Page 580 - Saunders Comprehensive Review For NCLEX-RN

11-12 years: MMR (if not administered at 4-6 years); diphtheria, tetanus,
acellular pertussis adolescent preparation (Tdap); meningococcal vaccine
(MCV4) with a booster at age 16 years; human papillomavirus (HPV) (first
dose to girls at age 11 to 12 years, second dose 2 months after first dose, and
third dose 6 months after first dose)

Updated yearly. See Centers for Disease Control and Prevention (CDC) Web site
at http://www.cdc.gov/vaccines/schedules/index.html for current schedule.
Note: Influenza vaccine is recommended annually for children beginning at age 6
months.

From Centers for Disease Control and Prevention (CDC): Immunization schedules,
Atlanta, 2018, CDC. Available at http://www.cdc.gov/vaccines/schedules/index.html.

Box 18-6
Vital Signs: Newborn and 1-Year-Old Infant

Newborn

Temperature: Axillary, 96.8° F to 99.0° F (36° C to 37.2° C)
Apical Heart Rate: 120-160 beats per minute
Respirations: 30-60 (average 40) breaths per minute
Blood Pressure: 80-90/40-50 mm Hg

1-Year-Old Infant

Temperature: Axillary, 97° F to 99° F (36.1° C to 37.2° C)
Apical Heart Rate: 90-130 beats per minute
Respirations: 20-40 breaths per minute
Blood Pressure: 90/56 mm Hg

Box 18-7

Infant Skills

2 to 3 Months

▪ Smiles
▪ Turns head side to side

▪ Follows objects
▪ Holds head in midline

4 to 5 Months

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