12.12 Hb (Hepatitis) Vaccine

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Overview

  1. Hepatitis B vaccine
  2. Abbreviated as Hb vaccine or HBV (not to be confused with HPV)

Nursing Points

General

  1. Recommended by CDC to be given in first 12 hours of life
  2. IM injection
  3. If mother already has Hepatitis B, then Hep B immune globulin also needs to be given

Nursing Considerations

  1. Obtain consent
  2. Give IM injection in lateral side of middle 3rd of vastus lateralis muscle
  3. Document per policy
    1. Typically includes documenting in hospital chart and providing a card to the parents for their records

Patient Education

  1. Educate importance and need
  2. If they want to refuse; follow hospital policy and document appropriately

Reference Links

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  • Question 1 of 5

The hepatitis B vaccine is being administered to a newborn the night before discharge. Which injection site should be used?

  • Question 2 of 5

The nurse is preparing to administer the hepatitis B vaccine to a newborn. By what route is this administered?

  • Question 3 of 5

The nurse is caring for a pregnant client who is hepatitis B positive and is about to deliver. The nurse knows that which of the following should be part of this newborn’s care? Select all that apply.

  • Question 4 of 5

The nurse is caring for a postpartum mother who refuses the hepatitis B vaccine for her newborn. Which of the following is a correct response from the nurse? Select all that apply.

  • Question 5 of 5

A newborn received the hepatitis B vaccine prior to discharge. The mother follows up with the neonate’s pediatrician 4 weeks later for a newborn check up. The clinic nurse explains that they will be giving the hepatitis B vaccine. The mother responds that her child already received that at the hospital. Which of the following responses by the nurse is true?

Module 0 – OB Course Introduction

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