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CHAPTER1:
ANSWERSgANDgRATIONALES
1.gWhichgchangegrepresentsgthegprimarygimpetusgforgthegendgofgthegeragofgthegfe
maleglayghealer?
1. Perceptiongofghealthgpromotiongasgangobligation
2. Developmentgofgagclinicalgnursegspecialistgpositiongstatement
3. FoundationgofgthegAmericangAssociationgofgNurse-Midwives
4. Emergencegofgagmedicalgestablishment
Page:g4
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1. Thisgisgincorrect.gLayghealersgtraditionallygviewedgtheirgrolegasgbeinggagf
unctiongofgtheirgcommunitygobligations;ghowever,gthegemerginggmedical
gestablishmentgviewedghealinggasgagcommodity.gThegemergencegofgag
malegmedicalgestablishmentgrepresentsgthegprimarygimpetusgforgthegen
dgofgthegera
ofgthegfemaleglayghealer.
2. Thisgisgincorrect.gThegAmericangNursesgAssociationg(ANA)gpositiongst
atementgongeducationalgrequirementsgforgthegclinicalgnursegspecialistg
(CNS)gwasgdevelopedging1965;gthegANA’sgpositiongstatementgongthegr
olegofgthegCNSgwasgissuedging1976.gThegemergencegofgagmalegmedic
algestablishmentgrepresents
thegprimarygimpetusgforgthegendgofgthegeragofgthegfemaleglayghealer.
3. Thisgisgincorrect.gThegAmericangAssociationgofgNurse-
Midwivesg(AANM)gwasgfoundedging1928.gThegemergencegofgagmalegme
dicalgestablishmentgrepresents
thegprimarygimpetusgforgthegendgofgthegeragofgthegfemaleglayghealer.
4. Thisgisgcorrect.gThegemergencegofgagmalegmedicalgestablishmentgrepre
sentsgthegprimarygimpetusgforgthegendgofgthegeragofgthegfemaleglaygheal
er.gWhereasglayghealersgviewedgtheirgrolegasgbeinggagfunctiongofgtheirgc
ommunitygobligations,gthegemerginggmedicalgestablishmentgviewedghe
alinggasgagcommodity.gThegeragofgthegfemaleglayghealergbegangandgend
edgingtheg19thgcentury.gThegAmericangAssociationgofgNurse-
Midwivesg(AANM)gwasgfoundedging1928.gThegAmericangNursesgAssoci
ationg(ANA)gpositiongstatementgongeducationalgrequirementsgforgthegcli
nicalgnursegspecialistg(CNS)gwasgdevelopedging1965;gthegANA’sgpositio
ngstatementgongthegrolegofgthegCNSgwasgissuedgin
1976.
2.gThegbeginninggofgmoderngnursinggisgtraditionallygconsideredgtoghavegbegungwit
hgwhichgevent?
1. Establishmentgofgthegfirstgschoolgofgnursing
2. Incorporationgofgmidwiferygbygtheglayghealer
3. EstablishmentgofgthegFrontiergNursinggServiceg(FNS)
4. CreationgofgthegAmericangAssociationgofgNurse-Midwivesg(AANM)
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Answer:g1
Pages:g4–5
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1. Thisgisgcorrect.gTraditionally,gmoderngnursinggisgconsideredgtoghavegbeg
unging1873,gwhengthegfirstgthreegU.S.gtraininggschoolsgforgnursesgopene
d.gThegrolegofgtheglayghealergasgagmidwifegisgdocumentedgtoghavegoccur
redgingtheg19thgcentury,gbeforegthegestablishmentgofgschoolsgofgnursing.g
ThegFrontiergNursinggServiceg(FNS),gwhichgprovidedgnurse-
midwiferygservices,gwasgestablishedging1925.gIng1928,gthegKentuckygSta
tegAssociationgofgMidwives,gwhichgwasgangoutgrowthgofgthegFNS,gbeca
megthegAmericangAssociationgofgNurse-Midwives
(AANM).
2. Thisgisgincorrect.gThegrolegofgtheglayghealergasgagmidwifegisgdocumen
tedgtoghavegoccurredgingtheg19thgcentury,gbeforegthegestablishmentgo
fgschoolsgofgnursing.gTraditionally,gmoderngnursinggisgconsideredgtogh
avegbegunging1873,
whengthegfirstgthreegU.S.gtraininggschoolsgforgnursesgopened.
3. Thisgisgincorrect.gThegFrontiergNursinggServiceg(FNS),gwhichgprovided
gnurse-
gmidwiferygservices,gwasgestablishedging1925.gTraditionally,gmoderngn
ursinggisgconsideredgtoghavegbegunging1873,gwhengthegfirstgthreegU.S.
gtraininggschools
forgnursesgopened.
4. Thisgisgincorrect.gIng1928,gthegKentuckygStategAssociationgofgMidwives,g
whichgwasgangoutgrowthgofgthegFNS,gbecamegthegAmericangAssociation
gofgNurse-
gMidwivesg(AANM).gModerngnursinggisgconsideredgtoghavegbegunging187
3,gat
whichgtimegthegfirstgthreegU.S.gtraininggschoolsgforgnursesgopened.
3.gIng1910,gwhichgfactorsgmostgsignificantlyginfluencedgthegmidwiferygprofession
?gSelectgallgthatgapply.
1. Strictglicensinggrequirements
2. Negativegpublicgperception
3. Dedicatedgfundinggforgtraining
4. Poorgmaternal-childgoutcomes
5. Mandatorygprofessionalgsupervision
Answer:g2,g4
Pages:g6–7
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1. Thisgisgincorrect.gIng1910,gthegmidwiferygprofessiongwasgsignificantlygi
nfluencedgbygpoorgmaternal-
childgoutcomesgandgagpublicgperceptiongasgunprofessional.gThoughgle
gislationgultimatelygwasgpassedgtogtightengrequirementsgrelatedgtoglice
nsinggandgsupervisiongofgmidwives,gingthegearlyg20thgcentury,gmidwive
sgwereglargelygunregulatedgandggenerallygperceivedgas
unprofessional.
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2. Thisgisgcorrect.gIng1910,gthegmidwiferygprofessiongwasgsignificantlyginfl
uencedgbygpoorgmaternal-
childgoutcomesgandgagpublicgperceptiongasgunprofessional.gAtgthatgtime
,gapproximatelyg50%gofgallgU.S.gbirthsgweregreportedlygattendedgbygmid
wives.gHowever,gespeciallygwithgregardgtogperinatalghealthgindicators,gt
hegnationalgpopulation’sggeneralghealthgwasgpoor.gUnfavorablegoutcome
sgamonggbothgmothersgandginfantsgweregattributedgtogmidwivesgwho,gat
gthatgtime,gwereglargelygunregulatedgandggenerallygperceivedgasgunprof
essional.gPoorgmaternal-
childgoutcomes,gnegativegperceptionsgofgmidwives,gobstetricians’gtarget
edgeffortsgtogtakegcontrolgofgthegbirthinggprocess,gandgagmovementgawa
ygfromghomegbirthsgpromptedgmajorgchanges.gLegislationgwasgpassedgt
ogtightengrequirementsgrelatedgtoglicensinggandgsupervisiongofgmidwive
s.gOnegaimgofgthegSheppard-
TownergMaternitygandgInfancygActginvolvedgallottinggfundsgto
traingpublicghealthgnursesgingmidwifery;ghowever,gthegbillglapsedging1929.
3. Thisgisgincorrect.gGoalsgofgthegSheppard-
TownergMaternitygandgInfancygActgincludedgallocatinggfundsgtogtraing
publicghealthgnursesgingmidwifery,gbutgthegbillglapsedging1929.gIng191
0,gpoorgmaternal-
childgoutcomesgandgagpublicgperceptiongasgunprofessionalgsignificant
lyginfluencedgthegmidwifery
profession.
4. Thisgisgcorrect.gIng1910,gthegmidwiferygprofessiongwasgsignificantlyginfl
uencedgbygpoorgmaternal-
childgoutcomesgandgagpublicgperceptiongasgunprofessional.gAtgthatgtime
,gapproximatelyg50%gofgallgU.S.gbirthsgweregreportedlygattendedgbygmid
wives.gHowever,gespeciallygwithgregardgtogperinatalghealthgindicators,gt
hegnationalgpopulation’sggeneralghealthgwasgpoor.gUnfavorablegoutcome
sgamonggbothgmothersgandginfantsgweregattributedgtogmidwivesgwho,gat
gthatgtime,gwereglargelygunregulatedgandggenerallygperceivedgasgunprof
essional.gPoorgmaternal-
childgoutcomes,gnegativegperceptionsgofgmidwives,gobstetricians’gtarget
edgeffortsgtogtakegcontrolgofgthegbirthinggprocess,gandgagmovementgawa
ygfromghomegbirthsgpromptedgmajorgchanges.gLegislationgwasgpassedgt
ogtightengrequirementsgrelatedgtoglicensinggandgsupervisiongofgmidwive
s.gOnegaimgofgthegSheppard-
TownergMaternitygandgInfancygActginvolvedgallottinggfundsgto
traingpublicghealthgnursesgingmidwifery;ghowever,gthegbillglapsedging1929.
5. Thisgisgincorrect.gIng1910,gthegmidwiferygprofessiongwasglargelygunregul
ated.gFactorsgthatginfluencedgthegprofessiongincludedgpoorgmaternal-
childgoutcomes
andgagpublicgperceptiongasgunprofessional.
4.gWhichgadvancedgpracticegnursinggrolegisguniquegingthatgthegpractitionersgview
gtheirgrolegasgcomprisinggagcombinationgofgtwogdistinctgdisciplines?
1. Nursegpractitioner
2. Certifiedgregisteredgnurseganesthetist
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3. Clinicalgnursegspecialist
4. Certifiedgnurse-midwife