A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include?
"Your baby should receive the measles, mumps, rubella vaccine at 6 months.
"Your baby will receive the first diphtheria, tetanus, pertussis vaccine at the 2 week well-baby visit
"Your baby should receive the pneumococcal conjugate vaccine on his first birthday."
"Your baby will receive a hepatitis B vaccine prior to discharge
The Correct Answer is D
The hepatitis B vaccine is typically administered to newborns shortly after birth, usually within 24 hours.
The measles, mumps, rubella (MMR) vaccine is typically given between 12 and 15 months of age, not at 6 months.
The first dose of the diphtheria, tetanus, pertussis (DTaP) vaccine is usually given at 2 months of age, not at the 2-week visit.
The pneumococcal conjugate vaccine (PCV) is typically given in a series, starting at 2 months of age, and is completed by the age of 12-15 months. It is not given specifically on the first birthday.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse should include information that growth spurts in height occur toward the end of mid puberty. Gynecomastia is not a common change in boys during puberty, but it might occur in some cases. Changes in the voice and pubic hair growth signal the beginning of puberty. If scrotal changes have not occurred by the age of 14 years, puberty might be considered delayed.
Correct Answer is C
Explanation
By 15 months of age, toddlers typically develop the ability to stand and maintain balance without support. This milestone is an important indicator of gross motor development. Not being able to stand upright without support at this age may suggest a delay or impairment in motor skills, and further evaluation may be needed to determine the underlying cause.
The other findings mentioned—difficulty jumping with both feet, inability to build a tower of six to seven cubes, and inability to turn a doorknob—are within the expected range of development for a 15-month-old toddler. While some children may already demonstrate these skills, others may acquire them later in their developmental journey. It is important to consider individual variations in development, but the inability to stand without support should be further assessed.
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