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Which principle guides the nurse when performing a vaginal examination on laboring clients?

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Final answer:

Janine was given Pitocin because she was experiencing protracted labor, with only minor cervical dilation and mild contractions. The Pitocin is intended to stimulate stronger and more regular contractions to progress labor and facilitate a safe vaginal birth.

Step-by-step explanation:

Why Was Pitocin Administered to Janine?

Janine at 41 weeks of pregnancy was experiencing protracted labor, with her cervix only 2 cm dilated after several days of mild contractions. Pitocin, a synthetic form of the hormone oxytocin, is administered to stimulate uterine contractions, which are necessary for further dilation of the cervix and progression of labor. Pitocin is used in such circumstances to enhance the strength and frequency of contractions, thereby supporting the continuation and completion of the birthing process.

The use of IV infusion of pitocin is considered when labor is not progressing naturally. This medical intervention is crucial because overdue pregnancies can pose risks to both the mother and the child. By administering pitocin, healthcare providers aim to reduce these risks by inducing or augmenting labor to achieve a vaginal birth.

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