Immunizations

Question 1

Types of vaccines [5]

Answer 1

1 killed virus
2 toxoid
3 live virus
4 recombinant
5 conjugated

Question 2

toxoid vaccine

Answer 2

treated w chem to weaken virus

Question 3

live vaccine

Answer 3

live but weaker

Question 4

recombinant vaccine

Answer 4

altered virus

Question 5

conjugated vaccine

Answer 5

joined w substance to increase response

Question 6

active immunity

Answer 6

antibody production is stimulated

>prepares child for any future exposure

Question 7

passive immunity

Answer 7

maternal antibodies transferred thru placenta/breastmilk

> limited protections
only last few months

Question 8

Birth

Answer 8

Hep B

Question 9

2 months [6]

Answer 9

1 Hep B 2
2 DTap
3 Rota
4 HiB
5 Polio
6 Pneumo

Question 10

4 months [5]

all 2’s

Answer 10

1 DTap 2
2 Rota 2
3 HiB 2
4 Polio 2
5 Pneumo 2

Question 11

6 months [6]

all 3rds

Answer 11

1 Hep B 3
2 DTap 3
3 Rota 3
4 HiB 3
5 Polio 3
6 Pneumo 3

Question 12

1 - 1.5 years [6]

*3 repeats, 3 first doses

Answer 12

1 MMR
2 Varicella
3 Hep A

4 DTap 4
5 HiB 4
6 Pneumo 4

Question 13

4-6 years [4]

all repeats

Answer 13

1 MMR 2
2 Varicella 2
3 Polio 4
4 DTap 5

Question 14

11 - 12 years [3]

*all new

Answer 14

1 HPV
2 Tdap
3 Meningococcal

Question 15

16-18 years [1]

booooooster

Answer 15

meningococcal

Question 16

DTap, Tdap

vaccine type

Answer 16

inactivates

Question 17

DTap, Tdap

notes

Answer 17

More than 5 years since last tetanus shot and has a burn or wound … NEED A BOOSTER

Question 18

Haemophilus influenzae Type B

vaccine type

Answer 18

inactivated

Question 19

Haemophilus influenzae Type B

notes

Answer 19

immunosuppressed children may need more doses

Question 20

Hepatitis A

vaccine type

Answer 20

inactivated

Question 21

Hepatitis A

notes

Answer 21

CI for latex allergy

Question 22

Hepatitis B

vaccine type

Answer 22

inactivated

Question 23

Hepatitis B

notes

Answer 23

check mom’s vax status

-consider immunoglobulin + immediate vax

Question 24

Human Papillomavirus

vaccine type

Answer 24

recombinant

Question 25

Human Papillomavirus | notes

Answer 25

admin before sexual activity CI yeast allergy CI pregnancy

Question 26

Influenza | vaccine type

Answer 26

inactivated or live attenuated

Question 27

Influenza | **notes**

Answer 27

CI egg allergy * *2 yo+ to receive live - postpone LAIV if congestion is present

Question 28

Measles, Mumps, Rubella | vaccine type

Answer 28

live attenuated

Question 29

Measles, Mumps, Rubella | **notes**

Answer 29

CI neomycin allergy CI pregnancy (avoid preg 28 days after) *ask abt immune suppression

Question 30

Meningococcal | vaccine type

Answer 30

conjugate

Question 31

Meningococcal | notes

Answer 31

immunosuppressed may need for doses

Question 32

Pneumococcal | vaccine type

Answer 32

conjugate

Question 33

Pneumococcal | notes

Answer 33

CI anaphylactic rxn w any vaccine that has diphtheria toxoid

Question 34

Poliovirus | vaccine type

Answer 34

inactivates

Question 35

Poliovirus | **notes**

Answer 35

CI allergy to neomycin, streptomycin, polymyxin B | CI pregnancy

Question 36

Rotavirus | vaccine type

Answer 36

live

Question 37

Rotavirus | **notes**

Answer 37

CI hx of intussusception | **ask about immunodeficiency

Question 38

Varicella | vaccine type

Answer 38

live attenuated

Question 39

Varicella | **nottes**

Answer 39

CI allergy to neomycin or gelatin CI pregnancy (avoid preg for 3 mo after) *ask about immunosuppression*

Question 40

*common local rxn at injection site*

Answer 40

- erythema - swelling - pain - induration

Question 41

*common systemic rxn after vax*

Answer 41

- fever - fussiness - irritability - malaise - anorexia

Question 42

anxious adolescents

Answer 42

may have syncope or vasovagal rxn w/in 15 min of vax

Question 43

severe localized allergic rxn

Answer 43

- wheal + urticarial | - w/in min or hrs

Question 44

*severe local allergic rxn*

Answer 44

-warmth -erythema -edema *petechiae *ulceration >>2-8 hr after

Question 45

**anaphylaxis rxn

Answer 45

- life threatening - hypotension - generalized urticaria - angioedema - laryngeal edema

Question 46

rescure for anaphylaxis

Answer 46

epi

Question 47

Herd immunity

Answer 47

protection provided by large group of persons w immunity to disease -indirectly protects others w/o immunity

Question 48

nursing mgmt to minimize pain

Answer 48

- provide local anesthetic - give child as much control as possible - be honest - provide sucrose drink + pacifier when approp - use age approp distractions

Question 49

local anesthetic for shots

Answer 49

lidocaine cream | -15-20 min

Question 50

sucrose drink is for...

Answer 50

3 mo or younger | release endorphins to block pain