A 2-month-old child has not received any immunizations. Which ...

[RRMR]

A 2-month-old child has not received any immunizations. Which immunizations should the nurse give?
 
  a. DTaP, Hib, HepB, IPV, varicella
  b. DTaP, Hib, HepB, MMR, IPV
  c. DTaP, Hib, HepB, PCV, IPV, rotavirus
  d. DTaP, Hib, HepB, PCV, IPV, HepA

Question 2

When instructing parents about the care of an infant in a cast for a clubfoot, the nurse should include:
 
  a. reassurance that clubfoot usually resolves spontaneously.
  b. instructions on washing the cast daily to keep it clean.
  c. the importance of analogous blood donations for impending surgery.
  d. notifying the physician of any vascular problems, such as toe swelling.

[sultana.d]

Answer to Question 1

C
DTaP, Hib, HepB, PCV, IPV, and rotavirus are appropriate immunizations for an unimmunized 2-month-old child. The child should not receive varicella until at or after 12 months of age. MMR is not given to children until at or after 12 months of age. HepA is recommended for all children at 1 year of age.

Answer to Question 2

D
Toe swelling may be a sign of neurovascular compromise and the need for the cast to be readjusted. The physician should be notified immediately. Clubfoot does not resolve spontaneously. A clubfoot can recur and long-term follow-up is indicated. Casts are never washed. Parents should be instructed to keep the cast dry. Analogous blood donations are not a consideration for the child with a clubfoot.

[RRMR]

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