Podcast
Questions and Answers
What core body temperature, measured rectally, defines a fever?
What core body temperature, measured rectally, defines a fever?
- Greater than 39°C
- Greater than 38°C (correct)
- Greater than 38.5°C
- Greater than 37.5°C
At what temperature does the risk of brain damage become significant due to fever?
At what temperature does the risk of brain damage become significant due to fever?
- 107°F (correct)
- 110°F
- 102°F
- 104°F
Which method of temperature measurement is considered the most accurate?
Which method of temperature measurement is considered the most accurate?
- Oral
- Tympanic
- Axillary
- Rectal (correct)
Which statement best describes the relationship between the severity of an illness and the height of a fever?
Which statement best describes the relationship between the severity of an illness and the height of a fever?
A parent calls concerned because their 2-year-old has a fever of 100.8°F. What is the most appropriate initial advice?
A parent calls concerned because their 2-year-old has a fever of 100.8°F. What is the most appropriate initial advice?
Why is taking a rectal temperature not recommended in young infants?
Why is taking a rectal temperature not recommended in young infants?
Under what circumstances is it generally agreed that fevers should always be treated?
Under what circumstances is it generally agreed that fevers should always be treated?
Which age group is most appropriate for taking oral temperatures?
Which age group is most appropriate for taking oral temperatures?
A child presents with a fever of 103°F and is also lethargic and difficult to arouse. Which action is most appropriate?
A child presents with a fever of 103°F and is also lethargic and difficult to arouse. Which action is most appropriate?
Which temperature measurement method is generally considered the least accurate for detecting fever?
Which temperature measurement method is generally considered the least accurate for detecting fever?
What is a primary reason why fever is one of the most common reasons for office visits?
What is a primary reason why fever is one of the most common reasons for office visits?
A 6-month-old infant has a fever and the parent is asking for guidance on how to take their temperature. What should you advise against?
A 6-month-old infant has a fever and the parent is asking for guidance on how to take their temperature. What should you advise against?
How does a toddler's normal temperature range differ from that of an adult regarding fever definition?
How does a toddler's normal temperature range differ from that of an adult regarding fever definition?
If a child has a fever but is otherwise active, playful, and eating well, what is the most appropriate initial step?
If a child has a fever but is otherwise active, playful, and eating well, what is the most appropriate initial step?
Which factor is least important when determining the need to treat a fever in a child?
Which factor is least important when determining the need to treat a fever in a child?
What action should be prioritized when a young child presents with a fever accompanied by seizure activity?
What action should be prioritized when a young child presents with a fever accompanied by seizure activity?
What is a key difference in fever management between infants and older children?
What is a key difference in fever management between infants and older children?
A parent is concerned about the potential for brain damage from a fever. What information is most reassuring?
A parent is concerned about the potential for brain damage from a fever. What information is most reassuring?
When assessing a child with a fever, which of the following symptoms would be most concerning and warrant immediate medical evaluation?
When assessing a child with a fever, which of the following symptoms would be most concerning and warrant immediate medical evaluation?
What should be advised against while taking a temperature on an infant?
What should be advised against while taking a temperature on an infant?
Which method of temperature measurement is LEAST likely to be affected by external factors like ambient temperature?
Which method of temperature measurement is LEAST likely to be affected by external factors like ambient temperature?
A 3-year-old has a temperature of 102.5°F but is playing and interacting normally. The parent is anxious about febrile seizures. What is the most appropriate counseling?
A 3-year-old has a temperature of 102.5°F but is playing and interacting normally. The parent is anxious about febrile seizures. What is the most appropriate counseling?
Which statement best illustrates the role of fever as a defense mechanism?
Which statement best illustrates the role of fever as a defense mechanism?
A child has a history of febrile seizures. Which of the following is the most appropriate advice for managing future fevers?
A child has a history of febrile seizures. Which of the following is the most appropriate advice for managing future fevers?
In which clinical scenario is obtaining a rectal temperature most justified despite its unpopularity?
In which clinical scenario is obtaining a rectal temperature most justified despite its unpopularity?
When might a clinician choose NOT to treat a fever in a child?
When might a clinician choose NOT to treat a fever in a child?
Which of the following statements regarding fever is most accurate?
Which of the following statements regarding fever is most accurate?
When a child has a fever, what is the primary goal of antipyretic treatment?
When a child has a fever, what is the primary goal of antipyretic treatment?
What is the single most important factor in deciding whether or not to treat a fever?
What is the single most important factor in deciding whether or not to treat a fever?
A parent is using a home thermometer to check the temperature of their child who is 3 months old. What is the most important instruction to provide regarding the thermometer?
A parent is using a home thermometer to check the temperature of their child who is 3 months old. What is the most important instruction to provide regarding the thermometer?
For a child with a fever, which scenario necessitates immediate medical attention regardless of the temperature?
For a child with a fever, which scenario necessitates immediate medical attention regardless of the temperature?
What is a critical piece of information when counseling parents about managing a child’s fever at home?
What is a critical piece of information when counseling parents about managing a child’s fever at home?
A 5-year-old who can reliably report symptoms has a temperature of 101.5°F. Which approach aligns best with current guidelines?
A 5-year-old who can reliably report symptoms has a temperature of 101.5°F. Which approach aligns best with current guidelines?
An infant has a fever, and the care provider suspects a viral infection. What is the most appropriate course of action?
An infant has a fever, and the care provider suspects a viral infection. What is the most appropriate course of action?
A child had a fever that went away after administering medication, but then returns. How should you respond?
A child had a fever that went away after administering medication, but then returns. How should you respond?
A parent is concerned about the potential for brain damage from a fever. What information is most accurate.
A parent is concerned about the potential for brain damage from a fever. What information is most accurate.
When is it not necessary to treat a fever?
When is it not necessary to treat a fever?
Which of the following is not appropriate for young infants to check their temperature?
Which of the following is not appropriate for young infants to check their temperature?
Flashcards
Fever Definition
Fever Definition
A core body temperature (rectal) greater than 38°C or 100.4°F.
Fever and Illness Severity
Fever and Illness Severity
Although high fevers are concerning, the severity of illness isn't always directly related to the temperature reading.
Rectal Temperature
Rectal Temperature
The most accurate method, but often disliked, especially for children.
Oral Temperature
Oral Temperature
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Axillary, Forehead, Tympanic Temperatures
Axillary, Forehead, Tympanic Temperatures
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Toddler Fevers
Toddler Fevers
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Study Notes
- Fever is defined as a core body (rectal) temperature exceeding 38°C (100.4°F).
- Toddlers can normally have high fevers, around 101°F.
- Brain damage can occur if the body temperature rises above 107°F.
- Fever is one of the most common reasons for office visits.
- The severity of an illness is not always directly related to the height of the fever.
- Treating fevers is not always necessary.
Temperature Checking Locations
- Rectal temperature readings are the most accurate but are also the most disliked method.
- Oral temperature readings can be taken in children older than 4-5 years.
- Axillary (armpit), forehead, and tympanic (ear) temperature readings are less accurate.
- Taking temperatures in young infants should not be done (the method is not specified in the text).
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