If a 33-year-old pregnant female is in her 24th week of gestation and experienced a seizure, how should she be positioned for transport?

To ensure optimal care for a pregnant patient experiencing a seizure, positioning her with the right hip elevated is crucial. This specific position helps alleviate pressure on the inferior vena cava, a major blood vessel that can become compressed as the uterus increases in size. When the inferior vena cava is compressed, it can lead to reduced blood flow to the heart and subsequently to the fetus, risking complications for both the mother and child.

Elevating the right hip allows for improved blood circulation and oxygen delivery to the fetus, while also potentially reducing the risk of supine hypotensive syndrome, which can occur when a pregnant woman is positioned flat on her back. This positioning supports maternal and fetal well-being during a critical moment where both may be at risk due to the seizure.

In contrast, other positions such as supine or Trendelenburg do not provide the necessary relief from vena cava compression and may exacerbate any potential hemodynamic instability. The semi-Fowler position, while somewhat better than supine, does not offer the specific benefits provided by the right hip elevation. Therefore, the position of choice in this scenario is to have the right hip elevated, aligning with best practices for managing seizures in pregnant patients.