Final answer:
The nursery charge nurse should assign the vaginal delivery at 38 weeks to the new grad RN for her first solo birth and admission as it is likely the most straightforward. Other options like Cesarean sections, forceps-assisted deliveries, and vacuum extractions present more complexity. Janine is being induced with pitocin due to insufficient labor progression at 41 weeks, and the newborn's first breath changes the circulatory pattern.
Step-by-step explanation:
The nursery charge nurse must decide which birth to assign to a new graduate RN for her first solo birth and admission. Given the options, the nurse should assign the new grad to the vaginal delivery at 38 weeks (Option A). This scenario is the most straightforward and is likely to require the least intervention compared to the others. Cesarean sections (Option B), forceps-assisted deliveries (Option C), and vacuum extractions (Option D) can present more challenges and are typically more complex, which may not be suitable for a new grad's first solo experience.
Janine's case, described in the provided information, involves a 41-week pregnancy with labor that is not progressing effectively. An IV infusion of pitocin is started to stimulate contractions and help advance cervical dilation, which is essential for vaginal birth. Cervical dilation needs to progress to 10 cm to allow for the birth of the newborn's head.
Regarding the newborn's first breath, it significantly changes the circulatory pattern by closing fetal circulation pathways and increasing oxygenation, which alters blood flow and pressure within the heart and newborn's circulatory system.