During a seizure in preeclampsia, which action is appropriate?

During a seizure in preeclampsia, which action is appropriate?

• A. Turn patient on side and clear airway
• B. Administer magnesium sulfate
• C. Call for help
• D. Increase IV fluids

Answer: (A)

During a seizure in preeclampsia, the top priority is securing the airway to prevent hypoxia and aspiration. Placing the patient on her side (recovery position) and clearing the airway helps keep the airway open, allows secretions to drain, and reduces the risk of choking if vomiting occurs. This immediate action addresses the most urgent need in active seizure management. After the airway is stabilized, other appropriate steps come into play: administering magnesium sulfate per protocol to prevent recurrent seizures, calling for help if needed, and monitoring both mother and fetus. Increasing IV fluids is not typically done during a seizure in preeclampsia because excess fluids can worsen edema and pulmonary complications.

During a seizure in preeclampsia, the top priority is securing the airway to prevent hypoxia and aspiration. Placing the patient on her side (recovery position) and clearing the airway helps keep the airway open, allows secretions to drain, and reduces the risk of choking if vomiting occurs. This immediate action addresses the most urgent need in active seizure management.

After the airway is stabilized, other appropriate steps come into play: administering magnesium sulfate per protocol to prevent recurrent seizures, calling for help if needed, and monitoring both mother and fetus. Increasing IV fluids is not typically done during a seizure in preeclampsia because excess fluids can worsen edema and pulmonary complications.