NSG 434 EXAM 1 || All Solved.
What is the first vaccine new borns receive in the delivery room? correct answers Hep B
(parents have to consent before giving)
What vaccines should the nurse expect an infant to receive before the first 6 months of life?
correct answers DTaP (Diphtheria, Tetanus, and Pertussis)
Hib (Haemophilus Influenza type B)
Hep B (Hepatitis B)
PCV (Pneumococcal Conjugate Vaccine)
Rota
Where can the nurse obtain recommendations of an infant/child's vaccination schedule?
correct answers ACIP (Advisory Committee on Immunization Practices)
CDC (Centers for Disease Control)
AAP (Committee of Infectious Diseases of the American Academy of Pediatrics
Hepatitis B virus correct answers 4 doses: at birth, 1, 2, 6 months
IM site: vastus lateralis for newborns and deltoid for toddlers and children
DTaP (Diphtheria, Tetanus, and Pertussis) correct answers 4 doses: 2, 4, 6months, and 4<
years old
*need booster shot every 10 years
What is PEDIATRIX correct answers it is a combination vaccine containing DTap, Hep B,
and IPV (inactivated Poliovirus)
Which vaccines are live? correct answers Varicella
Rubella (MMR is a weakened virus)
Rotavirus
MMR (measles, mumps, rubella) correct answers 2 doses; 12-15 months & 4-6 years
*given SUB-Q
what are the contraindications for live attenuated vaccines (like Varicella, Rubella, and Rota)`
correct answers immunocompromised children and pregnant females
(*recent blood transfusion= postpone 3 months)
PCV (Pneumococcal Conjugate Vaccine) correct answers 4 doses: 2, 4, 6, 12-15months
*given to children >2 who are immunocompromised and attend day care
Hib (Haemophilus Influenza type B) correct answers 4 doses: 2, 4, 6, 12-15months
(protects against serious infections- sepsis, bacterial meningitis, septic arthritis)
Varicella vaccine correct answers 2 doses: 12-15months & 4-6years
*SUB Q inj
*antibodies persist for 8 years (will need booster after 8 years)
what is a serious complication from varicella? correct answers Reye's syndrome
, Rotavirus vaccine correct answers *administered orally
RotaTeq= 3 doses: 2, 4, 6months
Rotarix= 2 doses: 2 and 4 months
Normal reactions that the nurse should teach the parent to expect after the administration of a
vaccine? correct answers local tenderness, erythema
swelling at the injection site
low-grade fever
behavioral changes: eating less, drowsiness, prolong crying
what is the correct needle length for a vaccination administration at the anterolateral thigh
with infants? correct answers minimum of 25mm (1in)
what is the correct needle length for a vaccination administration for toddlers correct answers
25 to 32mm (1in to 1.25in)
what is the correct needle length for a vaccination administration for children? correct
answers 38 to 51mm (1.5" to 2")
How many injections (that are compatible) can be given at once? correct answers 2 in the
thigh, 1 in the arm (at least 2.5cm/1" apart)
Which sites should be avoided at all times? correct answers Dorsolateral muscle and
anterolateral thigh for infants not walking
Diaper Dermatitis nursing interventions correct answers keep skin dry!
-change diapers as soon as soiled
-avoid over-washing skin
Seborrheic Dermatitis (Cradle Cap) nursing interventions correct answers shampoo daily with
mild soap/baby shampoo
use fine-tooth comb to loosen crusts after shampooing
Atopic Dermatitis (Eczema) nursing interventions correct answers hydrate the skin, relieve
pruritus, tepid baths, emollient lotions & Benadryl (antibiotics does not cure)
-teach parents to keep nails short (file nails before 1 year)
Seborrheic Dermatitis (Cradle Cap) clinical manifestations correct answers thick, adherent,
yellowish scaly, oily patches
Benadryl (diphenhydramine) for children correct answers SE: drowsiness, fatigue, disturbed
coordination
(in children) nightmares, nervousness, and irritability
Cellulitis correct answers manifestations: intense redness, swelling, firm infiltration, fever,
malaise
*management: oral/parenteral antibiotics, rest and immobilizations of affected area and child
Pediculosis Capitis (LICE) correct answers manifestations: itching in occipital area, behind
ears, nape of neck
What is the first vaccine new borns receive in the delivery room? correct answers Hep B
(parents have to consent before giving)
What vaccines should the nurse expect an infant to receive before the first 6 months of life?
correct answers DTaP (Diphtheria, Tetanus, and Pertussis)
Hib (Haemophilus Influenza type B)
Hep B (Hepatitis B)
PCV (Pneumococcal Conjugate Vaccine)
Rota
Where can the nurse obtain recommendations of an infant/child's vaccination schedule?
correct answers ACIP (Advisory Committee on Immunization Practices)
CDC (Centers for Disease Control)
AAP (Committee of Infectious Diseases of the American Academy of Pediatrics
Hepatitis B virus correct answers 4 doses: at birth, 1, 2, 6 months
IM site: vastus lateralis for newborns and deltoid for toddlers and children
DTaP (Diphtheria, Tetanus, and Pertussis) correct answers 4 doses: 2, 4, 6months, and 4<
years old
*need booster shot every 10 years
What is PEDIATRIX correct answers it is a combination vaccine containing DTap, Hep B,
and IPV (inactivated Poliovirus)
Which vaccines are live? correct answers Varicella
Rubella (MMR is a weakened virus)
Rotavirus
MMR (measles, mumps, rubella) correct answers 2 doses; 12-15 months & 4-6 years
*given SUB-Q
what are the contraindications for live attenuated vaccines (like Varicella, Rubella, and Rota)`
correct answers immunocompromised children and pregnant females
(*recent blood transfusion= postpone 3 months)
PCV (Pneumococcal Conjugate Vaccine) correct answers 4 doses: 2, 4, 6, 12-15months
*given to children >2 who are immunocompromised and attend day care
Hib (Haemophilus Influenza type B) correct answers 4 doses: 2, 4, 6, 12-15months
(protects against serious infections- sepsis, bacterial meningitis, septic arthritis)
Varicella vaccine correct answers 2 doses: 12-15months & 4-6years
*SUB Q inj
*antibodies persist for 8 years (will need booster after 8 years)
what is a serious complication from varicella? correct answers Reye's syndrome
, Rotavirus vaccine correct answers *administered orally
RotaTeq= 3 doses: 2, 4, 6months
Rotarix= 2 doses: 2 and 4 months
Normal reactions that the nurse should teach the parent to expect after the administration of a
vaccine? correct answers local tenderness, erythema
swelling at the injection site
low-grade fever
behavioral changes: eating less, drowsiness, prolong crying
what is the correct needle length for a vaccination administration at the anterolateral thigh
with infants? correct answers minimum of 25mm (1in)
what is the correct needle length for a vaccination administration for toddlers correct answers
25 to 32mm (1in to 1.25in)
what is the correct needle length for a vaccination administration for children? correct
answers 38 to 51mm (1.5" to 2")
How many injections (that are compatible) can be given at once? correct answers 2 in the
thigh, 1 in the arm (at least 2.5cm/1" apart)
Which sites should be avoided at all times? correct answers Dorsolateral muscle and
anterolateral thigh for infants not walking
Diaper Dermatitis nursing interventions correct answers keep skin dry!
-change diapers as soon as soiled
-avoid over-washing skin
Seborrheic Dermatitis (Cradle Cap) nursing interventions correct answers shampoo daily with
mild soap/baby shampoo
use fine-tooth comb to loosen crusts after shampooing
Atopic Dermatitis (Eczema) nursing interventions correct answers hydrate the skin, relieve
pruritus, tepid baths, emollient lotions & Benadryl (antibiotics does not cure)
-teach parents to keep nails short (file nails before 1 year)
Seborrheic Dermatitis (Cradle Cap) clinical manifestations correct answers thick, adherent,
yellowish scaly, oily patches
Benadryl (diphenhydramine) for children correct answers SE: drowsiness, fatigue, disturbed
coordination
(in children) nightmares, nervousness, and irritability
Cellulitis correct answers manifestations: intense redness, swelling, firm infiltration, fever,
malaise
*management: oral/parenteral antibiotics, rest and immobilizations of affected area and child
Pediculosis Capitis (LICE) correct answers manifestations: itching in occipital area, behind
ears, nape of neck
