Observing the progression of the seizure is essential to provide accurate information to the healthcare team and to ensure appropriate interventions can be implemented.

Loosening clothing around the neck helps prevent potential airway obstruction during the seizure.

Inserting a tongue blade between the teeth is not recommended as it could lead to injury or airway obstruction. It is important to keep the airway clear, but this should be achieved through other means.

Holding the extremities close to the body during a seizure is not necessary and may cause harm to the patient or the person trying to restrain them. It is best to allow the seizure to run its course while ensuring the safety of the patient.

Padding the side rails with pillows helps prevent injury if the child inadvertently strikes the side rails during the seizure. It is a safety measure to protect the patient from harm.