NCLEX-RN

Category - Health Promotion

The nurse is planning a teaching program on children’s immunization schedules. Which of the following should the nurse include in her teaching?
  1. If the mother is HbsAg-positive, the infant should receive the hepatitis B vaccine and hepatitis globulin within 24 hours of birth at two different injection sites.
  2. Vaccination with hepatitis B vaccine should never be delayed for premature children.
  3. The first dose of hepatitis B is given after birth and the third dose is administered at the age of 6 months.
  4. The first dose of MMR is administered between 6 and 12 months of age.
Explanation
Answer: C - The first dose of the hepatitis B vaccine is given at birth, the second dose 4 weeks after the first dose, and the last dose at the age of 6 months. If the mother is HbsAg-positive, the newborn should get the vaccine within 12 hours of birth. Prematurely-born infants may receive delayed doses of hepatitis B vaccine. The first dose of MMR is administered between 12 months and 15 months of age.
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