Health Supervision
Typical side effects for most vaccines:
What are low-grade fever; red, tender, and swelling at site?
The Hepatitis B vaccine is given on the following schedule:
When is at birth, 2 months, and 6 months?
The Polio, MMR, and Varicella vaccines are given how and where:
What is subQ in the anterolateral thigh?
Eustachian tube anatomy issues
What are short, wide, and horizontally placed?
Dull, vacant stare; doesn't fix and follow; rubs eyes, squints, holds objects close, appears clumsy
What are signs of visual impairment?
Hearing loss, speech delay, walking delay, scarring of the tympanic membranes, acute mastoiditis
What are common complications of Acute Otitis Media?
Children sometimes struggle with body image when being prescribed these
What are hearing aids or glasses?
An ongoing collection of skilled observations made over time during health care visits and includes noting and addressing parental concerns:
What is developmental surveillance?
The MMR and Varicella vaccine are given on the following schedule:
When is at 12 months and 4-6 years old?
The HPV vaccine is given how and where:
What is IM in the anterolateral thigh or deltoid?
Prematurity, developmental delay, genetic syndrome, family hx
What are factors that increase the risk of impairment?
A child squints when looking at the board, rubs eyes often, and complains of HA. The nurse suspects:
What is myopia (nearsightedness)?
Middle ear infection that could be bacterial or viral
What is acute otitis media (AOM)?
A necessary teaching to parents regarding antibiotic therapy
What is to always complete the entire course?
We should educate the child and caregiver on this possible HPV vaccine side effect
What is fainting or dizziness?
The HPV vaccine is given on the following schedule:
What is the 1st dose between 11-12 years old and the 2nd dose 6 months later?
The DTap, Hep A, and Hep B vaccines are given how and where:
What is IM in the anterolateral thigh or deltoid?
Three types of hearing loss
What are conductive, sensorineural, and mixed hearing loss?
Bacterial, Viral, or Allergic inflammation or infection that may require medication treatment.
What is conjunctivitis?
Auditory-verbal therapy, cued speech, ASL, gestural communication
What are communication options for the hearing impaired?
Increases the risk for ear infections
What is frequent URI's, smoking in household, previous episodes?
2 types of immunity:
What is passive and active?
The DTaP vaccine is given on the following schedule:
What is at 2 months, 4 months, 6 months, 15 months, 4-6 years, and a booster at 11-12 years?
IM injections for ages 3-18 years are given using the following needle sizes:
What is using a 1-1.25" 22-25g needle in the thigh or a 5/8-1" 22-25g in the deltoid?
Low birthweight, oxygen use, sepsis, early gestational age, hypoxia, hypothermia increase the risk for this:
What is Retinopathy of Prematurity?
Exotropia and Esotropia, can be intermittent in infancy
What are types of strabismus?
Tests that assesses conduction issues
What is the Weber and Rinne test?
Treatment of nasolacrimal duct obstruction
What is a massage and gentle pressure using clean hands and warm compress?
These individuals should NOT get a live attenuated vaccine:
What is one who is immunocompromised?
The IVP (Polio) vaccine is given on the following schedule:
What is at 2 months, 4 months, 6 months, and 4-6 years?
SubQ injections are given in which locations:
What is in the fatty tissue of the anterolateral thigh or over the triceps using a 23-25g needle?
Congenital anomalies, infection, family hx, kernicterus, ventilator use, ototoxic medications
What are risk factors for hearing impairment?
A traumatic hyphemia, an orbital fracture, a ruptured globe, a thermal/chemical burn are all injuries that require:
What is emergent ophthalmologic intervention?
Ways to promote communication in a hearing impaired child:
What is turn off distractions, face child while speaking, speak clearly, sit within 3 feet of child, and request preferential seating?
Parents need these when receiving a surprise diagnosis
What is education and support?