Author Question: The primary care NP sees a 2-month-old infant for a well-baby examination in late November. The ... (Read 87 times)

jasdeep_brar · **on:** Jul 24, 2018

The primary care NP sees a 2-month-old infant for a well-baby examination in late November. The infant was born at 34 weeks' gestation, does not have underlying cardiac or pulmonary conditions, and does not attend daycare.

The NP should recommend: a. one dose of palivizumab (Synagis) today.
b. no respiratory syncytial virus prophylaxis.
c. three monthly doses of palivizumab (Synagis).
d. monthly doses of palivizumab (Synagis) until April.

Question 2

The primary care NP sees a 65-year-old patient in October. The patient has a history of COPD and has not had any vaccines for more than 20 years. The NP should administer:

a. influenza and Td vaccines.
b. PCV 13 and influenza vaccines.
c. PPV 23, Td, and influenza vaccines.
d. PPV 23, influenza, and TdaP vaccines.

meow1234 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
Infants born at 32 to 35 weeks' gestation who are younger than 3 months of age at the start of respiratory syncytial virus season should receive a maximum of three doses of Synagis.

Answer to Question 2

D
Persons older than age 65 and patients with chronic illnesses associated with increased risk from pneumococcal infection should receive the PPV 23 . All persons should receive annual influenza vaccine. TdaP is the recommended vaccine for adults, unless there is a specific contraindication for the pertussis component; this vaccine is given every 10 years.