Vaccine

Question 1

Ministration of all vaccines are typically how many mL?

Answer 1

0.5 mL

With the exception of the influenza vaccine

Question 2

What is a Monovalent vaccine , and it should be given when?

Answer 2

Immunization against a single antigen/microorganism

First dose of a vaccine must be monovalent

Question 3

When is the hepatitis B vaccine given

Answer 3

0-2-6 months

Series of three

Question 4

If he mothers HPsAG status is unknown what should you give the baby?

Answer 4

Determine or check the status immediately after birth

Give HBIG immediately

Administer HepB within 12 hours

Question 5

Mom is positive for HBSAG what is the protocol?

Answer 5

Administer hepatitis B vaccine and 0.5 MLHBIG within 12 hours of birth

Continue with regular vaccination baby should receive another three doses of vaccine

Retest HPSEG after hepatitis B series at 9 to 18 months

Question 6

Premature infant less than 2 kg needs a hepatitis vaccine when should you give the hepatitis vaccine?

Answer 6

<2kg give vaccine before discharge; still needs three doses after Weight > 2 kg

Question 7

Is immunocompromise patients contraindicated from receiving hepatitis B?

Answer 7

No

Question 8

Unvaccinated person was exposed to hepatitis B what should they receive?

Answer 8

Should receive immunoglobulin and three does series of hepatitis B

Question 9

When should the first dose of rotavirus vaccine be given

Answer 9

6 to 32 weeks and then every 4 weeks

2-3 dose series

2,4,6 months

Question 10

When should the rotavirus vaccine series be completed

Answer 10

Must complete series before 32 weeks of age (7.3 months)!!!!

High risk for intussusception

Question 11

Series of HiB vaccine

Answer 11

Series of 3 primary: 2-4-6 months And one booster (12 months)

Not recommended for children >5 years

Question 12

What does the Haemophilus influenza type B vaccine prevent?

Answer 12

Several types of meningitis and epiglottitis

Question 13

What are the names for pneumococcal vaccine?

Answer 13

PCV 13 (Prevnar)
PPSV 23 (Pneumovax)

Question 14

What is the series for Prevnar vaccine/pneumococcal?

Answer 14

Series of three primary 2-4-6 months and one booster (12 months)

Question 15

Who should receive a second dose after six years of age of Prevnar 13 and the 23 Valent eight weeks later?

Answer 15

Children at high risk: asplenic, transplant, HIV, renal failure, chronic cardiac disease, diabetes, nephrotic syndrome

Question 16

DTaP series

Answer 16

Series of 3 (2-4-6 months) & 2 booster ( 15 months & 6 years)

Question 17

When is T DaP given

Answer 17

11 or 12 years booster to DTaP

TdaP = no diapers ; >7years

Subsequent TD boosters every 10 years

Question 18

Contraindication for DTaP/TDaP

Answer 18

Encephalopathy within 7 days of receiving the vaccine can never get it again but can get TD because it does not have acellular pertussis

Question 19

Wound management /DTAP

Answer 19

Clean will never give them immunoglobulin

If vaccine <3 DTaP/TDAP give vaccine at the time of the wound

If received 3 vaccine but >10 years, need booster TD, DTaP or TDaP

If dirty wound &<3 vaccine need tetanus and immunoglobulin

If >5 years but have been vaccinated, no immunoglobulin just tetanus

Question 20

Polio series

Answer 20

Series of 4(2-4-6 months & 4 years)

Protect against contaminated fecal water poor sanitation

We use the IPV shot, PO used in Third World countries (can give active polio)

Last dose after 4 birthday; 2nd and 3rd must be 6 months apart

Question 21

MMR series

Answer 21

Series of two @ 1 year and by 12 years

Question 22

If exposed to measles or traveling to endemic areas MMR can be given as early as___(age) but the patient will need to continue the primary series at an appropriate time

Answer 22

6-months

Then resume schedule 12 to 15 months, 6-12 years

Question 23

Is MMR safe for HIV or immunocompromised or Ppregnancy?

Answer 23

Safe for HIV patients

Contraindicated in Immunocompromise;pregnancy because you can get rubella. Do you not get pregnant for weeks following vaccination.

Question 24

MMRV is Contraindicated in what patients?

Answer 24

Patient with a history of febrile seizures

Question 25

An outbreak occurs for MMR. My mother states that her child may have been exposed at Disney World. What is the best response from the provider?

Answer 25

If not vaccinate vaccinate within 72 hours of exposure

If unable to vaccinate within 72 hours give immunoglobulin

Question 26

This is a live attenuated vaccine

Answer 26

Varicella

Question 27

Vericella is contraindicated in what

Answer 27

Pregnancy, immunosuppressive (bone marrow, chemo, active aids) allergies

Related to live attenuated vaccine

Question 28

Vericella series

Answer 28

Series of two (between 12 months and 12 years; three months apart)

Give with no reliable history of chickenpox nor evidence of immunity is available

Question 29

Varicella should be separated from the MMR vaccine by how long?

Answer 29

One month

Question 30

When is veriCella prophylaxis with immunoglobulin given?

Answer 30

Prophylaxis with immunoglobulins given to patients if exposed and not immunized

Pregnancy, immunocompromise, mom contracted within five days of their birth, and hospital premature infant

All others get vaccine and not immunoglobulin

Question 31

Hepatitis A series

Answer 31

Series of two (1 to 2 years; 6 months apart)

Contraindication: allergies; immunocompromised

If traveling to endemic area prior to one year can receive passive immunization with immunoglobulin

Question 32

When can the influenza vaccine be given

Answer 32

Beginning at 6 months in the yearly

Question 33

Influenza vaccine dose is 0.25 ML I am for children what ages?

Answer 33

6 to 35 months

Question 34

The influenza vaccine 0.5 ML’s IM is for children what ages?

Answer 34

> 3 years

Question 35

Children younger than ____years receive two doses one month apart if it is a child’s first dose of _____ vaccine.

Answer 35

Nine years; influenza

Question 36

Human papilloma virus (HPV) series

Answer 36

Series of 2—9 yrs, rec. 11-12; 2nd dose 6-12 months

Series of 3—15 yes, 2nd dose 1-2 months , 3rd dose 6 months

Gardasil

Question 37

HPV vaccine can be given up to what age

Answer 37

26 years

Question 38

Anticipatory guidance for HPV vaccine

Answer 38

Recommended that adolescents wait for at least 15 minutes after receiving the vaccine due to a risk of liable syncope, postural hypotension, and vasovagal responses

Question 39

Meningococcal vaccine

Menactra, menveo

Answer 39

Covers 4 serotypes: WYCA

given at 11 to 12 years; booster @16 years

If first dose at 16 years no booster needed

Question 40

Is TDaP safe to give in pregnancy

Answer 40

Yes