Which condition involves seizures in a pregnant patient with hypertension due to preeclampsia?

• A. Spontaneous abortion
• B. Supine hypotensive syndrome
• C. Eclampsia
• D. First stage

Answer: (C)

Seizures in a pregnant patient with hypertension due to preeclampsia point to eclampsia. Preeclampsia is new-onset hypertension after about 20 weeks with protein in the urine or signs of organ dysfunction. When seizures occur in that setting, it’s eclampsia, a medical emergency. In the field, focus on airway, breathing, and circulation; keep the patient on the left side to reduce vena cava compression, protect from injury during convulsions, and prepare for magnesium sulfate per protocol with rapid transport to obstetric care. The other options don’t fit because spontaneous abortion is a miscarriage, supine hypotensive syndrome causes dizziness and low blood pressure from vena cava compression, and the first stage is an early labor phase, not a seizure disorder.