Final answer:
The best response by the nurse to a woman asking about birthing plan rights would be to encourage discussion with her health care provider. Pitocin is administered to Janine to induce labor as she is past term with minimal labor progression. The first breath of a newborn alters the circulatory pattern by establishing pulmonary circulation.
Step-by-step explanation:
The nurse's most appropriate response to a woman asking about her rights to develop a birthing plan would be: "Have you talked with your health care provider about this?". This response encourages the woman to engage with her health care provider about her birthing plan, which is critical for ensuring that her choices are considered and integrated into her medical care. It also opens the door for a collaborative approach to birth planning.
Regarding the case of Janine, who is 41 weeks pregnant and admitted to the birthing unit with mild contractions and minimal dilation, an IV infusion of pitocin is started to induce labor. Pitocin is a synthetic form of oxytocin, which is the hormone that naturally induces labor. It is used here to stimulate contractions and assist in progressing labor since Janine's labor is not advancing effectively.
When discussing the first breath of a newborn, it significantly alters the circulatory pattern. The newborn's lungs expand, and blood begins to flow through them, taking over the gas exchange process that the placenta was handling. This results in the closure of fetal circulatory shunts and the establishment of independent pulmonary circulation.