A breastfeeding woman reports mild, cramping lower abdominal pain during feeds on the second postnatal day. Which explanation is most accurate?
Correct answer: A. The uterus contracts as oxytocin is released during feeding
- A. The uterus contracts as oxytocin is released during feeding
- B. The cervix opens again because milk enters the uterus
- C. The bladder becomes overactive because prolactin rises
- D. The pelvic infection causes pain whenever feeding begins
Explanation
Breastfeeding stimulates oxytocin release, which causes uterine contractions and normal afterpains as involution occurs. Severe pain, fever, uterine tenderness or heavy bleeding would require assessment for complications.
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About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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