Test-Taking Tip

Three of the responses require that the nurse give an immunization; one response does not. Select the response that is different. Know the immunization schedule and what effect, if any, the mother's immune status has on the infant's immunization schedule.

Content Area: Child Health, Immunizations; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Health Promotion and Maintenance/Immunizations

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Final Test 2

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Answer 1 is incorrect because an infant born to a mother who has HBsAg–should have received the first HepB (hepatitis B) immunization soon (if not immediately) after birth and before hospital discharge. The HepB immunization series would thus be on schedule; the second immunization should be given between 1 and 4 months of age, and the third immunization should be given between 6 and 18 months of age. There is no need for the nurse to question this order. Answer 2 is incorrect because the first DTaP (diphtheria and tetanus toxoids and acellular pertussis) immunization should be given at 2 months of age. There is no need for the nurse to question this order. Answer 3 is incorrect because the first Hib (Haemophilus influenzae type b) immunization should be given at 2 months of age. There is in no need for the nurse to question this order. Answer 4 is correct because an infant born to a HBsAg–mother would not have any active immunity to the disease and should receive the immunization on schedule. The nurse should question this order.

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