A child missed the scheduled 10-week vaccination visit and returns at 16 weeks with no vaccination card. Which principle should guide the nurse?
Correct answer: C. Assess records and continue catch-up without restarting valid doses
- A. Restart the entire vaccination series
- B. Give only vaccines due after one year
- C. Assess records and continue catch-up without restarting valid doses
- D. Wait until the next national immunisation campaign
Explanation
In general, a delayed vaccination series does not need to be restarted. The nurse should verify available records, assess the child, and provide the appropriate catch-up doses while observing minimum age and interval requirements.
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About Immunisation and EPI
Immunisation covers active and passive immunity, vaccine types, routine childhood schedules under Pakistan’s Expanded Programme on Immunization, administration routes and age-based timing. It also includes cold-chain maintenance, contraindications, adverse events following immunisation, missed doses and the distinction between vaccine protection and treatment of an established infection.
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