A multiparous patient delivered her first child vaginally 2 years ago, and delivered an infant by cesarean yesterday due to breech presentation. Which statement would the nurse expect the patient to make?
1. "I can't believe how much more tired I was with the first baby."
2. "I'm having significantly more pain this time than with my last birth."
3. "It is disappointing that I can't breastfeed because of the cesarean."
4. "Getting in and out of bed feels more comfortable than last time."
2
Rationale 1: The mother is likely to feel more fatigue from the cesarean than from a vaginal birth.
Rationale 2: Recovery from cesarean birth recovery is longer, and involves more pain and fatigue than recovery from a vaginal birth due to the physiologic requirements of healing.
Rationale 3: Breastfeeding is not contraindicated by cesarean birth.
Rationale 4: Getting in and out of bed is more painful after cesarean birth than after vaginal birth.
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