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Immunization Schedule & Contraindications: A Guide for Healthcare Professionals, Exams of Nursing

Johns Hopkins University (JHU)Nursing

A comprehensive overview of immunization schedules and contraindications for various vaccines commonly administered to children and adults. It outlines the recommended ages for vaccination, the number of doses required, and the potential contraindications for each vaccine. The document also highlights the differences between live attenuated and inactivated vaccines, emphasizing the importance of understanding these distinctions for safe and effective immunization practices.

Typology: Exams

2024/2025

Available from 02/08/2025

Smartsolutions
Smartsolutions 🇺🇸

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NURG 604- Module 3 Exam With
Complete Solution
If a child is allergic to eggs, what immunizations should he/she NOT take - Answer flu
MMR,
rabies, yellow fever
Children less than how old should NOT receive a HIB vaccine? - Answer 6 mnths
Children greater than what age should NOT receive a HIB vaccine? - Answer 5 yo
If a child is moderately or severely ill, what vaccines should not be given at that time? -
Answer any live attenuated vaccines
-MMR
-varicella
-flu
What are the immunization contraindications for (a) Varicella, (b) MMR, (c) Hep B, (d)
Hep A, and (e) IPV? - Answer Hx of anaphalysix after vaccine administration,
hypersensitivity to ovalbumin, egg white proteins, gelatin, yeast and latex
What does the DTaP protect against? - Answer Diphtheria, tetanus (wound
management) and pertussis- whooping cough.
What is the difference in the IPV and the OPV? - Answer OPV is oral, IPV is IM used for
global eradication but will be switched over to IPV once all poliovirus has been
eradicated.
IPV is said to have lifelong immunity after 3 doses, w/ no need for a booster
Which (IPV or OPV) can cause polio, and why? - Answer OPV- is a weakened polio
vaccine given by mouth (polio causing) IPV is inactivated polio
What is the HPV vaccine used for and at what age is this recommended? - Answer
Protects against cervical cancer 1,11,16,18,31,33,45,50,58.
Recommended for males/females 9-46.
2 dose series 6 mnths-1 yr apart
pf3
pf4

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NURG 604- Module 3 Exam With

Complete Solution

If a child is allergic to eggs, what immunizations should he/she NOT take - Answer flu MMR, rabies, yellow fever Children less than how old should NOT receive a HIB vaccine? - Answer 6 mnths Children greater than what age should NOT receive a HIB vaccine? - Answer 5 yo If a child is moderately or severely ill, what vaccines should not be given at that time? - Answer any live attenuated vaccines -MMR -varicella -flu What are the immunization contraindications for (a) Varicella, (b) MMR, (c) Hep B, (d) Hep A, and (e) IPV? - Answer Hx of anaphalysix after vaccine administration, hypersensitivity to ovalbumin, egg white proteins, gelatin, yeast and latex What does the DTaP protect against? - Answer Diphtheria, tetanus (wound management) and pertussis- whooping cough. What is the difference in the IPV and the OPV? - Answer OPV is oral, IPV is IM used for global eradication but will be switched over to IPV once all poliovirus has been eradicated. IPV is said to have lifelong immunity after 3 doses, w/ no need for a booster Which (IPV or OPV) can cause polio, and why? - Answer OPV- is a weakened polio vaccine given by mouth (polio causing) IPV is inactivated polio What is the HPV vaccine used for and at what age is this recommended? - Answer Protects against cervical cancer 1,11,16,18,31,33,45,50,58. Recommended for males/females 9-46. 2 dose series 6 mnths-1 yr apart

Diptheria, Tetanus, Pertussis (DTaP) - Answer Inactivated - IM 2 months, 4 months, 6 months, 15-18 months Contraindications-

  • not recommended in pregnancy. - Persons experiencing encephalopathy w/in 7 d after administration of pertussis containing vaccine NOT attributed to another identifiable cause - should not receive additional doses of vaccine containing pertussis.
  • Hx of anaphylaxis after dose Polio (IPV) vaccine - Answer Inactivated- IM 4 doses given IM or SQ at 2, 4, 6-18 months, and 4-6 years contraindication: allergy to neomycin, anaphylaxis, hyper= oval, gelatin, ew, yeast, latex Haemophilus influenzae b vaccine - Answer Inactivated - IM 4 dose @ 2,4,6,12-15 mnths CONT: pregnancy Hepatitis A vaccine - Answer Inactivated (Viral)- IM 2 dose series beginning age 12-23 2nd dose 6 mnths later Anaphylaxis, hyper- oval, yeast, gelatin, latex, ew Hepatitis B vaccine - Answer Inactivated vaccine. First of 3 doses administered IM to infant prior to discharge. Second and third doses administered 1 mn, 6 mn CONT: anaphylaxis or hypersensitivity to yeast, ovalablumin, ew, latex, gelatin HPV vaccine - Answer INACTIVATED - IM can prevent: cervical cancer pre-cancerous genital lesions (or sores) genital warts caused by genital HPV infection as early as 9 1st dose - 2nd dose 6 mths- 1 yr later cont: anaphylaxis or hypersensitivity to YEAST Meningococcal vaccine - Answer INACTIVATED - IM given to children 11- 12 years of age and then given a booster dose at age 16.
  • 4-6 yo cont: pregnant women, immunocomp patients, allergy to gelatin, oval, ew, latex, yeast, neomycin, FX OF immunocompetence