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Card 11 / 22:
Janine is 41 weeks pregnant with her first child when she arrives at the birthing unit reporting that she believes she has been in labor “for days” but that “it’s just not going anywhere.” During the clinical exam, she experiences a few mild contractions, each lasting about 15–20 seconds; however, her cervix is found to be only 2 cm dilated, and the amniotic sac is intact. Janine is admitted to the birthing unit and an IV infusion of pitocin is started. Why?
Janine is 41 weeks pregnant, and the mild contractions she has been experiencing “for days” have dilated her cervix to 2 cm. These facts suggest that she is in labor, but that the labor is not progressing appropriately. Pitocin is a pharmaceutical preparation of synthetic prostaglandins and oxytocin, which will increase the frequency and strength of her contractions and help her labor to progress to birth.
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