You are teaching a group of preschool teachers what to do when a child has a seizure. Your teaching plan should include which of the following?

Choice A rationale Inserting a padded tongue blade or any object into the mouth during a seizure is strictly contraindicated as it can cause injury, such as chipping teeth, lacerating gums, or triggering severe jaw clenching, potentially causing airway obstruction or aspiration, which outweighs the risk of the child biting their tongue. Choice B rationale Positioning a child in a sitting position during a generalized seizure is dangerous because it provides no support and increases the risk of head injury and aspiration. The child should instead be placed on the floor in a side-lying position, known as the recovery position, to facilitate drainage of oral secretions and maintain a patent airway. Choice C rationale Initiating rescue breathing is inappropriate as soon as seizure activity begins, because the child is often breathing but may have irregular or shallow respirations. Interventions should focus on safety and maintaining a patent airway by positioning. Rescue breathing is only indicated if the child stops breathing after the seizure, not during the ictal phase. Choice D rationale Moving objects out of the way is the most important immediate safety measure during a tonic-clonic seizure. This action protects the child from striking hard, sharp, or hot objects in the immediate vicinity during uncontrolled, involuntary movements, preventing trauma such as head injury or fracture.