Vaccine Defense
What is a mild acute illness *(like a low-grade fever, mild cold, or otitits media?
This is the type of acute illness that is considerated a common misconception NOT a true contraindication to giving a vaccine.
What are honey-colored crusts?
This is the highly descriptive type of supervicial skin crusting associated with an impetigo infection.
What is C. dif (clostridioides difficile)?
This is a spore-forming diarrheal pathogen which requires only handwashing - no gels or foam.
What is People First Language?
This is the practice of prioritizing a humn being over his diagnosis, such as saying 'a child with Downs Syndrome' instead of a Downs Sydrome child.
What is Pediatric Pallitive Care?
Unlike hospiec, this type of care is introduced right at the time of a complex chronic diagnosis and allows concurrent curative treatments.
What are the MMR and Varicella vaccines?
These two specific live vaccines should never be given to a patient who is severely immunocompromised or pregnant.
What is diptheria?
A bacterial respiratory disease that features a dense, grey pseudomembrane over the tonsils and a distinct 'bull's neck' appearance.
What is the 'Tape Test" (pressing clear tape against the perianal skin.)
This is the step by step diagnostic test parents must perform first thing in the morning to catch a pinworm infestation.
What is normalization?
This term describes the intentional, creative efforts a family makes to weave complex medical routines into everyday life to maintain a sense of routine.
What is a 'Death rattle' (terminal congestion)?
This common terminal sound is caused by pooled scretions and should be treated gently with sublingual atropine or scopolamine rather than deep suctioning.
What is VAERS (Vaccine Adverse Event Reporting System)?
National reporting system where nurse must document and report any suspected adverse events or reactions following a vaccine.
What are Koplik spots?
These tiny, bluish-white spots appear on the buccal mucosa opposite the molars and are the absolute diagnostic hallmark of measles (rubeola).
What are head nits (eggs)?
These are the silver-white oval structures that are firmly cemented to the hair shaft close to the scale, distinguishing fthem from dandruff.
What is chronic sorrow?
The cyclical, rrecurring sadness peaks for parents when their chronically ill child misses major develpmental or social milestones over time.
What is the pre-school age (3-5 years old?) viewpoint on end of life - magical thinking?
Pre-schoolers engage in magical thinking and view death as temporary, reversible, and similar to sleeping.
What is 'vaccinating based on a child's chronological age (not gestational age.)
This is the correct, chronologically based rule for administering vaccines to an infant who was born prematurely.
What is Scaralet Fever?
This condition features a bright red 'strawberry tongue' and a systemic sandpaper textured rash in response to a strep throat infection.
What is an Airborne Infection Isolation Room (AIIR) and an N95 mask?
This is the specific type of negative-pressure room environment and the specific mask required for a nurse caring for a child with measles or TB.
Who are the siblings of chronically ill children?(shadow children)
These siblings are referred to a 'shadow children' because they are highly vulnerable to internalized guilt, resentment, or early parentification.
What is legacy building (or memory making?) Give examples.
Plaster handprints, locks of hair keepsakes and fingerprint jewlry are eamples of this vital practice.
What are neomycin, yeast, and gelatin?
These are three specific chemical or food components found in certain vaccines that a nuse should screen for severe allergic histories before administration.
What is the presence of lesions in multiple stages simulataneously? (macules, papules, vesicles, and crusts?)
This is the defining clinical hallmark of chickenpox (varicella)
What is Scabies?
This parasitic skin condition presents with linear skin burrows in the finger webs and requires a top-to-bottom application of permethrin 5% cream left on for 8 to 14 hours.
What is maximizing the child's optimal development and potential for independence?
Unlike the medical model which seeks to fix a specific deict, this is the primary goal of nursing care when supporting a child with a permanent develoipmental disability.
What is the adolescent's view on death?
Underrstand it like an adult, but often reacts with oprofound anger because it threatens their emerging independence and identity.