A 2-year-old boy experienced a seizure lasting 3 minutes and has a fever. What should you do?

The most appropriate course of action for a 2-year-old boy experiencing a seizure with a fever is to remove any unnecessary clothing and transport him. This approach helps to ensure that the child is comfortable and allows for better air circulation, which can assist in regulating body temperature. In the context of fever, especially during a seizure, managing the child’s environment is vital for safety and comfort.

When dealing with seizures in children, monitoring their airway, breathing, and circulation is essential. Prompt transport to a medical facility for further evaluation and management is critical, especially in a young child who has had a seizure. This immediate response highlights the importance of medical evaluation to rule out any underlying conditions or complications.

In contrast, placing the child in a cold-water bath is not advisable as it can lead to rapid changes in temperature and might cause additional distress. Administering chewable aspirin is also inappropriate in this scenario, especially in young children, due to the risk of Reye's syndrome. Allowing the mother to transport the child without calling for professional assistance could delay necessary medical evaluation and intervention, which is crucial after a seizure.