Discharge Instructions: Taking an Axillary Temperature (Pediatric)
You take an axillary (armpit) temperature by holding the thermometer under your baby’s arm for 4 to 5 minutes. Do this with care to get a correct reading. Remember, though, that taking a child’s temperature under the arm is less accurate than taking the temperature in the rectum, especially for babies less than 3 months old.
Get the thermometer ready
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Be sure to use a thermometer that is made only for underarm use.
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Remove the cover from the thermometer.
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Clean the thermometer before each use.
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Be sure the thermometer is at room temperature when you use it.
Position your baby
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Hold your baby on your lap or lay the baby on his or her back on a firm surface.
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Gently lift your baby’s arm.
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Place the tip of the thermometer in the fold of the baby’s armpit. To get a true reading, the thermometer must rest directly against baby’s skin on all sides.
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Lower the arm back down to your baby’s side.
Take the temperature
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Follow the specific instructions for using your digital thermometer.
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Keep your baby’s arm against his or her side for 4 to 5 minutes. This keeps the thermometer in place and gives an accurate reading.
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When the thermometer beeps, remove it and read the temperature on the display.
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Normal axillary temperature is about 97.6°F (36.4°C) to 99.4°F (37.4°C). An axillary temperature is often 1 degree lower than oral or rectal temperatures. So it can help you gauge whether your child may have a fever. But it's not the most reliable at any age.
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Before putting the thermometer away, clean it with soap and warm water. Then put the cover back on.
Follow-up
Make a follow-up appointment as directed by our staff.
When to call your baby's healthcare provider
Call your baby's healthcare provider right away if he or she has any of the following:
- Bleeding from the area where you took the temperature
- Fever of 100°F (37.7°C) or higher for a temperature taken under the arm (for baby younger than 3 months). Or a fever that rises to 104°F (40°C) for a child of any age.
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