Question

A primigravida client is 36 weeks gestation is admitted to labor and delivery unit because her membranes ruptured 30minutes ago. Initial assessment indicates 2cm dilation, 50% effaced, -2 station, vertex presentation greenish colored amniotic fluid, and contractions occurring 3-5 minutes with a low FHR after the last contraction peaks:

Answer 1

The client at 36 weeks gestation is possibly exhibiting signs of fetal distress indicated by meconium-stained amniotic fluid and a low FHR post-contractions, thus may need immediate medical intervention. In Janine's case, Pitocin is used to induce labor due to her post-term pregnancy with insufficient contractions and minimal cervical dilation.

Step-by-step explanation:

The client described in the question is experiencing signs of labor with certain complications. The greenish color of the amniotic fluid may suggest meconium staining, which can be a sign of fetal distress, particularly in conjunction with a low fetal heart rate (FHR) after contraction peaks. Prompt medical attention is required to ensure the safety of both the mother and the baby. Typically, labor is induced to ensure that the fetus is delivered promptly to prevent any further risks.

Pitocin, a synthetic form of oxytocin, is often administered when labor is not progressing as expected. In the case of post-term pregnancy, like with Janine who is 41 weeks pregnant, Pitocin is used to induce labor especially when she's experiencing insufficient contractions and minimal cervical dilation to reduce risks associated with overdue pregnancy.