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RN Nursing · Immunizations · Practice question

A nurse in a provider's office is preparing immunizations for a 2-month-old infant. Which of the following immunizations should the nurse plan to administer?

Answer & explanation

Correct: Hepatitis B

The recommended immunization schedule in the United States, as published by the CDC and the Advisory Committee on Immunization Practices (ACIP), specifies which vaccines are given at the 2-month well-child visit. At 2 months of age, infants should receive DTaP (diphtheria, tetanus, acellular pertussis), Hib (Haemophilus influenzae type b), IPV (inactivated poliovirus), PCV15 or PCV20 (pneumococcal conjugate), RV (rotavirus), and the second dose of Hepatitis B. The first dose of Hepatitis B is given at birth, and the second dose is due at 1 to 2 months, making Hepatitis B the correct answer here. Hepatitis A vaccine is not given until 12 to 23 months of age. Influenza vaccine is recommended starting at 6 months of age and is given annually thereafter; it is not scheduled at 2 months. Varicella vaccine is not given until 12 to 15 months of age. Because the 2-month schedule includes a Hepatitis B dose and does not include Hepatitis A, influenza, or varicella, Hepatitis B is the only correct answer among the choices provided. Familiarity with the pediatric immunization schedule is essential for safe nursing practice.

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