Hb (Hepatitis) Vaccine

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Outline

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

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Concepts Covered:

  • Pregnancy Risks
  • Prenatal Concepts
  • Liver & Gallbladder Disorders
  • Microbiology
  • Newborn Care
  • Labor Complications
  • Postpartum Complications
  • Labor and Delivery
  • Integumentary Disorders
  • Newborn Complications
  • Postpartum Care
  • Fetal Development

Study Plan Lessons

Nutrition in Pregnancy
Antepartum Testing
Discomforts of Pregnancy
Physiological Changes
Hb (Hepatitis) Vaccine
Phytonadione (Vitamin K)
Eye Prophylaxis for Newborn (Erythromycin)
Lung Surfactant
Rh Immune Globulin (Rhogam)
Meds for PPH (postpartum hemorrhage)
Uterine Stimulants (Oxytocin, Pitocin)
Prostaglandins
Opioid Analgesics
Magnesium Sulfate
Betamethasone and Dexamethasone
Tocolytics
Meconium Aspiration
Newborn of HIV+ Mother
Fetal Alcohol Syndrome (FAS)
Addicted Newborn
Erythroblastosis Fetalis
Hyperbilirubinemia (Jaundice)
Retinopathy of Prematurity (ROP)
Transient Tachypnea of Newborn
Babies by Term
Newborn Reflexes
Body System Assessments
Newborn Physical Exam
Initial Care of the Newborn (APGAR)
Postpartum Thrombophlebitis
Subinvolution
Mastitis
Postpartum Hemorrhage (PPH)
Postpartum Hematoma
Breastfeeding
Postpartum Discomforts
Postpartum Interventions
Postpartum Physiological Maternal Changes
Dystocia
Precipitous Labor
Preterm Labor
Abruptio Placentae (Placental abruption)
Placenta Previa
Prolapsed Umbilical Cord
Premature Rupture of the Membranes (PROM)
Obstetrical Procedures
Fetal Heart Monitoring (FHM)
Leopold Maneuvers
Mechanisms of Labor
Process of Labor
Fetal Circulation
Fetal Environment
Fetal Development
Fertilization and Implantation
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Infections in Pregnancy
Incompetent Cervix
Gestational HTN (Hypertension)
Hyperemesis Gravidarum
Hydatidiform Mole (Molar pregnancy)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Ectopic Pregnancy
Disseminated Intravascular Coagulation (DIC)
Gestational Diabetes (GDM)
Chorioamnionitis
Cardiac (Heart) Disease in Pregnancy
Anemia in Pregnancy
Abortion in Nursing: Spontaneous, Induced, and Missed
Maternal Risk Factors
Fundal Height Assessment for Nurses
Signs of Pregnancy (Presumptive, Probable, Positive)
Gravidity and Parity (G&Ps, GTPAL)
Gestation & Nägele’s Rule: Estimating Due Dates
Family Planning & Contraception
Menstrual Cycle
OB Course Introduction