Linda, Although the mother denies trauma, keep your antenna up and tune in carefully. This is a potential sign of abuse toward her. If possible in your conversations ask the question differently. Ask "Has anyone hurt you, even by accident?" Some abusive men batter specifically the abdomen of pregnant women, and their breasts after delivery. Look for any other bruises. Give her opportunities to respond privately, just in case. You can let her know she can contact you privately if she thinks of anything she may want to tell you. Some women IF they are being threatened or abused will contact you when they can--and the abuser is not around. Of course abuse might not be involved at all with this mother--BUT keep your antenna up and be ready to refer to a crisis counselor if needed. Jane Bradshaw RN, BSN, IBCLC Lynchburg, VA