A nurse is caring for a 4-month-old child during a well visit. Which vaccines will the nurse prepare to administer for this child? Select all that apply.

Diphtheria, Tetanus, and Pertussis (DTaP)

Hepatitis B

Inactivated Polio Vaccine (IPV)

Pneumococcal 13 Vaccine (PCV13)

Haemophilus Influenzae type B (Hib)

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A reason: The Diphtheria, Tetanus, and Pertussis (DTaP) vaccine is recommended for infants at 2, 4, and 6 months of age. It helps protect against three serious bacterial infections: diphtheria, tetanus, and pertussis.

Choice B reason: The Hepatitis B vaccine is usually administered at birth, 1-2 months, and 6-18 months. The 4-month visit may include this vaccine if it is part of the catch-up schedule or combined with other vaccines.

Choice C reason: The Inactivated Polio Vaccine (IPV) is given at 2, 4, and 6-18 months of age to protect against poliovirus, which can cause paralysis and other severe health issues.

Choice D reason: The Pneumococcal 13 Vaccine (PCV13) protects against 13 types of pneumococcal bacteria, which can cause serious infections like pneumonia, meningitis, and sepsis. It is typically given at 2, 4, and 6 months of age.

Choice E reason: The Haemophilus Influenzae type B (Hib) vaccine is administered at 2, 4, and 6 months of age to protect against infections caused by Hib bacteria, such as meningitis, pneumonia, and epiglottitis.

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Correct Answer is B

Explanation

Choice A reason: Maternal hypertension, or high blood pressure, is not directly associated with precipitous Labor. While hypertension can be a concern during pregnancy, it is not a primary complication resulting from a rapid Labor process. The nurse's focus would be on other specific complications that arise from precipitous Labor.

Choice B reason: Postpartum haemorrhage is a significant risk for patients experiencing precipitous Labor. Rapid Labor can lead to excessive uterine contractions, which might cause trauma to the birth canal, including lacerations and uterine atony (failure of the uterus to contract properly after delivery). These conditions can lead to significant blood loss and necessitate close monitoring and intervention to manage and mitigate the haemorrhage.

Choice C reason: Newborn hyperglycaemia, which refers to elevated blood sugar levels in the newborn, is not related to the process of precipitous Labor. This condition is more commonly associated with maternal diabetes and is not a typical complication the nurse would monitor for in this scenario.

Choice D reason: Premature rupture of membranes, which refers to the breaking of the amniotic sac before Labor begins, is not a complication resulting from precipitous Labor. It is a condition that can precede Labor but is not caused by the rapid progression of Labor. The nurse would be more concerned with managing complications directly related to the rapid Labor and delivery process.

A. Lethargy and hypotonia B. Elastic skin turgor C. Apical heart rate 64 beats per minute D. Blood pressure = 100/54 mmHg E. Flat anterior fontanel

Correct Answer is C

Explanation

Choice A reason: Lethargy and hypotonia are concerning symptoms that indicate a significant decrease in muscle tone and alertness, which can be associated with various medical conditions. However, they may not require immediate intervention compared to a critically low heart rate.

Choice B reason: Elastic skin turgor is generally a normal finding, indicating good hydration status and skin elasticity. It does not require urgent attention.

Choice C reason: An apical heart rate of 64 beats per minute is significantly low for a paediatric patient, indicating bradycardia. This requires immediate attention and intervention to ensure the patient's cardiovascular stability.

Choice D reason: A blood pressure of 100/54 mmHg is within a normal range for many paediatric patients and does not indicate an immediate emergency.

Choice E reason: A flat anterior fontanel is a normal finding in infants and does not require urgent intervention.

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A nurse is caring for a 4-month-old child during a well visit. Which vaccines will the nurse prepare to administer for this child? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient experiencing precipitous Labor. What complication will the nurse monitor this patient for?

Correct Answer is B

Explanation

A nurse is reviewing the assessment findings of a paediatric patient. Which finding will the nurse prioritize?

Correct Answer is C

Explanation

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