The vaccine given at the age of 5 years is

RUHS, Jaipur, M.Sc Nursing Entrance Exam-2024

Child Health Nursing (Pediatrics)

Easy

Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2024

Explanation

The question asks for the vaccine administered at 5 years of age, which corresponds to the timing of a second booster dose.
Among the given choices, DT (Diphtheria and Tetanus) is the correct answer. It serves as a booster dose to maintain immunity.
The other options (DPT 1st, 2nd, and 3rd doses) are part of the primary vaccination series given to infants, not 5-year-old children.
While the current National Immunization Schedule (NIS) specifies a DPT booster at 5-6 years, DT was historically used and is still used if the pertussis component is contraindicated, making it the only plausible choice.

Option A: This is the first of three primary doses given to infants to build initial immunity.
Option B: This is the second dose in the primary infant immunization series.
Option D: This is the third and final dose of the primary infant immunization series.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The concept tested is the knowledge of the National Immunization Schedule (NIS) in India, specifically focusing on the booster doses for Diphtheria, Pertussis, and Tetanus as background academic context rather than a clinical decision trigger.
Adhering to the immunization schedule, including all booster doses, is crucial for maintaining long-term protection against vaccine-preventable diseases like diphtheria, tetanus, and pertussis.
Nurses play a vital role in educating parents about the importance of completing the entire vaccination series, the schedule for booster doses, and addressing any concerns about vaccine side effects.
What if? If a child presents at age 7 having missed the 5-year booster, they should receive a catch-up dose as soon as possible. The specific vaccine (e.g., Tdap) would depend on their complete vaccination history and current public health guidelines.

How to Approach the Question

First, identify the key information in the question: the vaccine is for a child aged '5 years'.
Recall the National Immunization Schedule. A 5-year-old is due for a booster dose, not the primary series of vaccinations.
Examine the options provided. DPT-1st, 2nd, and 3rd doses are all part of the primary series given to infants.
Eliminate the options related to the primary series (DPT 1st, 2nd, and 3rd doses) as they are incorrect for a 5-year-old.
The only remaining option is 'DT', which represents a booster vaccine for Diphtheria and Tetanus. Conclude that this is the most logical answer among the choices.

Concept Tested & Keywords

Concept Tested: The concept tested is the knowledge of the National Immunization Schedule (NIS) in India, specifically focusing on the booster doses for Diphtheria, Pertussis, and Tetanus.
Stem keywords: vaccine, age of 5 years
Lead-in keywords: is

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