Two forces that greatly altered child care in the United States in the nineteenth century were the

Alarge flow of immigrants and the rise of industrialization.
Bfounding of Montessori and the formation of the National Association for Nursery Education.
Cwork of Bank Street College and the Merrill Palmer Institute.
DGreat Depression and the Lanham Act.

Verified Answer :

Two forces that greatly altered child care in the United States in the nineteenth century were the "A. large flow of immigrants and the rise of industrialization", since this led to many parents being out of the home and therefore having to hire people to take care of their children.