Pediatrics Question #17

Question

An infant is being discharged from the pediatric unit after having a febrile seizure. Which
teaching is most appropriate to give to a parent about management of fever in the future? (Select all that apply.)

Answers

  1. “Administer aspirin or ibuprofen to control fever.”
    • Rationale:
  2. “Apply cool, damp compresses to the forehead to reduce fever.”
    • Rationale:
  3. “Have minimal clothing on the infant to help reduce fever.”
    • Rationale:
  4. “Place ice bags under the arms of the infant to reduce fever.”
    • Rationale:
  5. “Place the infant in a safe environment in case of recurrence.”
    • Rationale:

Overview

Explanation

The correct answers are B, C, and E. Applying a cool, damp compress on the infant’s head can draw the fever out and help the infant to rest. Infants cannot regulate their temperature well and it is harder for them to cool down when overheated with multiple layers. Minimal clothing will help decrease the body temperature.To ensure safety, strap the infant in the chair when feeding. Bathe them with a shallow bowl instead of in a tub and change them on the floor instead of a bed or changing table. Do not put anything in the infant’s mouth during a seizure. Infants should not be given aspirin as it has been linked to Reye’s syndrome and ibuprofen should not be administered to infants younger than 6 months without health care provider instructions. Placing ice bags under the arms of the infant does the opposite. Shivering is a reply to being cold. The body registers the cold exposure and tries to warm up. The shaking movement promotes friction that, in turn, produces heat. Shivering works to raise the body temperature. Therefore, exposing an infant to ice packs may raise the temperature even further when the baby starts to shiver.

Learning Outcomes

Test Taking Tip

Video Rationale