Health Promotion and Maintenance Q 33
A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:
A. HibTITER
B. Mumps vaccine
C. Hepatitis B vaccine
D. MMR
Correct Answer: A. HibTITER
The Haemophilus influenza vaccine is given at 4 months with the polio vaccine. It protects the child from Hib disease, which can cause lifelong disability and be deadly; protects the child from the most common type of Hib disease, meningitis (an infection of the lining covering the brain and spinal cord); and keeps the child from missing school or child care, and the parents from missing work.
Option B: Mumps vaccine is the best way to decrease the risk of getting mumps. It is usually given as part of a combination vaccine that protects against three diseases: measles, mumps, and rubella (MMR). This vaccine is only licensed for use in children who are 12 months through 12 years of age.
Option C: Hepatitis B vaccine is given immediately after birth and for children up to 18 years. Hepatitis B vaccine is usually given as 2, 3, or 4 shots. Infants should get their first dose of hepatitis B vaccine at birth and will usually complete the series at 6 months of age (sometimes it will take longer than 6 months to complete the series). Children and adolescents younger than 19 years of age who have not yet gotten the vaccine should also be vaccinated.
Option D: MMR stands for measles, mumps and rubella vaccine, which is given at 9 months old. The MMR vaccine is safe and effective. Most children don’t have any side effects from the vaccine. The side effects that do occur are usually very mild, such as a fever or rash. The first dose at 12 through 15 months of age, and the second dose at 4 through 6 years of age.