Verified Answers Graded A
The nurse is reviewing the immunization record for a healthy six-month-old patient at a well
visit. The record indicates that the patient received all the recommended vaccines up to
this point, including two doses each of RV1, PCV13, and DTaP. Which vaccine(s) should the
nurse prepare for this visit?
Select all that apply. - Ans -Hepatitis B (Hep B)
The third dose of Hep B is usually administered at the six month visit. The first doses of Hep
B are administered at birth and again between one to two months of age. The third dose of
Hep B is administered between 6 and 18 months of age.
Inactivated poliovirus (IPV)
The nurse should prepare inactivated poliovirus (IPV) for this visit. This vaccine may be
administered any time between 6 and 18 months of age. The final dose in the IPV series can
be administered on or after the fourth birthday, at least six months after the last dose.
Pneumococcal conjugate (PCV13)
The nurse should prepare pneumococcal conjugate (PCV13) for this visit. This will be the
third dose in the four-dose series. The final dose of PVC13 will be administered between 12
to 18 months of age.
Diphtheria, tetanus, & acellular pertussis (DTaP)
The nurse should prepare the third dose of diphtheria, tetanus, & acellular pertussis (DTaP)
to administer at the visit. The first two doses are administered at two and four months of
age, the third at six months, the fourth between 15 and 18 months, and a booster is given
between four and six years of age.
The parents of an infant ask for information about the vaccines their child is scheduled to
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receive at the upcoming four-month well visit. The nurse provides patient education
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, handouts about which vaccine(s) typically administered at four months of age? -
Ans -Rotavirus (RV1)
Rotavirus is administered at the four month visit. If Rotarix (RV1) is used, this would be the
second and final dose. If RotaTeq (RV5) is used for either the first or second dose, then a
three-dose series is required at ages two, four, and six months.
Inactivated poliovirus (IPV)
The IPV vaccine is administered at the four month visit. This is the second shot in the
series. The next will be due between 6 and 18 months of age.
Pneumococcal conjugate (PCV13)
Pneumococcal conjugate (PCV13) is administered at the four month visit. This four-dose
series is administered at ages two, four, and six months and again between 12 and 15
months of age.
Haemophilus influenzae type b (Hib)
Haemophilus influenzae type b (Hib) is due at the four month visit. Depending on the
specific vaccine used, this may be the final dose in a two-dose primary series or another
dose may be required to complete the primary series. A booster dose is administered
between 12 to 15 months of age to complete the full Hib series.
An infant is at the clinic for a Nine-month well visit. The nurse reviews the chart and notes
the infant did not receive the third DTaP vaccine at the six month visit. Which action by the
nurse is most appropriate? - Ans -Give third dose
The nurse should give the third dose at the nine month well visit since this will allow the
infant to catch up.
A healthy child is brought to the clinic for a 15-month well visit. The nurse notes that the
toddler received haemophilus influenzae type b (Hib) #4; measles, mumps, rubella
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(MMR)#1; and pneumococcal conjugate (PCV13)#4 at the one-year visit. Which
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