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Running Head: Case Study Assignment

The document discusses 4 case studies related to vaccine recommendations for infants, children, and adolescents based on CDC guidelines. For newborns, it recommends the Hepatitis B vaccine within 12 hours of birth for all infants as well as additional immunoprophylaxis for high-risk infants. For a 2-month well visit, it recommends administering several routine vaccines using combination vaccines when possible. For a 4-6 year old checkup, it recommends catching up on missed doses and discussing influenza vaccination benefits. Finally, for an 11 year old, it discusses ensuring protection through adolescence with recommended Tdap, HPV, MenACWY and influenza vaccines.

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Ellie Vale-Saquieres
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66 views5 pages

Running Head: Case Study Assignment

The document discusses 4 case studies related to vaccine recommendations for infants, children, and adolescents based on CDC guidelines. For newborns, it recommends the Hepatitis B vaccine within 12 hours of birth for all infants as well as additional immunoprophylaxis for high-risk infants. For a 2-month well visit, it recommends administering several routine vaccines using combination vaccines when possible. For a 4-6 year old checkup, it recommends catching up on missed doses and discussing influenza vaccination benefits. Finally, for an 11 year old, it discusses ensuring protection through adolescence with recommended Tdap, HPV, MenACWY and influenza vaccines.

Uploaded by

Ellie Vale-Saquieres
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Running head: CASE STUDY ASSIGNMENT 1

Week 3 Case Study Assignment

Chamberlain college of Nursing

NR 602: Primary Care of the Childbearing and Childrearing Family

July 26, 2020


CASE STUDY ASSIGNMENT

Week 3 Case Study Assignment

Case 1

As recommended by the Centers for Disease Control and Prevention (CDC) Vaccination

schedule for Birth-18 years of age; All newborn infants born in the United States are

recommended to have the Hepatitis B Vaccine at birth regardless of the mothers status (CDC,

2020). The Hepatitis B Vaccine is recommended within the first 12 hours after birth. Moreover,

per the recommendations from the Hepatitis B Foundation (2020), the recommendation stands

that all women who are diagnosed with Hepatitis B should have their infant given the first dose

of the Hepatitis B vaccine within the first 12 hours after birth along with 0.5 milliliters of

Hepatitis B Immune Globulin (HBIG) at a separate site. Lastly, per the CDC recommendations,

infants who weight less than 2,000 grams who are born to Hepatitis B positive women or women

who’s Hepatitis B status cannot be determined must receive immunoprophylaxis with the

Hepatitis B Vaccine and the hepatitis B Immune Globulin within the first 12 hours after birth

(CDC 2020). This preventative approach allows for the infant to thrive without the risk of

possible infection with Hepatitis B from a mother with unknown status, known status of

positivity, or general births.

Case 2

Per the recommendations from the CDC (2020), a healthy 2 month old should receive the

second dose of Hepatitis B (HepB), Diphtheria, tetanus, and whooping cough 1st dose (DTaP),

Haemophilus influenzae type b vaccine (Hib) 1st dose, Polio (IPV) first dose, Pneumococcal

disease (PCV13) 1st dose, and the Rotavirus (RV) 1st dose. The return visit for this infant is in 2

months for the next set of vaccinations when they will be 4 months old- unless there are any

urgent issues prior to that. In addition, I would use a combination vaccine to reduce the amount
CASE STUDY ASSIGNMENT

of vaccines given during the visit. I would use: Prevnar, Hib, Pediarix, and the Rota vaccines to

ensure the infant is up to date on their vaccine schedule (CDC, 2020).

Case 3

Based on the guidelines from the CDC (2020) a healthy 4-6-year-old should receive the

Diphtheria, tetanus, and whooping cough (DTaP) 5th dose, Polio (IPV) 4th dose, Measles, mumps,

and rubella (MMR) 2nd dose, and Influenza (yearly vaccine). During this visit I would administer

the missed vaccinations and Influenza vaccine during this visit. Anticipatory guidance would

focus on the risk/benefits of the influenza vaccination yearly as well as reactions to monitor from

vaccine administration. In addition, a discussion of hesitancy should the parent hesitate to

implement the influenza vaccine protocol should be discussed to educate the parent on the

benefits of prevention of influenza at this age. Lastly, due to the child’s normal evaluation, I do

not see any additional contraindications.

Case 4

For this patient, the recommended vaccine schedule per the CDC (2020) is the Meningococcal

disease (MenACWY) one dose, HPV (two doses), Tetanus, diphtheria, and whooping cough

(Tdap) (One dose), and yearly influenza vaccine. Although the mother in this case is resistant to

proceed with the additional recommended vaccinations it is imperative to administer the HPV,

Tdap, MenACWY, and yearly flu vaccine as protection from childhood vaccines wear off and

adolescents need these boosters to extend protection. In addition, young adolescents need

protection from additional infections as well before the risk of exposure increases. Lastly, the

HPV vaccine will in the long run protect from possible forms of cancer as a young woman. The

child should receive the first dose of the HPV vaccine as well as the MenACWY now- a second
CASE STUDY ASSIGNMENT

dose of the HPV vaccine will be needed within 1-2 months and a booster of the MenACWY

should be given at age 16.

Conclusion

In conclusion, the CDC recommendations are imperative to follow during the newborn

schedule and throughout the child’s life. Although parents are not forced to vaccinate their

children, these recommendations provide safe and effective prevention for an infant and child

who is building their immunity. Although the stigma with vaccines exist, these guides are a clear

pathway which ensure infants have a safe and healthy start by using preventative medicine.

References

American Academy of Pediatrics (2020). Infant and childhood immunization schedule. Retrieved
CASE STUDY ASSIGNMENT

from: https://www.aap.org/en-us/advocacy-and-policy/aap-
healthinitiatives/immunizations/Pages/Immunization-Schedule.aspx

Centers for Disease Control and Prevention (CDC). (2020). Immunization Schedule. Retrieved

from: https://www.cdc.gov/vaccines/parents/by-age/birth.html

Hepatitis B Foundation (HBF). (2020). Management of chronic hepatitis B in Pregnancy.

Retrieved from: https://www.hepb.org/treatment-and-management/pregnancy-and-

hbv/ameri

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