A nurse is reinforcing teaching about immunizations with the parents of a newborn. Which of the following statements should the nurse make?
"Your newborn will receive the first DTaP vaccine during the initial well-baby visit."
"Your newborn should receive an immunization for MMR at 6 months."
"Your newborn is scheduled to have a hepatitis B vaccine prior to discharge."
"Your newborn should receive the PCV vaccine two times prior to his first birthday."
The Correct Answer is C
A. "Your newborn will receive the first DTaP vaccine during the initial well-baby visit.": The first dose of DTaP is typically given at 2 months, not at the newborn stage.
B. "Your newborn should receive an immunization for MMR at 6 months.": The MMR vaccine is usually administered at 12-15 months, not at 6 months.
C. "Your newborn is scheduled to have a hepatitis B vaccine prior to discharge.": Hepatitis B vaccine is recommended to be given within 24 hours of birth as the first dose of a series.
D. "Your newborn should receive the PCV vaccine two times prior to his first birthday.": The pneumococcal conjugate vaccine (PCV) schedule starts at 2 months with multiple doses, but not specifically "two times" before the first birthday.
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Related Questions
Correct Answer is B
Explanation
A. The parent reports the child will not keep the arm elevated on the pillow: Not a priority. While elevation is important, it is not immediately concerning.
B. The fingers on the right hand have a capillary refill of 4 seconds: Correct. A capillary refill time of more than 2 seconds indicates poor perfusion, which can be a sign of compartment syndrome, a serious complication.
C. The fingertips of the right hand are swollen and bruised: Concerning, but swelling and bruising can be normal post-injury. Immediate concern is perfusion.
D. The child is not attempting to move her right arm or fingers: Concerning, but can be due to pain or fear. Poor perfusion (B) is a more immediate threat.
Correct Answer is C
Explanation
A. "Your newborn will receive the first DTaP vaccine during the initial well-baby visit.": The first dose of DTaP is typically given at 2 months, not at the newborn stage.
B. "Your newborn should receive an immunization for MMR at 6 months.": The MMR vaccine is usually administered at 12-15 months, not at 6 months.
C. "Your newborn is scheduled to have a hepatitis B vaccine prior to discharge.": Hepatitis B vaccine is recommended to be given within 24 hours of birth as the first dose of a series.
D. "Your newborn should receive the PCV vaccine two times prior to his first birthday.": The pneumococcal conjugate vaccine (PCV) schedule starts at 2 months with multiple doses, but not specifically "two times" before the first birthday.
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