Which woman would be most likely to have severe afterbirth pains and request a narcotic analgesic?

a. Gravida 5, para 5
b. Woman who is bottle-feeding her first child
c. Primipara who delivered a 7-lb boy
d. Woman who wishes to breast-feed as soon as her baby is out of the neonatal in-tensive care unit


A
The discomfort of afterpains is more acute for multiparas because repeated stretching of muscle fibers leads to loss of uterine muscle tone.
Afterpains are particularly severe during breast-feeding, not bottle-feeding.
The uterus of a primipara tends to remain contracted.
The nonnursing mother may have engorgement problems. She should empty her breasts reg-ularly to stimulate milk production so she will have the milk when the baby is strong enough to nurse.

Nursing

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