
Fevers are common in young children and usually nothing to worry about, but it can be challenging to know when to seek medical advice. This guide will help you understand what constitutes a fever in a 1-year-old, including when it may be a cause for concern and how to manage it at home. It's important to remember that each child is unique, and you know your child best, so if you're ever in doubt, don't hesitate to contact your healthcare provider for advice.
| Characteristics | Values |
|---|---|
| Age range | 1 year old (3 months to 2 years old) |
| Temperature | 100.4°F (38°C) or higher |
| Temperature-taking methods | Rectal, underarm, oral, ear, temporal artery |
| Medication | Acetaminophen, ibuprofen |
| Treatment | Plenty of fluids, lightweight clothing, rest |
| Emergency | Fever lasts over 24 hours, fever reducers don't work, fever over 102.2°F (39°C) |
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What You'll Learn

Thermometer usage
The type of thermometer and the way you use it will determine the accuracy of the temperature reading. Here are some tips on how to use a thermometer to check for a fever in a 1-year-old child:
Choose the Right Thermometer:
- For a 1-year-old, the recommended methods for taking their temperature are rectally, under the armpit (axillary), or orally.
- Rectal temperature readings are the most accurate for infants and young children. Use a digital rectal thermometer designed for this purpose.
- Under the armpit is another option, but it may be less accurate. You can use a digital thermometer designed for underarm temperature readings.
- Oral temperature readings are suitable for children over 4 or 5 years old. However, if your 1-year-old is able to hold a thermometer under their tongue, you can try this method.
Taking the Temperature:
- For a rectal temperature reading, clean the thermometer with soap and water, or wipe it with rubbing alcohol, and then rinse it with cool water.
- Apply a small amount of lubricant (such as KY Jelly) to the tip of the thermometer.
- Place your child on their side or lying face down with their knees drawn up to their belly.
- Gently insert the thermometer about 1/2 to 1 inch into the child's anal opening.
- For an armpit temperature reading, place the tip of the thermometer in the child's armpit and gently close their arm over it. Keep the thermometer pressed to the side of the body. Follow the instructions provided with the thermometer for how long to keep it in place.
- For an oral temperature reading, place the tip of the thermometer under the child's tongue toward the back, and have them hold it in place with their lips.
Interpreting the Results:
- A fever is typically defined as a temperature of 100.4 °F (38°C) or higher.
- If your 1-year-old has a fever, monitor their symptoms and behaviour. Look for signs such as decreased activity, fussiness, decreased appetite or thirst, and feeling warm or hot.
- Consult a pediatrician or healthcare provider if the fever persists or if your child exhibits other concerning symptoms.
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Fever duration
A fever in a 1-year-old is typically defined as a temperature of 100.4 °F (38°C) or higher. The duration of a fever can vary depending on its underlying cause and other factors. Here is some information regarding fever duration in 1-year-olds:
Most fevers caused by viral infections tend to last for around 2 to 3 days. However, it is not uncommon for fevers to persist for up to 4 days. In some cases, a fever may last longer, especially if it is caused by a bacterial infection or another underlying condition.
If your 1-year-old's fever lasts for more than 24 hours without an obvious cause or location of infection, it is recommended to call your child's physician. Additionally, if the fever persists for more than 72 hours, it is advisable to seek medical advice.
It is important to monitor your child's overall well-being during a fever. If they continue to play, eat, and drink well, remain alert, and maintain a normal skin color, the fever is likely not a cause for concern. However, if they become increasingly uncomfortable, distressed, or inactive, it may be necessary to administer fever-reducing medication or seek medical advice.
To manage a fever at home, ensure that your child stays well-hydrated and dresses comfortably to avoid raising their body temperature. You can also administer fever-reducing medications such as acetaminophen or ibuprofen, following the recommended dosage and guidelines.
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Dehydration
Signs of dehydration include a dry mouth, reduced urination (or fewer wet diapers in babies), decreased tears, and a sunken soft spot (in babies). If your child exhibits any of these signs, it is important to seek medical attention.
It is crucial to monitor your child's fluid intake and watch for signs of dehydration, especially if they have a fever. Keeping your child well-hydrated will help their body fight the fever and keep them comfortable. Remember to always seek medical advice if you have concerns about your child's health.
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Medication
A fever in a 1-year-old is typically defined as a temperature of 100.4°F (38°C) or above. This can be measured in the rectum, ear, or across the forehead (temporal artery). It's important to take your child's temperature accurately using a reliable digital thermometer.
If your child has a fever, you may want to consider administering medication to help reduce it. Here are some options:
Acetaminophen ( Tylenol, store brands): This medication is generally safe to give to children of any age. It is recommended to follow the package directions for the appropriate dosage and frequency. If your child is younger than 2 years old, it is advisable to consult a doctor or pharmacist to determine the correct dosage.
Ibuprofen ( Advil, Motrin, store brands): Ibuprofen should not be given to children under 6 months old. Again, follow the package instructions for dosage and frequency. If your child has any medical issues, it is important to consult a doctor before administering ibuprofen.
Cool compresses: Applying cool compresses to your child's forehead or body can help reduce their fever.
Hydration: It is crucial to ensure your child stays properly hydrated during a fever. Offer them plenty of fluids, such as water, electrolyte beverages, soup, or ice pops. Avoid drinks with caffeine and high sugar content, as they can worsen dehydration.
Lightweight clothing: Dress your child in lightweight, breathable clothing to help them stay comfortable and avoid overheating.
Rest: Encourage your child to get plenty of rest in a cool, comfortable environment.
It is important to monitor your child's fever and overall well-being. If the fever persists for more than 24-48 hours in children under 2 years old or if they exhibit any concerning symptoms, consult a healthcare provider.
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Other symptoms
A fever in a 1-year-old child is typically defined as a temperature of 100.4 °F (38°C) or higher. However, it's important to remember that a fever is just one possible symptom of an underlying issue. Here are some other symptoms that may accompany a fever in a 1-year-old:
- Dehydration: Fevers can cause children to lose fluids faster than usual, leading to dehydration. Signs of dehydration include decreased urination, dry lips, mouth, or skin, and decreased skin turgor (skin that is slow to return to its normal position when pinched).
- Diarrhea and Vomiting: Prolonged or severe diarrhea and vomiting can be concerning, especially if your child is also refusing fluids or becoming dehydrated.
- Pain: Look out for signs of pain, especially in the neck, ears, or throat. This could indicate an ear or throat infection.
- Rash: A rash may indicate a viral infection or an allergic reaction. However, it is important to note that a rash can also be a normal occurrence in some children, especially if they are warm or sweating.
- Respiratory Distress: If your child is having trouble breathing, is breathing faster than usual, or has any other signs of respiratory distress, seek medical attention immediately.
- Behavioral Changes: A child with a fever may become fussier, less hungry, or more thirsty. They may also seem more tired or sleepy than usual. In some cases, they may also experience febrile seizures, which are rare but can occur between the ages of 6 months and 5 years.
- Prolonged Fever: If your child's fever lasts for more than 24 hours without an obvious cause or location of infection, or if it comes and goes, it could indicate a more serious underlying condition.
- Chronic Health Conditions: If your child has an underlying chronic medical problem, a fever may be a concern. Always consult your child's physician if you have concerns or questions.
Remember, each child may experience symptoms differently, and this list is not exhaustive. If you are ever in doubt or concerned about your child's health, don't hesitate to contact your healthcare provider for advice and guidance.
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Frequently asked questions
A child has a fever if their temperature is 100.4 °F (38°C) or higher.
The best options include rectal (the most accurate), underarm or oral. Ear thermometers are not recommended.
Fevers caused by a viral infection usually last for 2-3 days. In most cases, a child's temperature returns to normal within 1-4 days.
Take your child to the ER if their fever lasts more than 5 days or fever reducers aren't working. Also, call a healthcare provider if your child's fever is higher than 102 °F (especially if they are younger than 2 years old).
You can give your child fever-reducing medication such as acetaminophen (e.g. Tylenol) or ibuprofen (e.g. Advil, Motrin). Make sure to follow the package directions for dosage. Also, offer your child plenty of fluids to avoid dehydration.

























