1. The Immunization assignment is worth 100 points and will be graded 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
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 be obtained 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
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. What 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?
Immunizations Case Study Assignment
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 be used 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 be given for a child receiving a flu vaccine at this
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 required 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 and when.
Case # 1
Upon birth, a newborn should receive a dose of vaccine to help protect against the disease. In the case of a newborn weighing 3.5kg, she should receive the first dose of Hepatitis B first dose within the first 12 hours of birth (Centers for Disease Control and Prevention, 2020). The rationale for this vaccine is to help protect the baby from the mother or the family members who may be infected with hepatitis B.
In case the mother tested positive for Hepatitis B, I would administer additional medicine, hepatitis B immune globin (HBIG), which can help in enhancing the immune system of the baby. This should be administered as soon as possible and not later than 7days. A study by Machaira, Papaevangelou, Vouloumanou, Tansarli, and Falagas (2015) reported that a combination of the hepatitis B vaccine and HBIG within the first 24 hours minimizes the risk of chronic HB infection to 10-15%……Please click the icon below to purchase full solution at $10