Absolute contraindications for pediatric immunizations would include which of the following?

Correct Answer: C

Rationale: Anaphylaxis to a prior vaccine dose is an absolute contraindication, as it indicates a severe hypersensitivity that could recur, risking death. Choice A (local reaction) and D (mild illness) are not contraindications; vaccination can proceed unless fever is moderate/severe. Choice B (febrile seizure) is a precaution for certain vaccines (e.g., MMR), not an absolute bar.

Correct Answer: A

Rationale: Swelling and tenderness at the injection site are common, expected side effects of DTaP, occurring in about 20-40% of recipients due to local inflammation from the vaccine antigens and adjuvants, per CDC data. Fever (Choice B) occurs but is less common (<10%) and rarely reaches 103°F. Continual crying (Choice C) and limpness (Choice D) are rare, severe reactions, not typical.

Correct Answer: D

Rationale: Monitoring and supportive care (e.g., hydration) is primary to assess fever cause (AAP). Antibiotics (Choice A) are for infections, antipyretics (Choice B) are secondary, and cold baths (Choice C) are outdated.

Correct Answer: A

Rationale: MMR, a live vaccine, is given at 12-15 months (CDC), not 6 months, due to maternal antibody interference. Hib, DTaP, and IPV are routine at 6 months.

Correct Answer: C

Rationale: Glucagon raises blood glucose in severe hypoglycemia (ADA). Insulin (Choices A, B) worsens it; metformin (Choice D) is for type 2 diabetes.