An 11-year-old girl presents for a routine well-child check
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An 11-year-old girl presents for a routine well-child check

Case # 4

An 11-year-old girl presents for a routine well-child check. Her immunizations are up to date. Her exam is normal and there are no contraindications to giving her vaccines.

1. Which vaccine(s) do you recommend at this visit?

2. The mother is states that she only wants her daughter to have "the one required for school this year but not the others". How should the Nurse Practitioner counsel the mother and the patient?

3. The mother is agreeable to proceed with vaccine administration today. Are additional doses needed? If yes, state which ones and when.

Hint
Management"At 11-12 years old, a preteen should receive routinely recommended vaccines to protect themselves from the following diseases:1. Meningococcal disease (one dose of MenACWY vaccine)2. HPV (two doses of vaccine)3. Tetanus, diphtheria, and whooping cough (pertussis) (one dose of Tdap vaccine)4. Influenza (Flu) (one dose of vaccine every year)Parents should be aware to get routinely check u...

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