Family Nurse Practitioner Exam

What immunizations are indicated for a 4-year-old child who had chickenpox 1 year ago?

1. IPV, Hib (hemophilus influenzae type B), hepatitis B

2. IPV, Hib, MMR

3. DTaP, IPV, MMR, hepatitis B

4. DTaP, IPV

The correct answer is: DTaP, IPV

For a 4-year-old child who had chickenpox 1 year ago, the appropriate immunizations indicated include DTaP (Diphtheria, Tetanus, and Pertussis) and IPV (Inactivated Poliovirus Vaccine). At this age, children typically receive their fourth dose of DTaP and their third dose of IPV, which are essential components of the routine immunization schedule. Additionally, since this child already had chickenpox, they are not required to receive the varicella vaccine at this time, which is often included in immunization schedules for children who have not had the disease. The MMR (Measles, Mumps, and Rubella) vaccine is also usually administered around this age, but since it is not listed in the selected answer, the focus remains on the relevance of DTaP and IPV for a child at this developmental stage. In this scenario, the inclusion of hepatitis B immunization would typically be completed earlier in childhood, often by the time a child is 2 months old through a series of three doses. Thus, it is not necessary to include it among the immunizations for a 4-year-old who is likely already up to date. The other answer choices, although they mention