A primipara tells the nurse, "My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?
a. "I'll get you some aspirin to relieve the cramping that you feel."
b. "Afterpains are more intense with your first baby."
c. "Breastfeeding releases a hormone that causes your uterus to contract."
d. "A change of position when you're breastfeeding might help."
ANS: C
Breastfeeding mothers may have more afterpains because infant suckling causes the posterior pituitary to release oxytocin, which is a hormone that contracts the uterus.
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