Page 556 - Saunders Comprehensive Review For NCLEX-RN

2. Contraindications: Severe allergic reaction to a
previous dose or vaccine component (gelatin,
neomycin, eggs), pregnancy, known
immunodeficiency
3. If the child received immunoglobulin, the MMR
vaccine should be postponed for at least 3 to 6 months
(immunoglobulin can inhibit the immune response to
the MMR vaccine).
I. Varicella vaccine
1. It is administered by the subcutaneous route.
2. Children receiving the vaccine should avoid aspirin or
aspirin-containing products because of the risk of
Reye’s syndrome.
3. Contraindications: Severe allergic reaction to a
previous dose or vaccine component (gelatin, bovine
albumin, neomycin), significant suppression of
cellular immunity, pregnancy
J. Pneumococcal conjugate vaccine (PCV)
1. PCV prevents infection with Streptococcus pneumoniae,
which may cause meningitis, pneumonia, septicemia,
sinusitis, and otitis media.
2. It is administered by the intramuscular route.
3. Contraindications: Severe allergic reaction to a
previous dose or vaccine component
K. Hepatitis A vaccine (HepA)
1. It is administered by the intramuscular route.
2. Contraindications: Severe allergic reaction to a
previous dose or vaccine component
L. Meningococcal vaccine (MCV)
1. Vaccine protects against Neisseria meningitidis.
2. MCV4 is the preferred type of vaccine and is given
intramuscularly.
3. MCV4 should be administered to all children at age 11
to 12 years and to unvaccinated adolescents at high
school entry (age 15 years); all college freshmen living
in dormitories should be vaccinated.
4. Revaccination is recommended for children who
remain at increased risk after 3 years (if the first dose
was administered at age 2 to 6 years) or after 5 years
(if the first dose was administered at age 7 years or
older).
5. It is contraindicated in children with a history of
Guillain-Barré syndrome.
M. Human papillomavirus vaccine (HPV)
1. Depending on the type of vaccine used (HPV2 or
HPV4), the HPV vaccine guards against diseases that
are caused by HPV types 6, 11, 16, and 18, such as
cervical cancer, cervical abnormalities that can lead to

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