MSN 571 Final Exam – Questions & Detailed Answers
What vaccine is given at birth? Right Ans - Hep B
B DR HIP-- is the vaccine schedule for which group? Right Ans - 2 months
DR HIP-- Is the vaccine schedule for which age group? Right Ans - 4 months
B DR HIP In-- is the vaccine schedule for which age group? Right Ans - 6
months
MAD HPV -- is the vaccine schedule for which age group? Right Ans - 1-1.5
years
Very DIM-- is the vaccine schedule for which age group? Right Ans - 4-6
years
What is the mnemonic to defer vaccines for mod-severe illness? Right Ans -
I-P-A beer: IPV, PCV13, hepA
What is the mnemonic to defer vaccines for pregnancy? Right Ans - Vagine
Is a Monster-- Varicella, IPV, hepA, MMR
What is the mnemonic for the vaccines that cause minor site reaction?
Right Ans - A Painful Vaccine-- hepA, PCV13, Varicella
What is the mnemonic to defer vaccines for neuro complications and febrile
seizures? Right Ans - Mental Defects: MMR, DTaP
What is the mnemonic for the vaccines with no reactions? Right Ans - Baby
Is Happy: hepB, IPV, HiB
What vaccine do you avoid if you are allergic to yeast? Right Ans - HepB
Which vaccine do you use precautions if pt is allergic to egg? Right Ans - flu
Which vaccine do you avoid or use in precaution if pt has GI issues? Right
Ans - rotavirus
, True or False: A patient can still be vaccinated if the patient has a low-grade
fever, a cold, runny nose, cough, ear infection, mild diarrhea, and taking
antibiotics. Right Ans - true
Which patients may need to wait on vaccines? Right Ans - moderate-severe
illness (with or w/o fever) and pts taking antivirals (tamiflu)
Which patients cannot receive some vaccines? Right Ans - cancer, a
weakened immune system, allergic reaction to vaccines in the past
What is active immunity? Right Ans - Developed in response to infection
with an agent and is usually permanent
What is an example of active immunity? Right Ans - immunizations
What is an example of passive immunity? Right Ans - gamma globulin or
breastfeeding
What is the onset of passive immunity? Right Ans - 24 hours and durations
is 4-6 months
What is community immunity? Right Ans - herd immunity--90-95% of the
population must be vaccinated to have effective herd immunity
What are the universal screenings for newborns? Right Ans - hearing,
bilirubin, PKU, hypothyroidism, sickle cell, congenital heart disease using
pulse ox
What are the universal screenings for 3-5 days old neonates? Right Ans -
Hearing: if not yet done OR any NB who fail the initial screen must be referred
immediately for a diagnostic audiologic assessment. Hearing status should be
confirmed by 3 months old
Blood: (verify screening was obtained/review results of state metabolic
screening test; unavailable/pending results must be obtained immediately.
Abnormal resultsretest with necessary referrals made to subspecialists
What are the universal screenings for 1 month old? Right Ans - verify blood
and hearing is done; Maternal depression screen
What vaccine is given at birth? Right Ans - Hep B
B DR HIP-- is the vaccine schedule for which group? Right Ans - 2 months
DR HIP-- Is the vaccine schedule for which age group? Right Ans - 4 months
B DR HIP In-- is the vaccine schedule for which age group? Right Ans - 6
months
MAD HPV -- is the vaccine schedule for which age group? Right Ans - 1-1.5
years
Very DIM-- is the vaccine schedule for which age group? Right Ans - 4-6
years
What is the mnemonic to defer vaccines for mod-severe illness? Right Ans -
I-P-A beer: IPV, PCV13, hepA
What is the mnemonic to defer vaccines for pregnancy? Right Ans - Vagine
Is a Monster-- Varicella, IPV, hepA, MMR
What is the mnemonic for the vaccines that cause minor site reaction?
Right Ans - A Painful Vaccine-- hepA, PCV13, Varicella
What is the mnemonic to defer vaccines for neuro complications and febrile
seizures? Right Ans - Mental Defects: MMR, DTaP
What is the mnemonic for the vaccines with no reactions? Right Ans - Baby
Is Happy: hepB, IPV, HiB
What vaccine do you avoid if you are allergic to yeast? Right Ans - HepB
Which vaccine do you use precautions if pt is allergic to egg? Right Ans - flu
Which vaccine do you avoid or use in precaution if pt has GI issues? Right
Ans - rotavirus
, True or False: A patient can still be vaccinated if the patient has a low-grade
fever, a cold, runny nose, cough, ear infection, mild diarrhea, and taking
antibiotics. Right Ans - true
Which patients may need to wait on vaccines? Right Ans - moderate-severe
illness (with or w/o fever) and pts taking antivirals (tamiflu)
Which patients cannot receive some vaccines? Right Ans - cancer, a
weakened immune system, allergic reaction to vaccines in the past
What is active immunity? Right Ans - Developed in response to infection
with an agent and is usually permanent
What is an example of active immunity? Right Ans - immunizations
What is an example of passive immunity? Right Ans - gamma globulin or
breastfeeding
What is the onset of passive immunity? Right Ans - 24 hours and durations
is 4-6 months
What is community immunity? Right Ans - herd immunity--90-95% of the
population must be vaccinated to have effective herd immunity
What are the universal screenings for newborns? Right Ans - hearing,
bilirubin, PKU, hypothyroidism, sickle cell, congenital heart disease using
pulse ox
What are the universal screenings for 3-5 days old neonates? Right Ans -
Hearing: if not yet done OR any NB who fail the initial screen must be referred
immediately for a diagnostic audiologic assessment. Hearing status should be
confirmed by 3 months old
Blood: (verify screening was obtained/review results of state metabolic
screening test; unavailable/pending results must be obtained immediately.
Abnormal resultsretest with necessary referrals made to subspecialists
What are the universal screenings for 1 month old? Right Ans - verify blood
and hearing is done; Maternal depression screen
