Which client would be most likely to have severe afterbirth pains and request a narcotic analgesic?
A) Gravida 5, para 5
B) Primipara who delivered a 7-lb boy
C) Client who is bottle feeding her first child
D) Client who wishes to breastfeed as soon as her baby is out of the neonatal intensive care unit

Question

Quizplus · Accepted Answer

The discomfort of afterpains is more acute for multiparas because repeated stretching of muscle fibers leads to loss of uterine muscle tone. The uterus of a primipara tends to remain contracted. Afterpains are particularly severe during breastfeeding, not bottle feeding. The non-nursing 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.

Which Client Would Be Most Likely to Have Severe Afterbirth