A nurse is preparing to administer a vaccine to a 4-year-old child.
Which of the following vaccines should the nurse administer?
Hepatitis B (HepB).
Meningococcal (MenACWY).
Varicella (VAR).
Human papillomavirus (HPV).
The Correct Answer is C
Choice A rationale
Hepatitis B (HepB) is typically given at birth and in subsequent doses but isn't scheduled for 4-year-olds.
Choice B rationale
Meningococcal (MenACWY) vaccine is generally recommended for older children and adolescents.
Choice C rationale
Varicella (VAR) vaccine is recommended for children around 4 years old to protect against chickenpox.
Choice D rationale
Human papillomavirus (HPV) vaccine is recommended for preteens starting at age 11, not 4-year-olds.
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Correct Answer is A
Explanation
Choice A rationale
Monitoring for hypoglycemia is critical in newborns born to mothers with gestational diabetes, as they can experience significant drops in blood sugar levels post-birth due to the
sudden discontinuation of the high glucose supply from the mother.
Choice B rationale
Physiological jaundice is common in many newborns but does not represent the most immediate threat. It typically resolves within a few days with appropriate monitoring and care.
Choice C rationale
Hyperthermia can be a concern for newborns, but it is not the primary immediate complication in newborns born to gestational diabetic mothers. Hypoglycemia poses a greater
immediate risk.
Choice D rationale
Development of rash is generally a less critical concern and does not represent an immediate threat to the newborn’s well-being in comparison to hypoglycemia.
Correct Answer is ["A"]
Explanation
Step 1 is 33 lb × (1 kg ÷ 2.2 lb) = 15 kg.
Step 2 is 30 mg/kg/day × 15 kg = 450 mg/day.
Step 3 is 450 mg/day ÷ 2 = 225 mg per dose.
Step 4 is 225 mg ÷ (200 mg/5 mL) = 5.625 mL. The final calculated answer is 5.6 mL.