Measuring a Baby's Temperature

Where should a baby's temperature be taken?

Most physicians recommend taking a baby's temperature rectally, by placing a thermometer in the baby's anus. This method is accurate and gives a quick reading of the baby's internal temperature. Axillary (underarm) temperature measurements must be held in place for 10 minutes. The tympanic (ear) type thermometers may not be accurate for newborns and require careful positioning to get an accurate reading. Skin strips that are pressed on the skin to measure temperature are not recommended for babies. Touching a baby's skin can let you know if he/she is warm or cool but you cannot measure body temperature simply by touch.

Preparing the thermometer:

There are different instructions depending upon which type of thermometer you are using to take your baby's temperature. Be sure to follow the instructions for each carefully.

• mercury in glass thermometers:
  
  • Check the thermometer carefully for cracks or splinters. If broken, do not use. Do not touch mercury and dispose of properly.
    
  • Disinfect the thermometer with rubbing alcohol or an antiseptic solution.
    
  • Rinse well in cool, not hot water.
    
  • Hold the thermometer on the opposite end of the bulb between your thumb and fingers.
    
  • Hold the thermometer just below your eye level to read it.
    
  • Roll the thermometer until you can see the line of mercury.
    
  • Make sure the temperature reads below 96° F.
    
  • If the reading is higher, use quick, whip-like movements of your wrist to shake the mercury down.
    
  • Shake over a bed or carpet. This helps prevent the thermometer from breaking if you accidentally drop it while shaking it.
    
  • Lubricate the thermometer bulb with a water-soluble lubricant or petroleum jelly.
    
• electronic digital thermometers:
  
  • Place a disposable sheath over the thermometer.
  • Zero or reset the thermometer.
  • Lubricate the insertion end with a water-soluble lubricant.

Taking the baby's rectal temperature:

Oral and rectal mercury thermometers have different shapes and one should not be substituted for the other. Do not use oral thermometers rectally as these can cause injury. Rectal thermometers have a security bulb designed specifically for safely taking rectal temperatures.

• Place the baby across your lap or changing table, on his/her abdomen, facing down. Place your hand nearest the baby's head on his or her lower back and separate the baby's buttocks with your thumb and forefinger.
  
• Using your other hand, gently insert the lubricated bulb end of the thermometer one-half to one inch, or just past the anal sphincter muscle.
  
• The thermometer should be pointed towards the child's navel.
  
• Hold the thermometer with one hand on the baby's buttocks so the thermometer will move with the baby. Use the other hand to comfort the baby and prevent moving.
  
• Never leave a baby unattended with a rectal thermometer inserted. Movement or a change in position can cause the thermometer to break.
  
• Hold thermometer for at least two minutes or until an electronic thermometer beeps or signals.
  
• Remove the thermometer.
  
• Wipe the bulb.
  
• Read immediately and record.
  
• Disinfect the thermometer with rubbing alcohol or an antiseptic solution.

If a baby's temperature is 100.4° F or higher, make sure he/she is not dressed too warmly or over bundled with blankets. Crying may also raise a baby's temperature. Retake the baby's temperature again in about 30 minutes. If the temperature is still high, call your baby's physician immediately.

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