Seizures in children are not uncommon, and more than half of these seizures have no known cause. This discussion and review of seizures covers three types of presentations: the child who presents following an initial seizure; the child who presents with serial seizures or continuous seizures (status epilepticus); and the child who presents following a febrile seizure. T he nurse practitioner can play a critical role in the assessment and management of children presenting with each of these three types of seizures. A review of drug management of childhood seizures and a comprehensive review of the critical areas to cover in counseling the child, family and community are included. © Williams & Wilkins 1986. All Rights Reserved.