Vaccines
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Here is a table of the recommended childhood vaccines and at what ages they are typically given: (If you are on your phone or tablet, we are sorry but the table does not align properly.
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Learn to pay attention to trends and to similarities to remember the immunization schedule
Vaccine
2 Months
4 Months
 6 Months
12-15 or 15-18 
4-6 years
Hepatitis B
Within 24 hours of birth and at 1-2 months
at 6 to 18 months
Rotavirus (oral)
X
X
X
DTaP
X
X
X
15- 18
X
Hib
X
X
X
12-15
PCV13
X
X
X
12-15
Rotavirus
X
X
X
MMR
12-15
X
Varicella (Chicken Pox)
12-15
X
Influenza
Yearly starting at 6 months
Hepatitis A
12-23 months (2 shots 6-18 months apart)
1. Which of the following is an example of a live attenuated vaccine?
This is why pregnant women should get the varicella vaccine. Pregnant women get tested for varicella antibodies. If they don't have antibodies, then they get the vaccine after they give birth to prevent congenital anomalies.
3. Which of the following vaccines is recommended for children at birth?
3 doses: within 24 hours of birth, at 1 to 2 months, and last dose at 6 to 18 months.
The mother of an 11-month-old baby asks the nurse, "What is the recommended age for the first dose of the varicella vaccine?" What is the best answer by the nurse?
Know your vaccine schedule. Also, in case you did not know, the usually varicella vaccine dose is 0.5 mL. It seems like most vaccines are 0.5 mL/dose. Alwasy remember that you must ask whether the child/client has a history of a reaction prior to administration.
The nurse administers the second varicella vaccine to a 5-year-old child and provides education to the mother about side effects. Which of the following side effects should the nurse include? Select all that apply.
Please select 3 correct answers
Jaundice usually occurs with liver failure. It would not be a side effect but a serious adverse effect. Varicella is not associated with liver failure.
Which of the following are potential side effects of the rotavirus vaccine. Select all that apply.
Please select 3 correct answers
Remember that the age limit for the rotavirus vaccine is 1 year. The age restriction was created by the risk of intussusception. The vaccine is given orally. There are 3 doses of the vaccines and should be given at least 6 weeks apart. Again, rotavirus vaccine is not given to children over 1 year!
Which of the following clients should NOT receive the MMR vaccine?
Please select 3 correct answers
It is a live attentuated vaccine
A child-bearing client receives the MMR vaccine. The nurse should educate the client to use an effective form of birth control for at least which period of time to prevent birth defects?
Only two vaccines can be given during pregnancy: the inactivated flu vaccine and Tdap vaccine.
Which of the following diseases can cause birth defects if contracted during pregnancy? Select all that apply.
Please select 3 correct answers
NCLEX alert: Mumps can cause infertility in males due to mumps orchitis (painful inflammation of the testicles).
The nurse prepares a presentation for a group a nursing students about immunizations. Which of the following points should the nurse include in the presentation? Select all that apply.
Please select 6 correct answers
These are important facts that you should know about vaccines. All are true!