In pediatric assessment, NECK is an acronym used to determine the need for SMR. If NECK is positive, then there is NO NEED for SMR. Which statement best reflects this?

• A. No need for SMR
• B. Initiate SMR
• C. Obtain imaging first
• D. Reassess later

Answer: (A)

The test is about how the NECK screen guides the use of spinal motion restriction in pediatric patients. When NECK is positive, it indicates there are no signs requiring immobilization, so there is no need for SMR. Therefore the statement that matches this rule is that there is no need for SMR. This approach helps avoid unnecessary immobilization, which can cause distress and complications in children. If NECK were negative, SMR would be indicated, and imaging decisions would follow as clinically appropriate. The other options would imply immobilization or delaying care despite the positive screen, which isn’t aligned with the stated rule.