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How to take a baby's axillary temperature

by Jenny Curran

Created on: December 01, 2007

If you've ever put on deoderant, you can do this.

First, you will need a regular, 3-4 inch old-fahioned oral thermometer. Lift your baby's arm and place the tip of your thermometer at the midpoint of the armpit. Hold the thermometer closed in his armpit by placing his elbow to his ribcage for a good minute or two for a more accurate reading. This is a good time to pick him up and cuddle him, though he may fight you and wiggle if he has a fever.

Some of the newer thermometers feature a digital readout and beep when they're done. Some flash the final reading once it's been determined. If yours doesn't, locate yourself near a clock or just count by watching the second hand on your watch. I always liked to give it at least a full minute when using an older, non-beeping version. Start bouncing and cooing for distraction purposes while you're watching the clock. It will distract you and your baby.

The main thing you need to remember on an axillary reading is that you'll need to add one degree to make it equivalent to an oral reading. Likewise, if you're successful at getting a rectal reading, remember to subtract one degree Farenheit. It will help your doctor or nurse if you specify the area from which you got your reading, because they already know the difference.

Do not use tympanic (ear) thermometers for any reading except tympanics. Always use your least invasive route, and remember that infants do not comprehend directions and children won't stay still for very long. Tympanics are a wonderful thing, in that respect. By comparison, the readings register faster. Anything quicker and less invasive is preferrable when dealing with children.

Thermometers are available at most drug stores, and are more affordable than you think. You can probably pick up a basic model for under $15, and it is a must if you have a child.

Remember to wipe down your older, glass models with alcohol between uses. Discard and change your probe covers on the newer models that come with them.

Learn more about this author, Jenny Curran.
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