A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.Which of the following adverse effects should the nurse report to the provider?

1. Encourage frequent ambulation - Anticipated
   • Ambulation can help progress labor and is generally encouraged if there are no contraindications.
2. Ensure the client maintains a supine position while in bed - Contraindicated
   • Supine positioning can decrease uteroplacental blood flow and is generally not recommended during labor.
3. Check FHR every 30 min - Anticipated
   • Regular monitoring of the fetal heart rate is essential to assess fetal well-being during labor.
4. Perform a Nitrazine test - Anticipated
   • Since the client reports a gush of fluid, a Nitrazine test can help confirm whether the membranes have ruptured.
5. Prepare the client for catheterization - Nonessential
   • The client has voided recently and doesn’t indicate difficulty, making catheterization unnecessary at this stage.
6. Obtain CBC blood sample - Anticipated
   • A CBC can provide important information about the client's health status and identify any potential issues, like infection or anemia.
7. Check the client's temperature every hour - Anticipated
   • Regularly monitoring temperature can help detect signs of infection, which is particularly important if the membranes have ruptured.

Choice A rationale

1/2 cup (4 oz) orange juice provides about 55 micrograms of folate. While it is a good source of vitamin C and other nutrients, it does not contain as much folate compared to leafy greens.

Choice B rationale

1 cup cooked spinach contains approximately 263 micrograms of folate, making it one of the richest sources of this essential vitamin. Folate is crucial for DNA synthesis and cell division, especially during pregnancy.

Choice C rationale

1 large egg contains about 24 micrograms of folate. Although eggs offer several nutrients like protein and vitamins, their folate content is relatively low compared to green vegetables.

Choice D rationale

1 cup pasta has around 102 micrograms of folate, assuming it is enriched pasta. While it contributes to daily folate intake, it does not compare to the high levels found in spinach.