(Solution) NR 602 Week 3 Immunization Case Study



The purpose of this assignment is to familiarize the student with the most recent guidelines and recommendations for vaccine-preventable illnesses in the United States.

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

  1. Identify vaccines available in the US market for vaccine-preventable disease and describe their features.
  2. Identify contraindications and precautions for the use of vaccines available.
  3. Use recommendations from the Advisory Committee on Immunization Practice (ACIP) to identify target groups for receipt of each vaccine.


  1. The Immunization assignment is worth 100 points and will … on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
  2. Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer when creating your assignment.
  3. Follow the directions below and the grading criteria located in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
  4. The length of the paper should be 2-3 pages, excluding title page and reference page(s). The title and reference pages should be in APA format.
  5. Vaccination schedules should … directly from the Centers for Disease Control and Prevention: Resources for Healthcare Providers website and reflect the most current recommendations from the Advisory Committee on Immunization Practices (ACIP). Additional scholarly resources may be used and all sources must be cited appropriately.

Following the directions above, answer each of the following case scenario questions:

Case # 1

You are rotating in the newborn nursery. Your next admission is a term newborn born at 3.5 kg, and all maternal labs are negative. The infant’s exam is normal.

  1. What vaccine(s) should she receive and why?
  2. … would you do if the mother tested positive for Hepatitis B?
  3. What would you do if the mother’s Hepatitis B status was unknown?

Case # 2

Your first patient in primary care clinic is a healthy 2-month-old. She received Hep B #1 in the nursery. She is a term infant and parents have no concerns. Her exam is normal and there are no contraindications to giving her vaccines.

  1. Which vaccines should the child receive at this visit?
  2. When should she return and which ones would you administer at the next visit?
  3. Which vaccination combinations can … to minimize the number of needle injections, if available?

Case # 3

A healthy 5-year-old comes in with her mother for a well-child check in November. Her routine vaccines are up to date through 2 years old, but she has never received a vaccine for influenza. Her exam is normal.

  1. Which vaccines do you recommend at this visit?
  2. What anticipatory guidance should … given for a child receiving a flu vaccine at this age?
  3. Are there any contraindications for the vaccines that you recommended today?

Case # 4

An 11-year-old girl presents for a routine well-child check. Her immunizations are up to date. Her exam is normal and there are no contraindications to giving her vaccines.

  1. Which vaccine(s) do you recommend at this visit?
  2. The mother is states that she only wants her daughter to have “the one … for school this year but not the others”. How should the Nurse Practitioner counsel the mother and the patient?
  3. The mother is agreeable to proceed with vaccine administration today. Are additional doses needed? If yes, state which ones….


The purpose of this assignment is to explore and identify vaccines available in the United States for preventable diseases, understanding contraindications, precautions and recommendations from the Advisory Committee on Immunization Practice (ACIP). This paper will discuss 4 case studies related to childhood immunizations.

Case Study 1

The first admission is a term newborn at 3.5 kg with normal labs and normal infant exam.

The recommended vaccine that the newborn should receive is the Hepatitis B (Hep B) vaccine within the first 24 hours (CDC, 2019a). The 3-dose series should be initiated with a single dose antigen Hep B only as the first dose. The final dose should not be given before the baby reaches 24 weeks old (CDC, 2019a). This vaccine protects from Hep B and others positive with the disease, because children who have Hep B do not present with signs or symptoms. This vaccine also prevents the child from developing liver disease or cancers stemming from Hep B (CDC, 2019a).

If mother was tested positive for Hep B there are other precautions that must be taken to protect the child. The recommended Hep B vaccine would still be administered as well as the Hepatitis B Immunoglobulin (HBIG) would be given within the first 12 hours of birth (CDC, 2019a). These injections would be administered at two different locations (separate extremities). A serologic test for anti-HB + HBsAg after the completion of the vaccine series between 9-12 months or during the next well visit after series is complete. Do not attempt serologic testing prior to 9 months because it may indicate passive anti-HB and HBIG administered from birth (CDC, 2019a). If the child comes back negative for their follow up serologic testing and the anti- HB level is ≤ 10 mIU/mL, then the child is protected and does not need further management.….please click the purchase button below to access the entire solution at $15