Final answer:
The cause of the rash is most likely heat and moisture trapped in skin folds, known as a heat rash or miliaria. To prevent and manage heat rash, it's important to keep the affected areas cool and dry and avoid tight clothing.
Step-by-step explanation:
The cause of the rash on the infant's neck and axilla, characterized by tiny pinhead-sized reddened papules, is most likely heat and moisture trapped in skin folds.
This type of rash is commonly known as a heat rash or miliaria.
Heat and moisture trapped in the skin folds can lead to blocked sweat ducts, causing the sweat to be trapped beneath the skin and resulting in a rash.
To prevent and manage heat rash, it is important to keep the affected areas cool and dry, avoid tight clothing, and keep the skin clean.