Term
| What are the vaccines that should be considered if otherwise indicated during pregnancy? |
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Definition
-Hep B
-Influenza (INACTIVATED) injection
-Tetanus/Diptheria (TDAP)
-Meningococcal
-Rabies |
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Term
| What are the vaccines contraindicated in pregnancy? |
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Definition
-Influenza (LIVE, ATTENUATED) NASAL SPRAY
-Measles
-Mumps
-Rubella
-Varicella
-BCG (Tuberculosis)
-Meningococcal
-Typhoid |
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Term
| What is passive immunity? |
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Definition
| Prpduced when the immunoglobbulins of one person are transferred to another. Lasts only weeks or months. Can be obtained by by injection of exogenous immunoglobulins, breast milk, colostrum, or placenta. |
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Term
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Definition
| Acquired when a person's own immune system generates the immune response. Lasts years to lifetime. Get from vaccine or having a disease. |
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Term
| What is a live/attenuated disease? |
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Definition
| Modified living organisms that are weakened. The organism cannot produce the complications of the disease, but does produce an immune response. |
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Term
| What is a killed vaccine? |
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Definition
| Contain whole dead organisms, they are incapable of reproducing but are capable of producing an immune response. |
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Term
| What is a Toxoid vaccine? |
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Definition
| Contain protein products produced by bacteria called toxins. The toxin is heat treated to weaken its effect, but it retains its ability to produce an immune response. |
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Term
| What is a conjugate vaccine? |
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Definition
| Result of chemically linking the bacterial cell well polysaccharide portions with proteins. Dramatically increases the immune response compared to presenting to polysaccharide portion alone. |
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Term
| What is a recombinant vaccine? |
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Definition
| Use genetically engineered organisms. Hep B is produced by splicing a gene portion of the virus into a gene of a yeast cell. The yeast cell is then able to produce hep b surface antigen to use for vaccine production. |
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Term
| What kind of a vaccine is TDAP? |
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Definition
| Combination vaccine. Contains diptheria and tentanus toxoids and pertussis cell wall proteins. |
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Term
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Definition
| Used for children younger than age 7 who have contraindications to the pertussis. |
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Term
| What kind of vaccine is HIB vaccine? |
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Definition
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Term
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Definition
| A bacterium that causes several life threatening illnesses in children younger than 5 years of age. Meningitis, epiglottitis, and septic arthritis. |
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Term
| Who is HIB Vaccine NOT for? |
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Definition
| Not given to children 5 years + and children younger than 6 weeks. |
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Term
| What is HibTITER (HbOC) and ActHIB (PRP-T)? |
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Definition
| Required 3 doses for infant series |
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Term
| What is PedvaxHIB and Comvax (PRP-OMP)? |
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Definition
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Term
| What kind of vaccine is the polio vaccine? |
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Definition
2 TYPES
Inactivated polio vaccine is the only polio vaccine currently recommended. KILLED VIRUS VACCINE
Oral Polio Vaccine is live attenuated and was preferred until 2000. |
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Term
| Which polio vaccine is preferred? |
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Definition
|
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Term
| What is the complication of the oral polio vaccine? |
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Definition
|
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Term
| What kind of vaccine is measles/mumps/rubella? |
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Definition
| Live, attenuated virus combination vaccine, |
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Term
| Can you give MMR on the same day as other live attenuated diseases? |
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Definition
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Term
| What if you do not give MMR on the same day as other live/attenuated vaccines? |
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Definition
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Term
| What are anaphylactic reactions of MMR associated with? |
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Definition
| The neomycin or gelatin components of the vaccine rather than the egg component. The vaccine is not compared from the albumen portion of the egg so egg allergy is no longer a contraindication for measles vaccine. |
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Term
| Is pregnancy a contraindication in the child being vaccinated from MMR? |
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Definition
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Term
| WHat kind of vaccine is Hep A? |
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Definition
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Term
| Who should get the hep a vaccine? |
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Definition
| All children at age 12 months with a follow up vaccine 6-12 months later |
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Term
| What kind of vaccine is the hep b vaccine? |
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Definition
|
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Term
| What determines when immunization for HepB begins? |
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Definition
| The mother's hep B status |
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Term
| What if a mother tests positive or does not know for hep b? |
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Definition
| The neonate is immunized within the first 12 hours of life, at 1-2 months, and at 6 months of age |
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Term
| What if the mother's status is negative? |
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Definition
| Immunizations are given routinely at 2,4,6 months of age. |
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Term
| What kind of vaccine is varicella? |
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Definition
| Live, attenuated vaccine. |
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Term
| Who gets the varicella vaccine? |
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Definition
| All children age 12-15 months who have NOT have chickenpox should be immunized. A second dose is recommended at 4-6 years old. |
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Term
| Can you give the varicella vaccine the same day as other live vaccines? |
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Definition
| Yes, but if not should be given at least 28 days apart. |
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Term
| If a child's mother is pregnant, can he be vaccinated? |
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Definition
|
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Term
| How fast is varicella vaccine's post exposure prophylaxis? |
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Definition
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Term
| What kind of a vaccine is the pneumococcal vaccine? |
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Definition
Conjugate.
2 kinds
Pneumococcal Conjugate Vaccine
Pneumococcal Polysaccaride Vaccine |
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Term
| Of the 2 pneumococcal vaccines, which is reccomnded? |
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Definition
|
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Term
| How does the PCV13 vaccine work? |
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Definition
| Stimulates an immune réponse in infants and is given at 2 months of age but can be given as early as 6 weeks |
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Term
| How many strains does PPSV contain? |
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Definition
|
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Term
| Does PPSV stimulate an immune réponse in children younger than 2? |
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Definition
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Term
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Definition
| Children older than 2 who are at high risk for pneumococcal sepsis. Anatomic/functional asplenia, sickle cell disease, chronic cardiac, pulmonary, or renal disease, diabetes mellitus, HIV infection, cochlear implants, immunosuppressed. |
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Term
| What kind of vaccine is the influenza vaccine? |
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Definition
2 types
Live, attenuated nasal spray
Dead, injection |
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Term
| Who should get the flu vaccine? |
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Definition
| Yearly for healthy and high risk children of 6 mo. of age or older. Caregivers and household contacts of these children should also be immunized. |
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Term
| What vaccine is recommended for flu season? |
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Definition
2010-11
Vaccine protected against 3 strains of flu including H1N1 |
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Term
| Who is the live flu vaccine indicated in? |
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Definition
| Healthy persons between age 2-49. |
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Term
| How does the live flu vaccine work? |
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Definition
| Can replicate and a person who has received it can shed the vaccine for a week. |
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Term
| Who should not get the live flu vaccine? |
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Definition
| Anyone who will be in contact with immunosuppressed people, pregnant women. |
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Term
| Who is the inactive flu vaccine recommended in> |
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Definition
| Any eligible person 6 months or older. Not capable of causing disease and is given via IM |
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Term
| What kind of vaccine is the Rotavirus Vaccine? |
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Definition
| Live vaccine targeting 5 strains of rotavirus and is given via oral route to infants younger than 32 weeks of age. |
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Term
| Who is rotavirus vaccine contraindicated in? |
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Definition
| Children with severe combined immunodeficiency |
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Term
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Definition
| Virus is shed in the stool and easily spreads via the fecal-oral route. |
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Term
| What is streptococcus pneumonia? |
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Definition
| Most common cause of pneumonia, sepsis, meningitis, and otitis media in young children. |
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Term
| What kind of vaccine is HPV? |
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Definition
|
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Term
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Definition
| Tumor virus transmitted through direct skin-to-skin contact. Most common is adolescents and young adults aged 15-24 who are sexually active. Causes warts and cervical cancer |
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Term
| What kind of a vaccine is meningococcal? |
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Definition
2 types
Meningococcal Conjugate Vaccine (MCV4)
Meningococcal Polysaccaride Vaccine (MPSV4) |
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|
Term
|
Definition
|
|
Term
| What is Meningococcal disease? |
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Definition
| Meningits or deadly blood infection that is spread by Neisseria meningitis which is spread through direct contact or air. |
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Term
| Who is the meningococcal vaccine recommended to? |
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Definition
| All previously unvaccinated children ages 11-12 y/o |
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Term
| What are the barriers to immunization? |
|
Definition
-Parental concerns about vaccine safety.
-Misconceptions
-The more children in the family, the less likely they are to be fully vaccinated.
-The costs of vaccinations
-Concerned with effects of multiple injections |
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Term
| How do you overcome barriers to immunization? |
|
Definition
-Use a manufactured-produced vaccine whenever it will reduce the # of injections at a visit
-The Vaccines for Children program that provides free vaccines to low income/uninsured families
-Establishing a medical home for every child
-Maintaining a centralized immunziation record
-Verifying immunization status at every visit
-Verifying the status of siblings accompanying the child to the appointment
-Providing the parents with up-to-date vaccination recommendations in the US |
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Term
| Who should NEVER receive live vaccines? |
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Definition
| Severely immunocompromised children and pregnant women |
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Term
| Who is the pertussis vaccine contraindicated in? |
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Definition
| Encephalopathy without an identified cause within 7 days of the immunization causes permanent contraindication. |
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Term
| When can you temporarily postpone immunizations? |
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Definition
| For moderate to severe illness, pregnant people, recent received blood products. |
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Term
| When should vaccines not be postponed? |
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Definition
| For low grade fever or minor respiratory illness. |
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Term
| What vaccines are given IM? |
|
Definition
-DTaP, DT, Tdap
-Hepatitis A
-Hepatitis B
-Hib
-Influenza (killed)
-Pneumococcal
-HPV
-MCV4 |
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Term
| What vaccines are given SubQ? |
|
Definition
|
|
Term
| What is the National Childhood Vaccine Injury Act? |
|
Definition
requires the vaccine information statements be provided to patients prior to immunizations. If parents do not understand the information presented, they should feel comfortable asking questions.
CONSENT FORM MUST BE SIGNED PRIOR TO ADMINISTRATION
DOCUMENTED IN CHILD'S PERMANENT RECORD
GIVE FAMILY COPY |
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Term
| A child takes immunoglobulins for an allergy. Which type of immunity does this create? |
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Definition
|
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Term
| 2. A child whose mom is pregnant does not need to take varicella vaccine. |
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Definition
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Term
| 3 A high school student is pregnant and does not want to be stuck for a flu vaccine. Should she take it intranasally? |
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Definition
|
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Term
| 4 Those planning to go to a country where the water might be contaminated may need this vaccine. |
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Definition
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Term
| 5 A baby born in 2014 needs polio vaccine. Which route will it be given? |
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Definition
|
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Term
| 6 A mom can not read the information pages on vaccines. What is the best response by the nurse? |
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Definition
| Read the pages to her and ask if she understands and vaccinate the child |
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Term
| 7 A child comes to the clinic and records indicate a need for a DTaP vaccine. Which child gets the DTaP? |
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Definition
|
|
Term
| baby has meningitis from haemophilus influenzae. The mom wants her 8 year old to get the Hib vaccine. What should the nurse say? |
|
Definition
| Hib vaccine is not given to children 5 years of age or older |
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Term
| Which child does the nurse suspect has rotovirus? |
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Definition
| A 6 month old with severe watery, crampy diarrhea. |
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Term
| A mom does not want her child to get more than one shot. What can the nurse do to overcome this barrier of vaccination? |
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Definition
| D. Teach her about combination vaccines and explain the need for each one. |
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