Final answer:
A nulliparous woman reporting labor should be assessed by a nurse for signs of active labor, such as the dilation of the cervix. If labor is not progressing normally, pitocin may be administered, as in the case of Janine, to stimulate uterine contractions and support the dilation process.
Step-by-step explanation:
When a nulliparous woman reports that she is in labor, the nurse should initially assess her symptoms and determine whether she exhibits signs of active labor. This includes evaluating the frequency, duration, and strength of contractions, the dilation of the cervix, and whether the amniotic sac has ruptured. In the case of Janine who is 41 weeks pregnant and has been experiencing protracted mild contractions without significant cervical dilation, an IV infusion of pitocin is started.
Pitocin, a synthetic form of the hormone oxytocin, is administered to induce or augment labor, especially when labor is not progressing normally. It stimulates uterine contractions to support the cervical dilation process, which is essential for childbirth. In Janine's case, pitocin was started because she was overdue, her labor was not progressing as expected with minimal dilation of the cervix, and she was experiencing contractions that were not effectively leading to the delivery of the baby.