental milestones at 6 months - ANSWER-Sit independently.
Developmental milestones at 4 months - ANSWER-Roll over from front to back by
6 months.
Hand to hand transfer - ANSWER-Occurs at 5-6 months.
Pincer grasp - ANSWER-Develops at 8-10 months.
Crawling - ANSWER-Occurs at 9 months.
Pinch grasp - ANSWER-Occurs at 12 months.
Walking - ANSWER-Occurs at 1 year.
Child learning to walk - ANSWER-Has a wide based gait at first, then walks with
legs closer together, develops heel toe gait, and arms swing symmetrically by 18-
24 months.
Self-feeding - ANSWER-Occurs by 15 months.
Scoop with a spoon - ANSWER-Occurs at 18 months.
Running - ANSWER-Occurs by 18 months.
