The pulling feeling weeks after incision is just scar tissue remodelling.

She only has mild tenderness w/ deep palpation , no pain, no fever, no redness, etc.

Breast engorgement is normal while a woman is breastfeeding. Mild tenderness is normal for several weeks following low-transverse C-section, a notoriously painful incision. This patient has resumed sexual activity and would benefit from contraception, but this is not an answer choice.

• Key idea: Pulling effect/feeling is common complaint in the post-partum for patients who underwent C-section and is due to healing fibrosis around the wound site
• No fever, wound erythema/purulence, or feeling of hematoma/seroma beneath the wound site
• Note: Women are often advised to avoid exercise or sexual activity for at a minimum of 6 weeks after C-section