nr 602 primary care of the childbearing and childrearing family
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Week 3 Immunization Case Study
NR 602
, WEEK 3 CASE STUDY 2
Case # 1
1) What vaccines should she receive, and why?
The newborn infant should receive her first dose of Hep B, BCG, and OPV(O) should be
administered to protect the infant against illnesses that are life-threatening and will
help to boost her immunity (CDC, 2020).
2) What would you do if the mother tested positive for Hepatitis B?
I would vaccinate the infant with her first dose of Hep B and administer a dose of HBIG.
This treatment is recommended by the U.S. CDC and will prevent the development of
the HBV chronic carrier state (Silverstein, 2019).
3) What would you do if the mother’s Hepatitis B status was unknown?
I would make sure the infant was protected by giving her an extra injection of Hep B and
Immunoglobulin (HBIG) to help reduce the risk of the infant being infected (Walloch,
2018).
Case #2
1) What vaccines should the child receive at this visit?
This child should receive 2nd dose of Hep B, 1st dose of IPV, 1st dose of PCV 13, 1st dose of
RV, 1st dose of Hib, and 1st dose of DTap (CDC, 2020).
2) When should she return and which ones would you administer at the next visit?
The baby should be vaccinated after two months with the 2nd dose of RV, 2nd dose of
DTap, 2nd dose of Hib, 3rd dose of PCV 13, and 2nd dose of IPV (Walloch, 2018).
3) Which vaccination combinations can be used to minimize the number of needle injections, if
available?
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