During eclampsia seizures, which safety action is recommended?

• A. Protect airway and protect from injury.
• B. Administer magnesium sulfate.
• C. Place patient on back and monitor.
• D. Begin rapid transport without securing airway.

Answer: (A)

Protecting the airway and preventing injury is the priority because a seizure can compromise breathing and lead to aspiration or trauma. Keep the airway patent, clear the area of hazards, and gently protect the head and body. If possible, roll the patient to a side-lying position after the seizure ends to reduce aspiration risk and allow secretions to drain. Do not restrain or place the patient on their back during a seizure, as that can worsen airway obstruction. Magnesium sulfate is important for treating eclampsia, but it should be given after airway protection and stabilization, not at the expense of immediate safety. Proceed with rapid transport and continuous monitoring once the airway is protected.