Which action should you take when a child presents with fever and neck stiffness?

• A. Rapid transport to a facility for assessment of potential meningitis.
• B. Delay transport and treat at home.
• C. Provide only home care and observe.
• D. Wait for lab confirmation before transport.

Answer: (A)

Fever with neck stiffness in a child signals possible meningitis, a medical emergency that can progress rapidly and cause serious complications. Because time matters, the best action is to transport the child quickly to a facility where clinicians can evaluate for meningitis and start appropriate treatment as soon as possible. Waiting for lab confirmation or attempting home care can delay critical care. While en route, monitor the child, support breathing and comfort, and alert the receiving facility that meningitis is suspected so they can respond immediately.