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timeline for preventive services, also known as well-child checks.
For detailed information on these screenings and the timeline,
access the following links:
B. Well-checks are important in promoting health early in childhood
and preventing diseases later in life. Childhood obesity, type 2
diabetes mellitus, and hyperlipidemia are noted to have an
increased incidence in recent years. See Chapters 32 and 36 for
more information on these problems.
https://brightfutures.aap.org/Pages/default.aspxhttps://www.aap.org/en-
us/Documents/periodicity_schedule.pdf
VIII. Immunizations

A. Guidelines (see Priority Nursing Actions)

Priority Nursing Actions

Administering a Parenteral Vaccine
1. Verify the prescription for the vaccine.
2. Obtain an immunization history from the parents and assess for allergies.
3. Provide information to the parents about the vaccine.
4. Obtain parental consent.
5. Check the lot number and expiration date and prepare the injection.
6. Select the appropriate site for administration.
7. Administer the vaccine.
8. Document the administration and site of administration and lot number and
expiration date of the vaccine.
9. Provide a vaccination record to the parents.

Reference

Hockenberry. Wilson, Rodgers. 2017;151–169.

1. Immunizations are an important aspect of health
promotion during childhood.
2. In the United States, the recommended age for
beginning primary immunizations of infants is at
birth.
3. Children who began primary immunizations at the
recommended age but failed to receive all required
doses do not need to begin the series again; they need
to receive only the missed doses.
4. If there is suspicion that the parent will not bring the
child to the pediatrician or health care clinic for
follow-up immunizations according to the optimal
immunization schedule, any of the recommended
vaccines can be administered simultaneously.
B. General contraindications and precautions
1. A vaccine is contraindicated if the child experienced

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