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    A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

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    Discharge Instructions: Taking a Rectal Temperature (Pediatric)

    You take a rectal temperature by placing a thermometer in your baby’s bottom. This method provides the most accurate reading. But do this only when instructed by your baby’s doctor. Use the steps on this sheet as a guide.

    Rectal thermometer showing rectal safety stop to prevent over-insertionn.

    Rectal thermometer showing a digital display.

      Caretaker hold up babies legs and inserting rectal thermometer.

    Get the Thermometer Ready

    • Be sure to use a thermometer that is specifically designed for rectal use.

    • Remove the cover from the thermometer.

    • Wash the thermometer with warm soapy water; then rinse with clear water.

    • Wipe the thermometer dry or let it air dry.

    • Smear a bit of petroleum jelly or water-based lubricant on the tip.

    Find a Comfortable Position for Holding Your Baby

    • Put your baby on his or her back on a firm surface.

    • Hold the baby’s ankles and lift both legs, as if changing a diaper.

    Or

    • Place your baby face down across your lap.

    • Use one hand to part the baby’s buttocks.

    Take the Temperature

    • Follow the specific directions for using your digital thermometer.

    • Gently slip the tip of the thermometer into the rectum (the opening where bowel movements leave baby’s body), no farther than ¼ to ½ inch. Never insert the tip more than ½ inch.

    • Hold the thermometer in place until it beeps.

    • Slide the thermometer out. Read the temperature on the digital display. Normal rectal temperature is about 97.6°F (36.4 °C) to 100.2°F (37.9°C).

    • Before putting the thermometer away, clean it with soap and warm water.

    Follow-Up

    Make a follow-up appointment as directed by our staff.

    When to Call Your Doctor

    Call your doctor right away if your child has any of the following:

    • Bleeding from the area where you took the temperature

    • Fever:

      • In an infant under 3 months old, a rectal temperature of 100.4°F (38.0°C) or higher

      • In a child 3 to 36 months, a rectal temperature of 102°F (39.0°C) or higher

      • In a child of any age who has a temperature of 103°F (39.4°C) or higher

      • A fever that lasts more than 24-hours in a child under 2 years old, or for 3 days in a child 2 years or older 

      • Your child has had a seizure caused by the fever

    • Shaking chills