NURS 5032 - UNIT 1 - HISTORY AND STATISTICS EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
What was the main historic shift that occurred in maternity care during the first
half of the 20th century?
the shift from home births to hospital births
What are the major steps of the shift in maternity care during the 20th century?
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?
postpartum hemorrhage, postpartum infection (puerperal sepsis), and hypertensive
disorders of pregnancy
What were the primary causes of infant death before the 20th century?
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?
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?
, before birth
What does intrapartum mean?
during birth
What does postpartum mean?
after birth
By 1960, how many births took place in a hospital setting?
90%
What was the main issue with early hospital births?
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?
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
What are the basic principles of family-centered maternity care?
childbirth is considered a normal, healthy event in the life of a family, childbirth affects
the entire family and restructuring of familial relationships is required, families are
capable of making decisions about their care provided that they are informed and
supported professionally
What are the barriers to family-centered care?
lack of skills in communication/relationship development, lack of time, fear of losing role,
lack of support from healthcare system/team
What are the 3 current settings for childbirth?
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
What was the main historic shift that occurred in maternity care during the first
half of the 20th century?
the shift from home births to hospital births
What are the major steps of the shift in maternity care during the 20th century?
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?
postpartum hemorrhage, postpartum infection (puerperal sepsis), and hypertensive
disorders of pregnancy
What were the primary causes of infant death before the 20th century?
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?
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?
, before birth
What does intrapartum mean?
during birth
What does postpartum mean?
after birth
By 1960, how many births took place in a hospital setting?
90%
What was the main issue with early hospital births?
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?
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
What are the basic principles of family-centered maternity care?
childbirth is considered a normal, healthy event in the life of a family, childbirth affects
the entire family and restructuring of familial relationships is required, families are
capable of making decisions about their care provided that they are informed and
supported professionally
What are the barriers to family-centered care?
lack of skills in communication/relationship development, lack of time, fear of losing role,
lack of support from healthcare system/team
What are the 3 current settings for childbirth?
