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NUR 406 Exam 1 Questions and Answers Latest Update
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NUR 406 Exam 1 Questions and Answers Latest Update
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Solution 2024/2025Pepper
NUR 406 Exam 1 Questions and Answers Latest
Update 2024-2025
What were the colonial practices (1600s) for childbirth? ANS✔✔ Women
cared for women in childbirth
Woman and fetus viewed as being at the mercy of God with possible death
for either or both
Birth was both a cultural and social event
What are the trends for maternity nursing during the 1700s? ANS✔✔ Europe
- lying-in hospitals for poor women popularized and a mysterious disease
prevailed
Women who delivered at home, however, were immune to the disease
White recommended the following:
Clean linens
Few visitors
Keep child in another room
Abolish belly binding
Nursing child 4-5 times/day
Check drinking water not tainted
Stool everyday
, Solution 2024/2025
Pepper
Ox's bladder filled with cold water applied to belly to help uterus contract
*Contanimation occured often due to doctors and staff not washing their
hands
What are the trends for maternity nursing during the 1800s? ANS✔✔
Physicians gained popularity as techniques and instruments for complicated
deliveries improved
Ether and chloroform used during labor - considered 1st anesthesia
Widely used but controversial until used by Queen Victoria (1853) during
birth of 7th child - became the "ladylike" way to give birth
End of century obstetrics began to separate into its own department while
nurses began to receive special training
What are the trends for maternity nursing during the 1900s? ANS✔✔ DeLee
- 1920s, advocate for routine intervention for normal birth - urged sedation,
outlet forceps, ether & episiotomy
Local & regional anesthesia implemented 1940s - began to restrict food &
drink during labor
Twilight sleep (comb morphine, scopolamine, ether and/or chloroform)
gained popularity in 1950s.
, Solution 2024/2025
Pepper
Early feminists campaigned every woman's right to give painless birth
Perinatology & neonatology regionalized for specialized care those at high
risk
Improved diagnostics: ultrasound, amniocentesis, CVS, stress testing, fetal
scalp testing, continuous fetal monitoring
Improved resuscitative techniques, advanced ventilatory & nutritional
therapy and newborn (& fetal) surgery
Family Centered Maternity Care is current philosophy
What are the trends for midwifes in the 1900s? ANS✔✔ Mary Breckinridge -
1st nurse-midwife in US. Trained in Europe, developed standardization for
midwifery, the 1st midwifery school in US-Frontier Nursing Service, and
encouraged further need for midwifery schools/education
Early 1900s, 50% of all American births attended by midwives.
The number of CNM/CM-attended births has risen nearly every year since
1989, which is the first year that CNM-attended birth statistics were
reported. That year, CNMs attended 132,286 births, or 3.2% of all US births.
In 2006, CNMs/CMs attended 317,168 births—a 33% increase since 1996.
In 2006, certified nurse-midwives (CNMs) and certified midwives (CMs)
attended 317,168 births—a record number. This represents 7.4% of all US
births or 10.8% of all vaginal births.
, Solution 2024/2025
Pepper
Many states ban the practice of lay midwifery (non-education based)
Now:
*nurse midwives deal with low-risk patients. OB/GYN deal with high risk
patients
What are the trends of maternity nursing in the 2000s? ANS✔✔ In 2006
nurse midwives and certified midwives attended births in:
Hospitals - 97%
Birth Centers - 2%
Homes - 1%
Caesarean deliveries in 2006, a record high of 31.1 percent
Inductions of Labor
According to the National Center for Health Statistics, the rate of inductions
was 9.5% in 1990. In 2006, the rate more than doubled to reach 22.5%. May
currently be closer to 40%.
Family centered cared
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