WVU NSG 320 Exam 1 Content Questions With Complete
Solutions
What are the principles of health supervision?
-providing services proactively from birth to adolescents (not
just intervening when sick, but intervening even when they are
well)
-the focus of health supervision is wellness (maximize health
promotion for child, family, and community)
1. Developmental Surveillance and Screening
2. Injury and Disease Prevention
3. Health Promotion
What are 3 things that encompass wellness?
1. the focus is wellness!
-maximize health for the child, family, and community
2. build a medical home
-long-term comprehensive relationship with families
3. partner with the family
-focus on strengths
-recognize parents are experts
-use the child's behavior as your language
How do the PCP visits work within childhood?
2 months, 4 months, 6 months, 9 months, 12 months, 15 months,
18 months, 2 years, 2.5 years, 3 years, then annually
What screenings can occur at the PCP visits?
,-hearing
-vision
-lead
-oral health (every 6 months after the age of 1; some people say
start after 3 years of age)
-communicable diseases
-iron deficiency
-hypertension
-hyperlipidemia
What vaccines are given SQ, PO, and IM?
-SQ: IPV, MMR, Varicella
-PO: rotovirus
^I know this is silly but roto- reminds me of rotisserie chicken,
and we eat that by mouth (lol)
-IM: all the others
What are immunizations and why are they so important?
-immunizations stimulate the immune system to produce
antibodies against a specific disease
-when an antigen invades, the body is ready to send fighting
antibodies
^passive immunity: immunoglobulins passed from one person to
another (mother to baby; blood transfusions)
^active immunity: own immune system activates response
-different types of immunizations: live, inactivated, toxoid,
conjugate, and recombinant
,-immunizations are reviewed ANNUALLY
What are contraindications for immunizations?
Permanently
-anaphylaxis
-encephalopathy within 7 days of pertussis immunization
Temporary
-immunocompromised
-pregnant (cannot receive a LIVE vaccine)
-children with intussusception should not receive the rotavirus
vaccine
-recently receiving blood products (passive immunity)
-moderate to severe illness
What are immunizations starting in infancy and what is
important to know about them?
Hep B
- three doses starting at birth
Diptheria, Tetanus, and Pertussis
-Dtap: <7 years of age (start at 2 months)
-Tdap: >7 years of age
^a good way to remember Tdap is the capital T stands for "tall"
people, sooooo those who are >7 years of age
Haemophilus influenza type B
-start at 2 months
Polio
, -only inactivated given starting at 2 months of age (IPV)
Pneumococcal Vaccines
-start at 2 months of age
Rotovirus
-live virus
-given PO
-32 weeks and younger
What are immunizations starting in toddlerhood and what is
important to know about them?
Varicella
-live: booster at 4 years of age; may be given with live OR 28
days apart
-rash may occur
-you need to be one year or older to get it
Measles, Mumps, Rubella (MMR)
-live: booster at 4 years; may be given with live OR 28 days
apart
-you need to be one year or older to get it
Hep A
-two dose series
What are immunizations for people 11 and older, and what is
important to know about them?
Solutions
What are the principles of health supervision?
-providing services proactively from birth to adolescents (not
just intervening when sick, but intervening even when they are
well)
-the focus of health supervision is wellness (maximize health
promotion for child, family, and community)
1. Developmental Surveillance and Screening
2. Injury and Disease Prevention
3. Health Promotion
What are 3 things that encompass wellness?
1. the focus is wellness!
-maximize health for the child, family, and community
2. build a medical home
-long-term comprehensive relationship with families
3. partner with the family
-focus on strengths
-recognize parents are experts
-use the child's behavior as your language
How do the PCP visits work within childhood?
2 months, 4 months, 6 months, 9 months, 12 months, 15 months,
18 months, 2 years, 2.5 years, 3 years, then annually
What screenings can occur at the PCP visits?
,-hearing
-vision
-lead
-oral health (every 6 months after the age of 1; some people say
start after 3 years of age)
-communicable diseases
-iron deficiency
-hypertension
-hyperlipidemia
What vaccines are given SQ, PO, and IM?
-SQ: IPV, MMR, Varicella
-PO: rotovirus
^I know this is silly but roto- reminds me of rotisserie chicken,
and we eat that by mouth (lol)
-IM: all the others
What are immunizations and why are they so important?
-immunizations stimulate the immune system to produce
antibodies against a specific disease
-when an antigen invades, the body is ready to send fighting
antibodies
^passive immunity: immunoglobulins passed from one person to
another (mother to baby; blood transfusions)
^active immunity: own immune system activates response
-different types of immunizations: live, inactivated, toxoid,
conjugate, and recombinant
,-immunizations are reviewed ANNUALLY
What are contraindications for immunizations?
Permanently
-anaphylaxis
-encephalopathy within 7 days of pertussis immunization
Temporary
-immunocompromised
-pregnant (cannot receive a LIVE vaccine)
-children with intussusception should not receive the rotavirus
vaccine
-recently receiving blood products (passive immunity)
-moderate to severe illness
What are immunizations starting in infancy and what is
important to know about them?
Hep B
- three doses starting at birth
Diptheria, Tetanus, and Pertussis
-Dtap: <7 years of age (start at 2 months)
-Tdap: >7 years of age
^a good way to remember Tdap is the capital T stands for "tall"
people, sooooo those who are >7 years of age
Haemophilus influenza type B
-start at 2 months
Polio
, -only inactivated given starting at 2 months of age (IPV)
Pneumococcal Vaccines
-start at 2 months of age
Rotovirus
-live virus
-given PO
-32 weeks and younger
What are immunizations starting in toddlerhood and what is
important to know about them?
Varicella
-live: booster at 4 years of age; may be given with live OR 28
days apart
-rash may occur
-you need to be one year or older to get it
Measles, Mumps, Rubella (MMR)
-live: booster at 4 years; may be given with live OR 28 days
apart
-you need to be one year or older to get it
Hep A
-two dose series
What are immunizations for people 11 and older, and what is
important to know about them?
