Which woman is 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 breastfeed as soon as her baby is out of the neonatal
intensive care unit
A
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A The discomfort of afterpains is more acute for multiparas because repeated
stretching of muscle fibers leads to loss of uterine muscle tone.
B Afterpains are particularly severe during breastfeeding, not bottle-feeding.
C The uterus of a primipara tends to remain contracted.
D The nonnursing mother may have engorgement problems. She should empty her
breasts regularly to stimulate milk production so she will have the milk when the
baby is strong enough to nurse.
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