Final answer:
An IV bolus of pitocin during labor is usually given as a continuous infusion, rather than the rapid or intermittent options listed, to induce or augment labor, with dosages controlled to ensure safety and effectiveness.
Step-by-step explanation:
The correct way to administer an IV bolus during labor, specifically pitocin, is not provided in the options you've given; the administration depends on clinical circumstances and should follow the prescribing guidelines. Generally, pitocin is given as a continuous intravenous infusion using an infusion pump, which allows for very precise control over the dosage. The rate may be gradually increased until the desired contraction pattern is established. This administration helps to induce or augment labor for a woman who is experiencing prolonged labor, like in the case of Janine, who is 41 weeks pregnant and has been experiencing mild contractions with little cervix dilation.
The primary goal of pitocin is to induce stronger, more regular contractions to progress labor. A slow and controlled administration enables adjustments based on the woman's contraction response, to avoid uterine hyperstimulation which could harm both mother and baby. It is crucial to monitor the fetal heart rate and uterine contractions continuously when receiving pitocin.