In a pediatric seizure scenario, what is the recommended approach when a crying mother is present?

• A. Have the mother hold the child and continue with the assessment.
• B. Consider asking the father to hold the child so you can assess him while your partner tries to calm the mother.
• C. Leave the scene and wait for the mother to calm.
• D. Move the child away from the mother and begin assessment immediately.

Answer: (B)

When a pediatric patient is having a seizure, maintain a calm, controlled scene so you can perform a clear, focused assessment. If another adult is present, have them hold the child while you assess, and have your partner work to calm the mother. This arrangement keeps the child secure and allows you to check airway, breathing, circulation, and neurologic status without the parent’s distress interrupting the evaluation. It also demonstrates to the family that you’re in control and helps reduce the mother’s anxiety.

Having the mother hold the child can introduce interference and unsafe handling, delaying or compromising the assessment. Waiting for the mother to calm down before acting delays critical care. Moving the child away from the mother and starting immediately can escalate distress and isn’t necessary if a capable adult can assist with holding while you proceed.