Final answer:
A client in the early postpartum period who is talkative and enjoys recounting labor is exhibiting typical postpartum behavior. Janine is given pitocin to induce labor due to dystocia, as labor is not progressing normally. The first breath a newborn takes changes the circulatory pattern by closing fetal shunts and increasing pulmonary blood flow.
Step-by-step explanation:
Understanding Postpartum Behavior and Management of Prolonged Labor
A client in the early postpartum period being talkative and enjoying recounting the details of her labor and birth represents typical postpartum behavior. It is common for new mothers to want to discuss their labor experience as this is a major life event and sharing the story can be seen as a way to process the experience.
Regarding the case of Janine, who is 41 weeks pregnant and has been experiencing mild contractions with little cervical dilation, the administration of an IV infusion of pitocin is started to induce labor. Pitocin is a synthetic form of oxytocin, which is a hormone that increases uterine contractions to progress labor. This intervention is required when labor fails to proceed normally, a condition known as dystocia.
The newborn's first breath significantly changes circulatory patterns. At birth, the newborn's lungs expand and oxygen entry causes a decrease in pulmonary vascular resistance. This change facilitates an increase in pulmonary blood flow and the closure of the fetal shunts that were present during intrauterine life, effectively transitioning the infant's circulatory system to one adapted for life outside the womb.