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NURS 5032 - Unit 1 - History and Statistics
Exam Questions With Verified Answers.
What was the main historic shift that occurred in maternity care during the first half of the 20th
century? - Answers✔the shift from home births to hospital births
What are the major steps of the shift in maternity care during the 20th century? -
Answers✔transition from lay midwives at home to physician care in hospital, government
involvement in maternal-infant care, impact of consumer demands, development of family-
centered care
What were the primary causes of maternal death before the 20th century? - Answers✔postpartum
hemorrhage, postpartum infection (puerperal sepsis), and hypertensive disorders of pregnancy
What were the primary causes of infant death before the 20th century? - Answers✔prematurity,
dehydration from diarrhea, and contagious disease
What were some important discoveries that set the stage for change of maternity care in the 20th
century? - Answers✔prevention of puerperal infection through hygienic practices, development
of the forceps, discovery of chloroform to control pain, use of drugs to initiate labor, advances in
operations like c. sections
What does antepartum mean? - Answers✔before birth
What does intrapartum mean? - Answers✔during birth
What does postpartum mean? - Answers✔after birth
By 1960, how many births took place in a hospital setting? - Answers✔90%
What was the main issue with early hospital births? - Answers✔Mothers were given intense pain
medication that left them disoriented and heavily sedated, most of the birth process was
completed by the physician, interfered with early mother and baby bonding
What is family-centered care? - Answers✔safe, quality care that recognizes and adapts to both
the physical and psychosocial needs of the family, including those of the newborn and older
children