a-36-week-pregnant-patient-presents-with-sudden-onset-generalized-tonic-clonic-s

Question

A 36-week pregnant patient presents with sudden-onset generalized tonic-clonic seizure and prior history of elevated BP and proteinuria. Which immediate step best differentiates management priorities for eclampsia versus isolated seizure etiologies and initiates appropriate care?

Accepted Answer

Assume eclampsia as likely; secure airway, give IV magnesium sulfate to prevent recurrent seizures, control severe hypertension, and prepare for urgent delivery as definitive therapy if maternal or fetal status warrants.

Answer

Administer oral anti-seizure medication only and discharge home for outpatient neurology evaluation because seizures in pregnancy are rarely related to preeclampsia or eclampsia.

Answer

Treat only with aggressive intravenous insulin infusion as first-line because all seizures during pregnancy are caused by severe hyperglycemia.

Answer

Delay any seizure-specific treatment until a full MRI is obtained because immediate seizure control is not necessary in pregnant patients with hypertension.