1. Whichhfactorhsignificantlyhcontributedhtohthehshifthfromhhomehbirthshtohhospitalhbirthshinh
thehearlyh20thhcentury?
a. Puerperalhsepsishwashidentifiedhashahriskhfactorhinhlaborhandhdelivery
.
b. Forcepshwerehdevelopedhtohfacilitatehdifficulthbirths.
c. Thehimportancehofhearlyhparental-infanthcontacthwashidentified.
d. Technologichdevelopmentshbecamehavailablehtohphysicians.
ANS:h D
Technologichdevelopmentshwerehavailablehtohphysicians,hnothlayhmidwives.hSohin-
hospitalhbirthshincreasedhinhorderhtohtakehadvantagehofhthesehadvancements.hPuerperalhsepsis
hhashbeenhahknownhproblemhforhgenerations.hInhthehlateh19thhcentury,hSemmelweishdiscovere
dhhowhithcouldhbehpreventedhwithhimprovedhhygienichpractices.hThehdevelopmenthofhforcepsh
ishanhexamplehofhahtechnologyhadvancehmadehinhthehearlyh20thhcenturyhbuthishnoththehonlyhr
easonhbirthplaceshmoved.hUnlikehhomehbirths,hearlyhhospitalhbirthshhinderedhbondinghbetwe
enhparentshandhtheirhinfants.
2. Family-centeredhmaternityhcarehdevelopedhinhresponsehto
a. demandshbyhphysicianshforhfamilyhinvolvementhinhchildbirth.
b. thehSheppard-TownerhActhofh1921.
c. parentalhrequestshthathinfantshbehallowedhtohremainhwithhthemhratherhthanhinh
a
nursery.
d. changeshinhpharmacologichmanagementhofhlabor.
ANS:h C
Ashresearchhbeganhtohidentifyhthehbenefitshofhearlyhextendedhparent-
infanthcontact,hparentshbeganhtohinsisththaththehinfanthremainhwithhthem.hThishgraduallyhdev
elopedhintohthehpracticehofhrooming-inhandhfinallyhtohfamily-
centeredhmaternityhcare.hFamily-
centeredhcarehwashahrequesthbyhparents,hnothphysicians.hThehSheppard-
TownerhActhofh1921hprovidedhfundshfor
state-
managedhprogramshforhmothershandhchildren.hThehchangeshinhpharmacologichma
nagementhofhlaborhwerehnothahfactorhinhfamily-centeredhmaternityhcare.
3. Whichhsettinghforhchildbirthhallowshthehleasthamounthofhparent-infanthcontact?
a. Labor/delivery/recovery/postpartumhroom
b. Birthhcenter
c. Traditionalhhospitalhbirth
, d. Homehbirth
TestBankWorld.org
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