Basic Care and ComfortQuestion 2042 of 2368

A client who is 2 days postpartum with a second child says the cramps get worse during breastfeeding and asks if something is wrong. What is the nurse's best response?

  1. "The cramping is a sign of infection, and you will need antibiotics soon."
  2. "Oxytocin released with letdown makes the uterus contract, which is expected."
  3. "The cramping means that part of the placenta remains inside the uterus."
  4. "The cramping means that your baby is not latching onto the breast well enough."
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Correct answer: "Oxytocin released with letdown makes the uterus contract, which is expected."

Cramping is part of involution and worsens with breastfeeding because oxytocin causes rhythmic uterine contractions.

Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Postpartum Care: UTERINE CRAMPING. Licensed under CC BY 4.0.

Practice the topic "Basic Care and Comfort"

Questions last reviewed: 18 October 2026