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Eclampsia is defined as seizures in a patient with preeclampsia and requires magnesium sulfate as first-line therapy. A loading dose of 4–6 g IV infused over ~10–15 minutes, followed by an infusion (e.g., 1–2 g/hr), reduces seizure recurrence and improves maternal outcomes. Benzodiazepines (A, C) can terminate seizures but do not address the underlying pathophysiology; they are adjuncts if seizures persist during magnesium administration. Levetiracetam (D) is increasingly used for status epilepticus but is not first-line for eclampsia. Monitor for magnesium toxicity (loss of deep tendon reflexes, respiratory depression); have calcium gluconate available as an antidote. Manage airway with left uterine displacement to reduce aortocaval compression, control blood pressure with labetalol or hydralazine per protocol, and prioritize rapid transfer to definitive obstetric care. Fetal assessment should occur at the receiving facility; maternal stabilization remains paramount.