Substitutive milk is used when milk supply by breast is inadequate.

Correct Answer: A

Rationale: Substitutive milk (formula) supplements or replaces breast milk when supply is inadequate, making Option A true.

Correct Answer: A

Rationale: The rotavirus vaccine (e.g., RotaTeq or Rotarix) is a live attenuated vaccine administered orally to infants to prevent rotavirus gastroenteritis. Choice B (Hepatitis B) is a recombinant subunit vaccine (inactivated), Choice C (Rabies) is an inactivated vaccine, and Choice D (Pneumococcal, e.g., PCV13 or PPSV23) is also inactivated. Only rotavirus among these is a live vaccine.

Correct Answer: C

Rationale: An itchy, raised rash (urticaria or hives) is an early cutaneous sign of anaphylaxis, often appearing within minutes of exposure to an allergen (e.g., vaccine component). It reflects histamine release from mast cells. Choice A (throat swelling) and B (wheezing) are also signs of anaphylaxis but typically develop later as the reaction progresses to airway involvement. Choice D (redness at injection site) is a common, benign local reaction, not indicative of anaphylaxis.

Correct Answer: C

Rationale: Pertussis (whooping cough) requires a booster in adulthood via the Tdap vaccine, recommended at age 11-12, then every 10 years (or during pregnancy), due to waning immunity from the childhood DTaP series. Mumps and varicella (via MMR and varicella vaccines) typically confer lifelong immunity with two doses in childhood, and polio does not require routine adult boosters in the US since it’s eradicated there, though travelers may need one. Pertussis is the standard adult booster.

Correct Answer: C

Rationale: Immunization records typically include the vaccine type, administration date (Choice D), body location (Choice A, e.g., left deltoid), and client identifiers like name, address, and date of birth (Choice B), per CDC and WHO standards. The provider’s date of birth (Choice C) is not required; the provider’s name or identifier is sufficient for accountability, making it the exception.