The postictal state after a seizure commonly includes:

• A. Immediate full alertness
• B. Confusion or drowsiness for a period
• C. Active seizure continues without pause
• D. Chest pain following the seizure

Answer: (B)

The postictal state is the recovery period after a seizure, during which the patient commonly becomes confused or drowsy as the brain returns to normal activity. This temporary delay in full consciousness distinguishes it from the seizure itself, which is the active event, and from immediate full alertness that would be expected only after the brain has fully recovered. Chest pain after a seizure is not a defining feature of this phase, though discomfort can occur for various reasons. In practice, provide airway and breathing support as needed, monitor vitals, protect the patient from injury, and allow time for gradual awakening and restoration of orientation.