CMN 571 Immunizations- Test Review Questions
and Verified Answers| Latest Update
Which persons cannot take LAIV because of allergies? - ✔✔-hx of allergy to eggs,
gentamicin, gelatin, arginine, or severe reaction to previous influenze vaccines.
**child with only mild allergy (hives) to eggs can receive vaccine.**
LAIV should not be given to: - ✔✔-child younger than 24 months (incr hosp and wheezing
-child with asthma or younger than 5 yr with recurrent wheezing unless benefits outweigh risk
-individual with severe asthma or active wheezing
-within 48 hrs of influenza antiviral therapy
what are the precautions for healthcare workers that received LAIV? - ✔✔-HC workers
with asthma or other conditions can administer LAIV
EXCEPT: severely immunosupperssed to require protection (bone marrow transplant pts)
HC worker cannot care for this pt until 7 days have passed since vaccine.
What adverse effects from inactivated flu vaccine may child encounter? - ✔✔mild:
injection site reaction
adverse: toxicity such as fever, malaise, myalgias. generally being 6-12 hrs after vaccine and
last 24-48 hrs.
no assoc between guillian-barre and flu vaccine found.
How are pregnant women protected against rubella? - ✔✔thru herd immunity - pregnancy
is contraindicated. do not get pregnant for 3 mos after vaccine.
rubella can cause: miscarraige, fetal demise, congenital fetal rubella syndrome
Does MMR cause autism? - ✔✔no evidence. small risk of febrile seizures after vaccine.
, who should get MMR vaccine - ✔✔children (12-15 mths and 4-6 yrs)
adults: colleges, day care center personnel, military, hospital and health care
personnel. traveling abroad
children give dose at 6-11 mths if travelining to high risk areas and another dose at 12-15
mths; then again at 4-6 yrs)
Varicella vaccine contraindicated: - ✔✔-adverse reaction to previous vaccine or component
-since live vaccine: contraindicated in child with acquired tx-related cellular
immunodeficiencies of congenital T-cell abnormalities.
-exception: HIV-infected children who are not severely immunosuppressed- give vaccine. do
not give to pregnant women. child can be vaccinated if in same house with preg. women. -
administer MMR and VAR separately in first dose
When can antibody to varicella (VariZIG) be given? - ✔✔-within 10 days post
exposure -exposure: contact >1 hr with infected individual with chicken pox or herpes
zoster.
Who gets HepA vaccine - ✔✔-child 12-23 months and unimmunized child 2-18
yo -travel to high risk countries
-children with chronic HepB, HepC or other chronic liver dx.
--children with clotting factor disorders
-adolescent and adult males who have sex with men.
-persons with occupational exposure
-illegal drug users
-unvaccinated persons who come in contact with persons from high risk countries
Immunization given @ birth - ✔✔Hep B (B=HepB)
and Verified Answers| Latest Update
Which persons cannot take LAIV because of allergies? - ✔✔-hx of allergy to eggs,
gentamicin, gelatin, arginine, or severe reaction to previous influenze vaccines.
**child with only mild allergy (hives) to eggs can receive vaccine.**
LAIV should not be given to: - ✔✔-child younger than 24 months (incr hosp and wheezing
-child with asthma or younger than 5 yr with recurrent wheezing unless benefits outweigh risk
-individual with severe asthma or active wheezing
-within 48 hrs of influenza antiviral therapy
what are the precautions for healthcare workers that received LAIV? - ✔✔-HC workers
with asthma or other conditions can administer LAIV
EXCEPT: severely immunosupperssed to require protection (bone marrow transplant pts)
HC worker cannot care for this pt until 7 days have passed since vaccine.
What adverse effects from inactivated flu vaccine may child encounter? - ✔✔mild:
injection site reaction
adverse: toxicity such as fever, malaise, myalgias. generally being 6-12 hrs after vaccine and
last 24-48 hrs.
no assoc between guillian-barre and flu vaccine found.
How are pregnant women protected against rubella? - ✔✔thru herd immunity - pregnancy
is contraindicated. do not get pregnant for 3 mos after vaccine.
rubella can cause: miscarraige, fetal demise, congenital fetal rubella syndrome
Does MMR cause autism? - ✔✔no evidence. small risk of febrile seizures after vaccine.
, who should get MMR vaccine - ✔✔children (12-15 mths and 4-6 yrs)
adults: colleges, day care center personnel, military, hospital and health care
personnel. traveling abroad
children give dose at 6-11 mths if travelining to high risk areas and another dose at 12-15
mths; then again at 4-6 yrs)
Varicella vaccine contraindicated: - ✔✔-adverse reaction to previous vaccine or component
-since live vaccine: contraindicated in child with acquired tx-related cellular
immunodeficiencies of congenital T-cell abnormalities.
-exception: HIV-infected children who are not severely immunosuppressed- give vaccine. do
not give to pregnant women. child can be vaccinated if in same house with preg. women. -
administer MMR and VAR separately in first dose
When can antibody to varicella (VariZIG) be given? - ✔✔-within 10 days post
exposure -exposure: contact >1 hr with infected individual with chicken pox or herpes
zoster.
Who gets HepA vaccine - ✔✔-child 12-23 months and unimmunized child 2-18
yo -travel to high risk countries
-children with chronic HepB, HepC or other chronic liver dx.
--children with clotting factor disorders
-adolescent and adult males who have sex with men.
-persons with occupational exposure
-illegal drug users
-unvaccinated persons who come in contact with persons from high risk countries
Immunization given @ birth - ✔✔Hep B (B=HepB)
