skip to main content

Active eclamptic seizure — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePaediatric and Obstetric EmergenciesActive eclamptic seizureDipIMC

A 34-year-old woman at 36 weeks' gestation is fitting on arrival. Her airway is partially obstructed by secretions and her partner says she has had severe headache for two days. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Protect airway, place in left lateral tilt and prepare magnesium sulphate

During an eclamptic seizure, immediate priorities are airway protection, oxygenation, maternal positioning to reduce aortocaval compression and magnesium therapy. Objects in the mouth cause injury and airway obstruction. Blood pressure measurement is important but should not delay ABC care. The pearl is that eclampsia is both a neurological and obstetric emergency.

Reference: JRCALC Guidelines 2025; NICE Hypertension in Pregnancy NG133