Which vaccine is contraindicated for children with a history of encephalopathy?

Prepare for the ATI Nursing Care of Children Exam. Utilize flashcards and multiple-choice questions, each with hints and explanations. Equip yourself for success!

The DTP (Diphtheria, Tetanus, and Pertussis) vaccine is contraindicated for children with a history of encephalopathy because there is a documented association between the DTP vaccine and rare cases of neurological complications, including encephalopathy. This vaccine is known to cause high fevers and severe reactions in some children, which can increase the risk of neurological adverse effects.

In cases where a child has previously experienced encephalopathy within 7 days following administration of the DTP vaccine, administering it again could potentially exacerbate any underlying neurological issues. Thus, these children are typically recommended to receive the Td (Tetanus-Diphtheria) or Tdap (Tetanus-Diphtheria-Pertussis) vaccine instead, as they carry a lower risk of neurological adverse effects.

The other vaccines listed, such as the Rotavirus, Polio, and Hepatitis A vaccines, do not have the same contraindications related to a history of encephalopathy and are generally considered safe for administration in children with such a medical history.

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