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Chapter 1: Foundations of Maternity,Women’s Health, and Child Health NursingChapter 1: Foundations of Maternity,Women’sHealth, and Child HealthNursingTest BankMULTIPLE CHOICE1.Which factor significantly contributed to the shift from home births to hospitalbirths in the early 20th century?a.Puerperalsepsiswasidentifiedasariskfactorinlaboranddelivery.b.Forcepsweredevelopedtofacilitatedifficultbirths.c.Theimportanceofearlyparental-infantcontactwasidentified.d.Technologicdevelopmentsbecameavailabletophysicians.ANS: DFeedbackAPuerperalsepsishasbeenaknownproblemforgenerations.Inthelate19thcentury,Semmdiscoveredhowitcouldbepreventedwithimprovedhygienicpractices.BThedevelopmentofforcepstohelpphysiciansfacilitatedifficultbirthswasastrongfactorofhomebirthsandincreaseofhospitalbirths.Otherimportantdiscoveriesincludedchloroinitiatelabor,andtheadvancementofoperativeproceduressuchacesareanbirth.CUnlikehome-births,earlyhospitalbirthshinderedbondingbetweenparentsandtheirinfanDTechnologicaldevelopmentswereavailabletophysicians,notlaymidwives.PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2OBJ: Nursing Process: AssessmentMSC: Client Needs: Safe and Effective Care Environment2.Family-centered maternity care developed in response to:a.Demandsbyphysiciansforfamilyinvolvementinchildbirthb.TheSheppard-TownerActof1921c.Parentalrequeststhatinfantsbeallowedtoremainwiththemratherthaninanurseryd.ChangesinpharmacologicmanagementoflaborANS: CFeedbackAFamily-centeredcarewasarequestbyparents,notphysicians.
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