The nurse is caring for several mother-baby couplets. In planning the care for each of the couplets, which mother would the nurse expect to have the most severe after birth pains?

Correct option is B

Afterpains (uterine cramps after delivery) are more severe in multiparas due to uterine muscle stretch and stronger uterine contractions during breastfeeding from oxytocin release. Hence, a G3, P3 breastfeeding mother will likely have the most pain. Explanation of each option: • (a) G 4, P 1 breastfeeding – Lower parity (only 1 prior birth); less likely to experience intense afterpains. • (b) G 3, P 3 breastfeeding – Correct. Multiple births (high parity) + breastfeeding leads to strong uterine contractions and intense afterpains. • (c) G 2, P 2 cesarean, bottle-feeding – Bottle feeding doesn’t trigger oxytocin release, and cesarean pain is separate from afterpains. • (d) G 3, P 3 bottle-feeding – No breastfeeding = less oxytocin release, so less stimulation for uterine contractions and fewer afterpains.