Hep A immunization schedule
First dose at 1 year, second dose after 6 months
Hep B immunization schedule
3 doses: 0, 1-2 months, 6-18 months
... [Show More] after 1st
You are caring for a newborn whose mother is known to be HBsAg (+). How should this be handled?
Administer Hep B vaccine and Hep B immunoglobulin within 12 hrs of birth
How many doses are in the DTaP series?
5
Tdap in pregnancy
1 dose of tdap during each pregnancy, preferably at 27-36 wks
PCV vaccine amount
4 doses
Fever or rash after receiving a live attenuated immunization indicates?
Reaction to a viral replication, not the vaccine
Examples of live attenudated vaccines
MMR
Varicella
MMR and varicella immunization schedule
At 12 months (can be on the same day), then must wait one month for second
Earliest age to receive flu vaccine
>6 months
A mother reports that her one year old child has an allergy to eggs that produces hives. How should this be handled?
Influenza vaccine should be given
Is it ok to give influenza to a patient who has experienced an allergic reaction and signs of angioedema, respiratory distress?
Yes, under the supervision of a HCP who can manage severe allergic reactions
A 15 year old patient who is sexually active is in your clinic to receive her first HPV vaccine. How should the NP handle this?
Administer today without checking pregnancy status
CDC recommends monitoring a child after immunization for:
15 mins
When is diabetes usually diagnosed in kids?
During puberty
Managing ADHD preschool v. school-age
Preschool: behavioral
School-age: stimulant medication
At what age are meds considered first line for kids with ADHD?
6 years old
Is PNA in kids usually viral or bacterial?
Viral
What is the most sensitive sign of PNA in kids?
Increased RR
Preferred treatment for kids diagnosed with PNA?
Amoxicillin 90 mg/kg/day in divided doses
Biggest symptom found in kids with bronchiolitis?
Paroxysmal wheezing
Symptoms of croup
Inspiratory stridor
Barking cough
Hoarseness
Med for croup
Single dose of oral dexamethasone (0.6 mg/kg)
Two systems affected by cystic fibrosis
Pulmonary & GI
How to test for cystic fibrosis
Sweat test
Symptom associated with cystic fibrosis
Thick mucous with productive cough
Lead toxicity masqueredes as...
iron deficiency anemia
What is an abnormally high billirubin for an infant?
> 25
Newborns with hyperbilirubinemia are at risk for?
Neurological dysfunction
When does billirubin peak?
3-4 day
Colic symptoms
"rule of 3"
crying for > 3 hours
occurs > 3 days/wk
> 3 months of age
At what age are symptoms of pyloric stenosis most likely to occur?
4-6 wks
Signs of pyloric stenosis
Projectile vomiting immediately after eating
Olive-like mass
What imaging study is used to diagnose pyloric stenosis?
US
Interventions for GER
None, unless "red flags"
Intussusception
Sudden onset of crampy abdominal pain
Surgical emergency
Currant jelly stools
Encopresis
Involuntary soiling of stool in child
Underlying problem is constipation
Screen & assess for psych issues
Laxatives given for initial cleansing
Viral gastroenteritis
> 3 watery/loose stools in 24 hours
What is a collection of peritoneal fluid in the scrotum?
Hydrocele
When should hydrocele resolve?
Before 12 months [Show Less]