RUHS, Jaipur, PB B.Sc Nursing Entrance-2023
Community Health Nursing
Easy

Vaccine given at birth are -

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

Explanation

  • According to India's National Immunization Schedule (NIS), three vaccines are mandated for administration at birth.
  • These are the Bacillus Calmette-Guérin (BCG) vaccine for tuberculosis protection, the zero dose of the Oral Polio Vaccine (OPV-0) for poliomyelitis, and the birth dose of the Hepatitis B vaccine to prevent perinatal transmission.
  • This combination ensures that newborns receive critical, early protection against these serious diseases.

Why Other Options Were Wrong

  • Option B: This option incorrectly includes the Rotavirus Vaccine (RVV).
  • Option C: The Pentavalent vaccine is a combination vaccine that is not administered at birth.
  • Option D: This option is incorrect because it includes the Rotavirus Vaccine (RVV), which is not given at birth, and omits the mandatory OPV and Hepatitis B vaccines.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Knowledge of the National Immunization Schedule (NIS) for vaccines administered at birth as background academic context rather than a clinical decision trigger.
  • A nurse's primary role includes accurate administration, documentation, and parental education regarding the immunization schedule to ensure high compliance and public health.
  • Timely administration of the Hepatitis B birth dose, ideally within 24 hours, is critical in preventing mother-to-child transmission of the Hepatitis B virus.
  • Nurses must be aware of contraindications and special considerations, such as for low-birth-weight or preterm infants.
How to Approach the Question
  • First, identify the core of the question, which is asking for the specific set of vaccines administered 'at birth'.
  • Second, access your knowledge of the National Immunization Schedule (NIS) for India, a fundamental topic in community health nursing.
  • Third, systematically evaluate each option against the NIS schedule for the 'at birth' time point.
  • Option A (BCG, OPV, Hepatitis B) directly matches the 'at birth' schedule.
  • Options B and D incorrectly include Rotavirus Vaccine (RVV), and Option C (Pentavalent) is also for a later age. This process of elimination confirms Option A is the only correct choice.
Concept Tested & Keywords
  • Concept Tested: Knowledge of the National Immunization Schedule (NIS) for vaccines administered at birth.
  • Stem keywords: Vaccine, birth
  • Lead-in keywords: BEST, MOST RELEVANT CLUE
  • Negative lead-in flag: false

Question ID

QxHXGF1wlRNiZdtV41zH0-

Reference Book

E6 Comprehensive Textbook of Community Health NursingShyamala D part 1 (pp 26-389 of 389) p. 37-39

E6 Pharmacology KD Tripathi Essentials 9e Part 3 p. 292-294

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 806-808

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