Week 6

Question 1

Purpose of immunization

Answer 1

Prevent communicable diseases
Prevent illnesses related to these diseases
Provide herd immunity (95% of population)
5% is chemo patient, infant, etc.

Question 2

Herd immunity

Answer 2

• 95 is immune to it so that disease becomes very rare

Question 3

Types of immunity

Answer 3

• acquired- ()
  (Active immunity -Can either get it, or receiving a vaccine and is permament )
  (Passive immunity- transfer from one person antibody to another and is temporary
• Natural- your immune system
• Herd- whole population is immune to it

Question 4

Hep B

Answer 4

• virus
• passed through blood
• causes cancer of the liver, chronic hepatitis and cirrhosis

Question 5

Rota virus

Answer 5

• high fever
• vomiting and diarrhea
• children less than 5 years and peaks 6-24 mo
• 2 natural infection confirmed immunity
• leads to dehydration

Question 6

DTAP

Answer 6

Diphtheria
Pertussis
Tetnus

Question 7

TDAP

Answer 7

11 years
Booster of the same diseases: diphtheria pertussis and tetanus
Doses different- bigger dose of tetnus

Every 10 years for the rest of your life

Preg women get this for the Acellular Pertusses

Question 8

Diphtheria

Answer 8

Bacteria
Rare
URI
AIRBORN
Can cause myocarditis and peripheral neuropathy
Gray over tonsils
Lymphedema

Question 9

Pertussis

Answer 9

Highly contagious bacteria
Fatal in infants 6 weeks- 6 months
Paroxysmal cough (whoop)

Resurgence d/t a cellular

Question 10

Tetnus

Answer 10

Lives in soil and human stool
Muscle tetney and respiratory muscles

Question 11

Hemophius influenza type b

Answer 11

Bacteria- not the flu
Can cause bacterial meningitis, epiglottis, pneumonia
IF CHILD IS 5 or OLDER- STILL CAN GET IT, without extreme illness
Cherry red eppiglotis

Question 12

Strep pneumonia

Answer 12

Immunize against 15-20 strains
Bacteria can cause meningitis, AOM, and pneumonia

Question 13

Polio

Answer 13

• eradicated in 2000
• fecal oral route (contaminated water)
• extremely contagious
• GI tract to NEURO system- paralysis

Question 14

MMR

Answer 14

Measles mumps and rubella
LIVE vaccine

Question 15

Measles

Answer 15

• droplet
• systemic infection 10-12 days after expoure
• three C’s
• Coryza
• cough
• conjunctivitis

KOPLIK SPOTS

Question 16

Mumps

Answer 16

• viral
• inclubation 14-18 days
• resp complications and deafness

Question 17

Rubella (German measles)

Answer 17

• 12-23 day inclubation
• virus
• rash, mild and self limiting
• concern for congenital rubella syndrome

Question 18

Congenital rubella syndrome

Answer 18

• microcephaly
• heart defects
• cateracts

Question 19

Varicella

Answer 19

AIRBORN
Incubation 2-3 weeks
Rash that is highly pruritic rash

Question 20

Hep A

Answer 20

Viral
Fecal oral
Incubation 28 days

Question 21

HPV

Answer 21

Genital warts that is linked to sexual practices and viral

This virus is associated with cervical cancer

Question 22

Neisseria meningiditis

Answer 22

Bacteria
Droplet nasal secretions
Mimics flu
If gets in CSF- fatal

Question 23

Flu when does it start

Answer 23

6 months

Question 24

Unintentional injuries

Answer 24

Accidents
Leading cause of death in children >1 year until 44 years

Question 25

Primary prevention

Answer 25

Before they occur

Question 26

Secondary prevention

Answer 26

Early identify risk factors

Question 27

Risk factors of unintentional injury

Answer 27

Make Poverty Lack of supervision Peppermint Developmental characteristics Developmental delay Cognitive characteristic Knowledge deficit Stress Alcohol/drug use MH concerns Gun in house

Question 28

Height and age for booster

Answer 28

Up until 4 feet 9 inches, between 8-12 years

Question 29

Age when moving to passenger seat

Answer 29

13 years