Peds exam 1 Immunizations and Infectious
Diseases Study Guide Questions and
Correct Answers the Latest Update
vaccination at birth
✓ Hep B
✓
✓ hep B, Birth
Vaccinations 2-6 months
✓ Hep B,
✓ DTaP
✓ HIb
✓ Polio
✓ PCV
✓ RV
✓
✓ 2 and 6 are the same
✓ 4 excludes Hep B
vaccinations 12-18 months
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✓ DTap (15-18)
✓ HIb
✓ PCV
✓ MMR
✓ Varicella
✓ Hep A
Vaccinations 4-6 years
✓ DTap
✓ Polio
✓ MMR
✓ Varicella
✓
✓ 4 year gets 4 shots
What is the nurses responsibility before administration of vaccine?
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✓ Obtain consent
✓
✓ provide vaccination information to parent/guardian or child if old enough
✓
✓ ask if they have any questions
✓
✓ explain risks and common reactions and adverse reactions
✓
✓ ensure that this is the correct vaccine
✓
✓ ensure the child has no contraindications or allergies
what do you need to document for each vaccine?
✓ date (month, day, and year), type of vaccine, and route & site given
✓
✓ Manufacturer, lot number, and expiration date
✓
✓ evidence of consent
✓
✓ name, address, and title of administrating nurse
what are the nursing responsibilities during administration?
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✓ select needle size for route and age of child
✓
✓ give IM injections in the vastus lateralis or deltoid muscle for older children
✓
✓ give Subcutaneous injection in the outer aspect of the upper arm or anterolateral thigh
✓
✓ reduce pain and anxiety by use of distraction, sucrose water for under 4 months, apply a
topical anesthetic, apply pressure to site for 10 seconds prior, have two providers
administer two vaccines at the same time, be honest about pain, let child select site of
injection
✓
✓ have parent or other providers hold the child in terms of comfort and to help keep the
child still
What are the nursing responsibilities after administration of vaccines?
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✓ Customer Support: [+254707240657]