12.12 Hb (Hepatitis) Vaccine

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.

• Hepatitis B vaccine
• Hepatitis B immunoglobulin
• Immediate bath
• Eye prophylaxis
• Phytonadione prior to the bath

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?

• “This is the second shot in a series of three”
• “Your newborn’s lab work showed no immunity to hepatitis B and requires another vaccine”
• “They do not receive this at the hospital so we need administer it here”
• “Ok, we will call and get the records faxed over”

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

• Subcutaneous
• IM injection
• Eye drops
• IV administration

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.

• Educate the client on the risks
• Offer a medication information sheet
• Document the refusal
• Explain it is a state law to receive this medication
• Have the client sign a refusal form

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

• Vastus lateralis
• Gluteus maximus
• Deltoid
• Biceps