During a generalized tonic-clonic seizure, what should the nurse do if the child becomes cyanotic?

In the case of a generalized tonic-clonic seizure, it is important to prioritize the child's safety and ensure they remain as stable as possible throughout the episode. Continuing to observe the seizure allows the nurse to monitor the child’s condition and be prepared to intervene as needed. Observations should focus on the duration of the seizure, characteristics of the seizure activity, and the child's overall response.

Maintaining a clear understanding of the child's airway and breathing status is vital. Cyanosis, which indicates a lack of oxygen, should prompt careful monitoring, as this could signal the need for further intervention if the situation deteriorates. If the child does not improve quickly after the seizure, other actions can be taken, such as administering oxygen or preparing for advanced airway management.

While responding to a seizure, immediate notification of a practitioner may not be necessary unless the seizure lasts longer than the typically expected duration (usually 5 minutes). The primary focus should remain on ensuring the child's safety during the seizure and preparing for any postictal care that may be required once the seizure is resolved.