English For Midwives
English For Midwives
English For Midwives
INTRODUCTION
A.
GREETINGS
Miss Dina
Students
Miss Dina
Students
Miss Dina
yourself.
Nita
Greetings
Hello/Hi.
Good morning.
Good afternoon.
Good evening.
How are you?
Good night, Mum.
Goodbye/Bye.
See you tomorrow/later
Responding
Hello/Hi.
Good morning.
Good afternoon.
Good evening.
Fine, thanks.
Im fine. Thank you.
Good night, honey.
Sweet dream.
Bye/Bye bye.
See you.
Exercise part A Study the following dialogues. Act them out with your
friends!
Today is the commemoration of National Education Day. Every province in
Indonesia sends their representatives to attend outstanding students gathering
in Jakarta.
Asep : Hello, let me introduce myself. My name is Ali. I study at SMAN 19
Bandung.
Denias : Hi, I'm Denias, I'm from Papua. Nice to meet you.
Asep : Nice to meet you too. Let's go to the crowd.
Denias and Asep go to the crowd and they meet a girl.
Sri
: Hi, Asep. How are you? Asep : I'm fine. How about you?
Sri
: I like cooking very much. I can spend my whole day for cooking
Denias : Wow, great. My hobby is cooking too. Will you tell me how to cook
special foods from your province? I'd like to know them.
Asep : Alright my friends, let's talk about cooking later. We should go to the
palace to meet the President of Indonesia.
Denias and Sri : Let's go. We can talk about cooking later.
B.
Introducing someone
I would like to
introduce you to ....
Let me introduce youto ...
This ...
Allow me to
introduce ....
I'd like you to meet ...
Do you know ...
Oh look, here's Peter.
PeterJeny, Jenypeter
UNIT 2
3
MIDWIFEWERY TERMINOLOGY
2. 1 TERMINOLOGY IN CLINICAL SETTING
1.
Body Part System
In this chapter we describe the basic structures of human body in
every system about their characteristics and composition and
descriptive anatomic terms are introduced in chart form. The system
that we will talk about are human body in commonly, respiratory,
blood circulation, nervous , urinary, digestive and skeleton
integument.
2.
MIDWIFERY TERMINOLOGY
Midwifery
terminology
Cessation
Meaning
Embryo
Fetus
Viability
Gravid
has been pregnant
Nulligravida
Primigravida
Multigravida
Para
Nullipara
Primipara
Multipara
Meaning
Striae gravidarum
Morning sickness
Quickening
Sensations of fetal
Hagars
sign Lower uterine segment softens 6 to 8 weeks after the onset of LMP
Chadwicks
Goodells sign
Braxton Hicks
Ballottement
3.
Leucorrhea
LMP
2. 2 BREAKING TERMINOLOGY
1. Prefixes
Prefixes consist of one or more syllables placed at the beginning of a word. A prefix
placed in front of a verb, adjective or noun for modifying its meaning. Many prefixes do
occur frequently in medical language and studying them is very important first step in
learning medi cal terminology. The principal of prefixes in medical terminology are given
in the following table :
7
Prefix
Meaning
Example
without, lack of
away from
didysendo-,
im-, in
intermicroperipolypostpreresub-
two, twice
difficult, bad, painful
within
not
between
small
around
excessive
after
before
backward
under
EXERCISE
Matching:
1. a-, an2. ambi-, ampho3. contra4. dys5. ep-, epi6. aut-, auto7. multi8. dis9. infra10. eu-
A. self
B. difficult, bad
C. apart, free from
D. without, lack of, not
E. below, beneath
F. upon, on, over
G. oppose, against
H. both
I. normal
J. Many
2. Suffixes
Suffixes consist of one or more syllables placed at the end of a word and never stand
alone. Suffixes are added to the roots of the words to modify the meanings. There are two
general rules that may be followed:
8
a) The last vowel of the root may be changed to another vowel and another vowel may
be inserted between the root and a suffix that begins with a consonant that called
combining vowel.
For example:
Cardiology study of the heart
comes from: the root cardi- heart
the suffix -logy study of
b) When the suffix begins with a vowel, the last vowel of the root may be dropped before
adding the suffix.
For example:
carditis inflammation of the heart
comes from: the root cardi- heart
the suffix -it is inflammation
Suffix
-al, -ic, -ous, -tic
Meaning
pertaining to, relating to
-algia
-ate, -ize
pain
use, subject to
-cele
-centesis
-cyte
-ectomy
-emesis
-form, -oid
protrusion (hernia)
surgical puncture to remove
fluid
cell
cutting out
vomit
resembling, shaped like
-genesis
-ites, -it is
-logy
science, study of
EXERCISE A
Matching:
1. al, -ic
2. -ectomy
3. -penia
4. -scopy
5. -emesis
6. -centesis
7. -stomy
8. -logy
9. rrhage, --rrhagia
10. form, -oid
A. surgical puncture
B. vomit
C. resembling, shaped like
D. excessive flow
E. act of examining
F. deficiency
G. pertaining to
H. surgical opening
I. Science of, study of
J. cutting out
EXERCISE II
Match the following prefixes and suffixes with their meanings:
9
Example
Cardiac (pertaining to the heart)
Neural (pertaining to nerve)
Delirious (relating to mental
disturbance)
Neuralgia (pain in nerves)
Impregnate (to make pregnant)
Visualize (use imagination)
Cystocele (bladder hernia)
Thoracentesis (from a chest cavity)
Leukocyte (white blood cell)
Lobectomy (of a lobe)
Hyper emesis (excessive vomiting)
Fusiform (spindle shape)
Ovoid (egg shaped)
Pathogenesis (origin of disease)
Tympanitis (drum like swelling of
abdomen)
Biology (science of life)
1. cyte
2. ic
3. hemi4. ptosis
5. con6. emia
7. ab8. emesis
9. auto10. rrhexis
11. dia
12. scope
13. oid
14. epi15. pnea
A. blood condition
B. away from
C. instrument
D. rupture
E. between, through
F. breathing
G. upon, on, over
H. resembling, shaped like
I. prolapse
J. with, together
K. cell
L. pertaining to
M. half
N. self
O. vomit
EXERCISES UNIT II
1. The epigastrium is located the costal margin
A. above
C. in front of
B. below
D. in the bottom of
2. You must order medicine20 ml b.d (2x) x 3 days. How many ml of medicine will you
need for three days?
A. 60 ml
C. 180 ml
B. 120 ml
D. 320 ml
3. You must give 25-mg amoxillin t.d.s (3x). It is available in 5 -mg tabs. How many tabs.
Must you give in two days?
A. 20 tabs
C. 15 tabs
B. 30 tabs
D. 10 tabs
10
4. You must give 1 gm of penicillin. The tablets are labeled 200 mg. How many tablets must
you give?
A. 4 tabs.
C. 6 tabs.
B. 5 tabs.
D. 7 tabs.
5. The lungs are . sections called lobes
A. consists of
C. colored
B. contained
D. divided into
6. The body is . the skeleton which . about two hundred and six bones
A. contain; consists
C. attached, contain
B. supported by, consists of
D. connected by : supported by
7. The ribs are situated the thorax
A. above
C. below
B. at the side of D. in front of
8. The vertebral column .. a number of vertebrae, the sacrum and the coccyx
A. contain
C. lead to
B. consists of
D. divided into
9. The lungs are . a double membrane
A. contain
C. lead to
B. consists of
D. divided into
10. The meaning of prefix abductor is
A. toward
C. lack of
B. away from
D. Close
11. The meaning of suffix leucopenia is
A. lack of
C. decrease
B few
D. Down
12. What is the suffix for hematemesis ?
A. hema
C. esis
B. hemato
D. emesis
13. The patient instructed with nothing by moth, you can make abbreviation
A. ROM
C. NS
B. NPO
D. DNR
14. Please observe vital sign o.k.
A. after meal
C. during meal
B. before meal
D. every time
15. The abbreviations . can be used to write patient present illness
A. PMH
C. Imp.
B. HPI
D. AMB
16. In the assessment phase in carrying out nursing care to the patient in order to gather
subjective date, the nurse should
11
A. Inspection
B. Interview
C. physical examination
D. IPPA
25. The feeling that everything is turning around you, and lose balance:
A. Fainting
B. Dizziness C. Fatigue
D. Shock
26. Blues lips or nails are signs of:
A. Anemia
C. Fatigue
B. Cyanosis
D. Fainting
27. The following is the sign of inflammation , except:
A. Bruising
C. swollen
B. Redness
D. Hot
28. The other name of abdominal thrust is
A. Heimlich maneuver
C. chest trust
B. back blow
D. jaw trust
12
29. The best way to open the airway of a victim with a suspected neck fracture, is
A. jaw thrust
C. tongue-jaw lift
B. head-tilt, chin lift
D. Hyperextension
30. If there is a pulse, no breathing. The rescuer should give .
A. Compression only
C. Modification compression & breathing
B. initial breathing only D. chest thrust only
31. If an infant has complete airway obstruction, the rescuer sho uld:
A. Adm. 6 10 abdominal thrusts
C. Adm. sweeping
B. Adm. 4 back blow & chest thrusts
D. turn the child upside-down and shake
32. The most serious complication of heart attack is:
A. one sided body weakness
C. severe chest pain
B. severe anxiety
D. cardiac arrest 100
33. First action in CPR in order to determine breathlessness is, EXCEPT
A smell
C. listen
B. look
D. Feel
34. Termination of CPR are the following, Except:
A. rescuer exhausted
C. Respiratory & Circulation present
B. competent person come
D. Patient declared alive by doctor
35. A patient has a beating pain just below the ribs. The underscore word has the same
meaning with ..
A. intermittent
C. slight
B. severe
D. Throbbing
36. An appendectomy is a usual operation in.. syste m.
A. respiratory
C. urinary
B. digestive
D. Musculoskeletal
Mrs. Jenny, 26 years old go to the antepartal clinic after she misses two menstrual period.
Now she had no child and she got abortion for the first pregnancy at January 2003. Ns. W.
determine s that Mrs. Jenny will have delivery at August 20th , 2004 by added 7 days to the
date of the 1 st day of the last menstrual period and counting down back 3 months.
37. Base on that case, the obstetric history of Mrs. Jenny is ..
A. primigravida C. multipara
B. nulligravida
D. Nullipara
38. Ns. W use . rules to estimate date of Mrs. Jenny confinement.
A. Mc. Donald
C. Nagele
B. Nigras
D. Nemones
39. The probable signs and symptoms of pregnancy, except :
A. quickening
C. leucorrhea
B.ballottement
D. Braxton hicks contraction
13
14
UNIT 3
CASUALITY
Casuality
Simple past, Past Continous
While John Smith was going on to school this morning. A car knocked him down. His right
leg was broken just below knee. Some people who saw the accident laid him in a comfortable
position on the pavement and telephoned for an ambulance. Jhon was badly shocked an in
freat paon. While the people were waiting for an ambulance, the driver that knocked Jhon
down covered him with a coat and tried to comfort him.
When the ambulance arrived , Jhon was lifted on to a stretcher, put into the ambulance and
driven to a hospital that was not far away. When he arrived at the casuality department , he
was admitted. The nurse who admitted hi gave him an injection of morphin to combat the
shock and the pain. The doctor who examined him comforted him and told him everything
would be all right. While the doctor was examining him, the nurse who had admitted him took
15
his pulse and blood pressure. No anti-tetanus injection was necessary, as Jhon had been
immunized against tetanus sixth month earlier.
As Jhon was lacerated and confused, he was given an antibiotic to prevent onset of infection.
He was then taken to the x-ray department. While the x-ray examination was being carried
out, Jhons parrents arrived at the hospital. The doctor told them that Jhon had sustained a
compound fracture of the tibia and fibula. He explained that an operation was necessary and
asked Mr.Smit signed a constent for operation from while Mrs Smith wasgiving Jhons
personal particulars and previous medical history to the nurse. Before Jhons parents left the
hospital, they were told when they could visit him and were given a list of things that he
would need. While Jhon was waiting to go to theatre, a quarter hourly record of his pulse and
blood pressure was kept and he was given a suitable premedication.
A.
B.
UNIT 4
PATIENT ASSESMENT
Technique to collect a broad range of physical data about patient :
Nursing Notes
1.
Inspection
The process of observation, a visual examination of the patients body parts to detect
normal characteristic or significant physical signs
2.
Palpation
Involves the use of the sense of touch. Giving gentle pressure or deep pressure using
your hand is the main activity of palpation
3.
Percussion
Involves tapping the body with fingertips to evaluate the size, borders, and consistency
of body organs and discover fluids in body cavities.
4.
Auscultation
Listening to sounds produced by the body
Useful Expressions
Implementation step
Explaining what you are going to do immediately
Now I am going to
16
Instruction
Would you?
Now I want you to?
Please + rise your eyebrows
frown your forehead
smile
puff your cheeks
shrug your shoulder
flex your neck with chin toward
bend your neck, with ear toward shoulder
take a sip of water from this glass
17
UNIT 5
CHECKING VITAL SIGN
3.
4.
18
Tension
Beats per minute
5.
6.
7.
8.
9.
10.
Patients chart
Normal pulse rhythm
Bradycardia
Tachycardia
Bounding
Thread/weak
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Medical terms
Denyut nadi
Ketegangan
Denyut per menit
Bradikardia
Grafik pasien
Lemah
Ritme normal
Batas
Colloquial expression
Dyspnea
Expiration
Breathing out
Expectorate
Inspiration
Breathing in
Respiration
Breathing
Sputum
Phlegm
Useful Expression
Explaining the procedures
Its time for me
I just want
I would like
I am going
to measure your blood pressure
to count your pulse
to check your respiration
to measure your temperature
to put this cuff (around your upper arm)
to insert this (thermometer) into your armpit
to put this (thermometer) into your mouth
19
Would you
Would you mind *)
Please
Now, I want you to
lying position
UNIT 6
DISHCARGE INSTRUCTION
Give instructions and suggestions according to the patients health problem, and Deliver a
therapeutic communication
Vocabulary
Matching.
1.
Avoid
2.
Contraindicated
3.
Indicated
4.
Suggest
5.
Pus
6.
Suture
7.
Sponge
8.
Splint
9.
Swollen
10.
Numb
11.
12.
13.
14.
15.
16.
17.
18.
19.
20
Paralysis
Convulsion
Patch
Hazardous equipment
Rub
Greasy
Rash
Tightness
a)
b)
c)
d)
e)
f)
g)
h)
i)
Mengindikansikan
Contraindicated
Bidai
Sarankan
Nanah
Hindari
Jahitan
Ruam
Spons
20.
Useful Expressions
21.
Patern I : Recommendation
22.
j)
k)
l)
m)
n)
o)
p)
q)
r)
Pattern
23.
Example
You should take the complete (entire)
dose Prescribed
These tablets contain antibiotic. It is
required you to take the complete dose
prescribed
24.
25.
26.
Should
Must
Be +
required
27.
essential
28.
important
29.
indicated
30.
have to
31.
Had better + bare infinitive
32.
Advice
33.
Suggest
34.
Yang bengkak
Mati rasa
Keketatan
Kelumpuhan
Tambalan
Gangguan hebat
Berminyak/Manis mulut
Gosokan
Peralatan penuh resiko
35.
36.
37.
38.
39.
42.
43.
44.
46.
47.
48.
50.
Patern II : Prohibition
40.
Patern
Should not
Must not
May not +
Should + avoid + ing
Have to + avoid + ing
Had better not + bare infinitive
51.
Instruction Chart 1
52.
21
45.
41.
Example
You should not drink this antibiotic
with milk
49.
1.
2.
3.
4.
5.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
74.
76.
77.
73. UNIT 7
INFECTIOUS DISEASES ON PREGNANCIES
75.
Can-ability
78.
Studies presented at the infectious diseases
society for obsterics and gynecology show certain infectious
diseases can lead to infertility of fetal problems. Parvovirus
infections in pregnant women and mild cases of pelvix
inflamamatory disease (PID) are both more problematic
than preoviously thought , say scientist from the University
of Pittsburgh and Magee-Womens reasearch Institute.
79.
A parvovirus infection during pregnancy is pottentially fatal to
developing feltoses. It can causes heart failure or even death, say scientiest from the
University of Pittsburgh School of Medicine. The disease often has no symptomps in
22
adulst or causes only mild flu like symptomps. In children. Parvovirus can show up as
a rash on cheeks like a slapped face.
80.
There is no vaccine available for the disease. Because of the lack of
symptomps in adults, current practices is to counsel and closely monitor patients at
high of the disease, including anyone with school-age children and those who work
with children like teachers or daycare workers.
81.
For women trying to get pregnant the should know that even mild cases
of PID can impair fertility. A university of Pittsburgh School of Medicine study shows
that women with PID undetecable by clinical test are twice more likely to have
infertility problems than women without PID.
Many women who have Chlamydia , gonorrhea or bacterial vaginosis also have mild
cases of PID , says Dr. Harold Wiesenfeld, one of the studys author. Given the vast
number of women who have lower genital tract infections , our findinfs reveal that a
substantial number of reproductive aged women are at risk for infertility.
82.
83.
84.
85.
Answer the following questions
1. Who shows certain infectious diseases can lead to infertility or fetal problems ?
2. What does PID stand for?
3. How is parvovirus infection during pregnancy potentially fatal to developing fetuses?
4. How can the disease show up the children?
5. Why is there ni vaccine available for the disease ?
86.
87.
a.
b.
c.
d.
e.
f.
g.
h.
Genital
Hamil
Ketidaksuburan/Kemandulan
Vaksin
Penyakit
symptomps
Kematian
Cepat menyebar
11. Circle what you can do then write the sentence ,see the example ;
-
12. 1.Speak
16. 2.Make
21. 3.Write
13.
English
17.
Coffe
22.
A letter
14.
Spanish
18.
An omelete
23.
A poem
15.
French
19.
A pie
24.
A song
20.
29. 5.Operate
25. 4.Play
33. 6.drive
26.
Tennis
30.
A type writer
34.
A car
27.
Football
31.
A calculator
35.
A bus
28.
Baseball
37. 7.Ride
32.
A camera
41. 8.Fix
23
36.
A truck
45. 9.Cook
38.
A horse
42.
A flat tires
46.
Chicken
39.
A bicycle
43.
A faucet
47.
Fish
40.
A suftboard
44.
A toaster
48.
steak
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
68.
67.
UNIT 8
WHAT IS MIDWIFERY ?
69.
70. Article;-a-an-the
71. A midwife is a person who, having been regularly admitted to a midwifery educational
programme, duly recognized in the country in which it is located, has successfully
completed the prescribed course of studies in midwifery and has acquired the requisite
qualifications to be registered and/or legally licensed to practise midwifery.
24
72. The simplest definition of midwifery is "with woman", but truly, midwifery means
different things to different people. For many, the Midwifery Model is an attitude
about women and how pregnancy and birth occur, and view that pregnancy and birth
are normal events until proven otherwise. It is an attitude of giving and sharing
information, of empowerment, and of respecting the right of a woman and her family
to determine their own care.
73. Historically, midwives have always been around to help women give birth. Before
physicians, midwives were the primary healers in their communities. They were the
medicine women of their own cultures, and assisted families and women throughout
their lives. In the Old Testament they were described as examples of the strength and
faith in God. Midwives were once the nutritionists, herbalists, doctors, ministers,
counselors all rolled into one 'profession'. Many feel they were the first holistic
practitioners. Midwives were always available to help the poor, the women without
medical care or the women who were the outcasts of their culture. Today, midwives
take care of anyone who wishes to see them, but practice within the constraints of their
medical and legal systems.
74. Today midwives are as diverse as the populations they serve. Midwives are willing to
take care of anyone who wishes to see them. Over 70% of births in the world are
attended by midwives. In the Netherlands, midwives deliver a majority of the babies.
Other countries do not utilize midwives to their fullest potential. Each country
worldwide has a slightly different view of midwifery, and of how midwives work
within their communities. In sci.med.midwifery, midwives will speak from these
various perspectives and cultures. Midwives are encouraged to share their statistics
and work situations within this newsgroup.
75.
76. Answer the following questions
1. Who is midwife ?
2. What is midwifery ?
3. What does the midwife usually do ?
4. How many percent birth in the world are attended by midwives ?
5. Give your opinion about midwife in your town ?
77.
78.
79.
80.
81.
82. Match and use your dictionary if needed.
83.
84. Place
85. Explanations
1. Department store
a. sells flowers
2. Grocery
b. sells meat, chicken and eggs
3. Florist
c. sells medicines and toilet articles
4. Greengrocery
d. sells fish
5. Baker
e. sells clothes and other things
6. Stationery
f. sells cars or motorcycles
7. Drugstore
g. sells sugar, flour, canned foods, etc
8. fishmonger
h. sells bread, cakes, pies
9. butcher
i. sells things for writing
10. dealer
j. sells fruit and vegetables
25
86.
87.
88.
89.
90.
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
112.
113.
114.
115.
116.
117.
118.
119.
120.
121.
122.
123.
124.
126.
125.
UNIT 9
MOMS MORE TIME
127.
128.
Adjective , adverb
129. A university of North Carolina at Chapel Hill (UNC) study shows that state are
several laws passed to prevent drive through deliveries very short, pregnancy dangerous
hospital stays for women following childbirth are partially wrong to correct the problem. But
it still varies from state to state and depends on how those laws are worded as to how much
extra time a mom receives after she gives birth.
26
130. In the mid 1980s , hospital stays postpartum were getting shorter and shorter ,
possibly because of managed health care organizations trying to cut costs, says Dr.William H.
Dow, assitant proffesor at the UNC School of Public Health. Some women were leaving the
hospital less than 24 hours after giving on vaginally, he says. States stared passing laws
requiring longer hospital stays but it was not until federal laws were passed in 1998 that some
form of regulation appeared where health insurance pays for at least a 48 hour stay afer
vagina delivery and 96 hour stay following a cesarean section.
131. The UNC report on the impatc of these regulations, which appears in the
Journal of Health Economics, shows that the new laws have increased hospital stay lengths
significantly, from 55 percent of privately insured staying less than 24 hours before the laws
to less than 40 percent after the laws. But the effect are not consistent from state to state and
are not as feat as previously reported in other studies say the authors. Whats more , the study
could not determine whether the increases lenghts of stay have produced better health
outcome. But the moms seems to lke the longer stays, say the researcher.
132.
133.
134.
Answer the following questions
1. What does a university of North Carolina at Chapel Hill (UNC) study shows ?
2. When does the hospital stay postpartum were getting shorter and shorter ?Why?
3. How long the health insurance pays for at least staying after vaginal delivery and cesarean
section ?
4. What does the UNC report in the journal of Helth Economics ?
5. How many percent have the new laws increased ?
135.
136.
137.
138.
139.
140.
141.
142.
143.
144.
145.
146.
147.
Adjective
148.
Adverb
149.
152.
potentially
153.
N
150.
151.
potential
1
154.
155.
156.
Partially
157.
2
158.
159.
160.
Possibly
161.
3
27
Meaning
162.
163.
164.
Vaginally
165.
4
166.
167.
168.
Slowly
169.
5
170.
171.
6
174.
175.
7
178.
179.
quick
180.
181.
8
182.
183.
Significant
184.
185.
9
186.
187.
Private
188.
189.
Obvious
172.
173.
176.
Previously
1
190.
191.
192.
193.
194.
195.
196.
197.
198.
199.
200.
201.
202.
203.
204.
205.
206.
207.
208.
209.
210.
211.
UNIT 10
28
177.
212.
213.
Knowledge
214. This is the story of one case of maternal death. For the sake of anonymity, let
us call our unfortunate woman, Mrs X. Mrs X died during labour in a small district hospital.
The physician in charge had no doubt why Mrs X died. It was a
straight forward clinical diagnosis - a case of antepartum
haemorrhage due to placenta praevia, which means that the
placenta, or what we call the afterbirth, was situated too low
down in the uterus. A woman with this condition will inevitably
develop bleeding in the latter part of pregnancy or before
delivery. The physician was satisfied with the diagnosis, looked
up the book of International Classification of Diseases, entered
the right code number for the condition and closed the file on
Mrs X. But the question is not completely answered, and there are others who are still looking
for other answers. The obstetric profession has a small committee which is making
confidential inquiries into the causes of maternal deaths according to standards that have been
developed by the International Federation of Gynaecology and Obstetrics. The committee
met, asked for the complete hospital record of Mrs X and examined the record in more detail.
The file on Mrs X was re-opened. The committee looked into the case which said that the
death of Mrs X was avoidable. The committee argued in its report that, if blood transfusion
had been more readily available, and if the service had been better prepared to deal with
emergencies, a life would have been saved.On reading the file of Mrs X, the committee found
out that there were two striking points in her hospital record. The first point was that although
she was admitted to hospital as a case of severe bleeding and in a condition of shock, she
received only 500 cc or litre of blood by transfusion. That was all the blood the hospital had
available to give her and that amount was barely sufficient to compensate for her severe blood
loss. The second point was that Mrs X had to undergo caesarean section in the hospital to stop
the bleeding. That operation was carried out three hours after her admission. Mrs X died
during the operation.
215. It took Mrs X four hours to reach hospital from the time she started bleeding
severely, because transport was not readily available to take
her to the hospital. It was also revealed that this was not the
first time she suffered bleeding. In fact she had two minor
episodes of bleeding during the same month and on both
occasions the bleeding stopped spontaneously. This is a very
dangerous signal in late pregnancy. It always indicates that a
severe attack of bleeding is imminent, yet Mrs X was never
warned about this and no action was taken. Mrs X was not a
very healthy woman. Even before pregnancy, she suffered from
chronic iron deficiency anaemia caused by malnutrition and parasitic infestations. That severe
anaemia must have contributed to the fact that she could not endure the additional severe
blood loss. Her reserves of blood were already at a very low level. Mrs X did not have access
to any sort of prenatal care during her pregnancy. Mrs X is 39 years old, five of her children
are still living, three of them are males, and Mrs X did not want another child.
216. In addition, because of her age and because of her parity, her pregnancy carried
a much higher risk than her previous pregnancies. Mrs X never had access to any family
planning information, education or services, and therefore never had the opportunity to use
any method family planning in her life. If this unwanted pregnancy of Mrs X had not taken
place, she would not have died from the cause she died from. Mrs X was also a housewife,
and her husband a poor agricultural labourer. She was an illiterate woman and she lived with
her husband in a remote village. A woman of Mrs Xs socioeconomic position has a relative
risk of maternal mortality:
29
217.
5 times more than the average in the whole country.
218.
10 times more than a woman in a higher socioeconomic position in the country
in which she is living.
219.
100 times more than a woman living in a developed country.
220.
The real reason why Mrs X died was because of her
socioeconomic position:
221.
Mrs X died because of poverty
222.
Mrs X died because of lack of
223.
knowledge and information
224.
Mrs X died of social injustice
225. If Mrs X had been an educated woman, if she had
been gainfully employed, and if she had had her fair share of
nutrition within society, her risk of dying would have been much
less. It is clear that there are different perspectives in the way one looks at the causes of
maternal mortality. In order to answer the question Why did Mrs X or other Mrs Xs die? we
need to take all these perspectives into consideration. In other words, we need to reconstruct
the story of Mrs X.
226. We need to retrace the steps of Mrs X along what one can describe as The
Road to Maternal Death. Mrs X did not voluntarily go on that Road to Maternal Death. She
was led to the start of the Road by the poor socioeconomic development of the community in
which she was born, and in which she lived. But it is not just the general level of
socioeconomic development that matters. Even more important is the equity with which the
benefits of socioeconomic development are made available to members of the community. As
a female, Mrs X did not get an equal share of whatever little benefits of socioeconomic
development were available in her community. At that stage on The Road to Maternal Death
there was a way out for Mrs X.
227.
- If Mrs X had had the opportunity for some education, for gainful
employment, or for proper nutrition she would probably have found her way off The
Road to Maternal Death. Unfortunately, that exit was not available to Mrs X and she
had to continue along the Road.
228.
Raising theThe next stretch of the Road for Mrs X was excessive fertility. Her
fertility, and childbearing, was her only acknowledged contribution to the society in
which she lived. Children were the only goods she could produce and the only goods
she could deliver. Her status as a woman in her community depended completely on
her role as a mother. Excessive fertility not only increased her chances of travelling
further along The Road to Maternal Death, but because of advancing age and parity
she was at increasingly higher risk during pregnancy and childbirth. Still at this stage
on The Road to Maternal Death there was a way out.
229.
- If Mrs X had access to family planning information, education and services,
she could have found her way off the dangerous Road. Mrs X was denied that exit and
had to continue her march along the RoadNow, because of her advanced age, because
of her advanced parity, because of her poor nutrition, because of her severe anaemia,
she came under what we call an obstetric category - the category of high risk
pregnancy. By high risk pregnancy we mean that small group of women who have
most of the complications. That was the stage Mrs X found herself at, yet even at that
stage there was still a way out.
230.
If community-based maternity services had been available; her high risk
category would have been detected by simple screening; her anaemia would have been
corrected; warning signals such as her episodes of bleeding would have been carefully
noted; and she would have been referred to the nearest hospital service in time while
she was still in a good condition. That exit was not open to Mrs X and she had to
continue along the Road. And that was the critical part of the Road, that was the stage
30
28.
29.
30.
31.
UNIT 11
32.
TIME
TELLING THE
month, date)
Pukul berapa?
Pukul satu
Pukul satu lewat
Pukul satu lewat
Pukul
Pukul
satu
satu
lewat
dua
dua
kurang
134.
Sunday Minggu
144.
April April
135.
Monday Senin
145.
May Mei
136.
Tuesday Selasa
146.
June Juni
137.
Wednesday Rabu
147.
July Juli
138.
Thursday Kamis
148.
August Agustus
139.
Friday Jumat
149.
September September
140.
Saturday Sabtu
150.
October Oktober
141.
January Januari
151.
November Nopember
142.
February Pebruari
152.
December Desember
143.
March Maret
153.
154.
Dates / Tanggal
155.
When were you born? Kapan anda dilahirkan?
156.
I was born on May the second*, nineteen
157.
fifty eight Saya dilahirkan tanggal 2 Mei 1958
158.
My birthday is May the second Ulang tahun saya tanggal 2 Mei
159.
Note : *Tanggal May 2, 1958 dapat dibaca:
160.
May the second atau the second of May. Juli 27: July the twenty-seventh atau
the twenty seventh of July
161.
He was born on Friday, July the twentyseventh, nineteen fifty six
162.
Dia dilahirkan pada hari Jumat, 27 Juli 1956
163.
Indonesias Independence Day is August the seventeenth
164.
Hari kemerdekaan Indonesia jatuh pada tanggal 17 Agustus
165.
Indonesia declared its independence on August the seventeen, nineteen
fortyfive Indonesia mengumumkan kemerdekaannya pada tanggal 17 Agustus 1945
166.
America was discovered in fourteen ninety-two
167.
America ditemukan pada tahun 1492
168.
We have been working here for six years Kita sudah enam tahun bekerja disini
169.
We have been working here since nineteen sixty-five
170.
Kita bekerja di sini sejak 1965
171.
We started working here in September nineteen sixty-five
172.
Kita mulai bekerja di sini pada bulan September 1965
173.
This is our sixth year at this office Tahun ini tahun keenam kita bekerja di sini
174.
175.
Marriage, pass away
176.
To be born Dilahirkan
183.
Is she married? Yes, She is
177.
I was born in 1920 Saya
Apakah dia sudah menikah? Ya,
dilahirkan pada tahun 1920
sudah
178.
He was born in 1962 Dia
184.
No, she isnt married No,
dilahirkan pada tahun 1962
185.
she is unmarried. She is
179.
When were you born?
single.
Kapan anda dilahirkan?
186.
Belum, dia belum menikah
180.
What is the date of your
187.
Is he married? Apakah dia
birth? Tanggal berapa tanggal
sudah menikah
lahir anda?
188.
No, he is still a bachelor
181.
They were born in
Belum, dia masih bujangan
Kalimantan Mereka dilahirkan di
189.
He was married, but now he
Kalimantan
is divorced Dia sudah pernah
182.
To marry, to get married, to
menikah, tetapi sekarang sudah
be married
bercerai
190.
He was married in 1950 He
got married in 1950
34
191.
Dia menikah tahun 1950
197.
She married a Frenchman
192.
They were engaged two
Dia menikah dengan seorang
years before they were married/ got
Perancis
married
198.
We are going to their
193.
Mereka bertunangan dua
wedding. Kami mau ke perkawinan
tahun sebelum menikah
mereka
194.
They are going to be
199.
They are celebrating their
married. They are getting married.
fifth wedding anniversary
They are going to get married.
200.
Mereka sedang merayakan
195.
Mereka akan menikah
hari ulang tahun pernikahan
196.
He didnt marry until he
mereka yang kelima
was forty Dia baru menikah pada
umur empat puluh tahun
201.
202.
Age
203.
How old are you? Berapa
212.
a widower duda
umur anda?
213.
a divorce, adivorce man
204.
Im twenty-seven Umur
pria yang bercerai, duda
saya duapuluh tujuh
214.
a divorcee, divorced women
205.
Im twenty-seven years old
wanita yang bercerai, janda
Umur saya duapuluh tujuh tahun
215.
To die, to be dead
206.
He is twenty-seven years of
216.
My father is dead but my
age Umurnya duapuluh tujuh
mother is still alive/still living
tahun.
217.
Ayah say sudah meninggal,
207.
They are the same age
tetapi ibu saya masih hidup
Umurnya sama
218.
My grandfather is dead. He
208.
a bachelor bujangan
dies in 1920 Kakek saya sudah
209.
finance tunangan pria
meninggal. Dia meninggal tahun
210.
finance tunangan wanita
1920
211.
a widow janda
219.
To die Meninggal
220.
To be dead Mati (keadan)
221.
222.
223.
224.
Attention:
225.
1) Jangan mengatakan he was dead.
226.
Seharusnya: He is dead atau He died. (mati, telah meninggal) atau lebih halus:
He passed away
227.
2) He was buried yesterday. (dikubur)
228.
We went to the funeral. (pemakaman)
229.
230.
231.
Exercises
232.
A. Answer the following questions !
233.
1. When is your birthday?
234.
2. When is the date of your birthday?
235.
3. When is your mother birthday?
236.
4. Whats todays date?
237.
5. Whats tomorrows date?
238.
6. What day was it yesterday?
239.
7. What date was it yesterday? / What was yesterdays date?
240.
8. This year is Jakartas __________ anniversary.
35
241.
242.
243.
244.
245.
246.
256.
257.
258.
259.
260.
261.
262.
263.
264.
265.
266.
267.
268.
269.
270.
271.
272.
273.
274.
275.
UNIT 12
276. NURSING
277.
Sentence Order
278.
Caring for a sick person over a long period is hard work and requires stamina,
so you must look after your own health. It is all to easy to become so involved with
the invalids needs that you forget your own. Anxiety and fired ness may reduce your
apetite and encourage you to snatch snack instead of eating well. Therefore, pay
attention to the recommendation on caring for a sick person are as follows. Firstly,
balanced diet, it is important that you are well, nourished you also plenty of reose and
sleep. Then, take advantage of any time that the sick person rests or sleeps to do so
once a day. If you are tired and harassed , you will become prone to illness and
infection, caught from visitors or the sick room. And you will also become less able to
cope. And then , take good care of yourself. It is in the sick persons best interests as
well as your own.
279.
Moreover, keep in touch with friends and if you cannot get out to see them,
invite them over to see you. Keep up with interest and hobbies, if you can : this is
36
1.
2.
3.
4.
5.
6.
7.
8.
particularly important if the sick persons illness is terminal as you will need your own
interests and in particular your friends and family later. Finally, it is also helpfully for
the sick person to be visited by friends and relations and to have and interest in a
hobby or another activity that keep his of her attention of the difficult of being ill.
280.
281.
282.
Exercises
The best topic for the paraghraphs above is ....
a. Looking after your self
b. Caring for a sick person
c. Visitor of the sick
283.
It is an advice for...
a. Medical staff
b. Handicapped person
c. A nurse
284.
Eating a well balanced that is ...
a. Normal
b. Common
c. Advised
285.
If you are tired, you will be...
a. Emotional
b. Sick easily
c. Normal
286.
What happen if some body so anxiety and tiredness ?
Do you need rest or sleeps if you tiredness?
What do you do if you tiredness?
How do you support to sick persons illness is terminal?
287.
288.
289.
290.
Grammar Section
291.
Sentences Order
292.
293.
At first/firstly...
294.
Then,...
295.
296.
Next,...
297.
298.
And then,...
299.
300.
Moreover,...
301.
302.
Finally/at the
303.
end,...
304.
305.
306.
307.
Firtsly,..
Secondly,...
Thirdly,,...
Fourthly,....
Finally/at the
end,..
37
308.
309.
310.
311.
312.
313.
314.
315.
316.
317.
318.
319.
320.
321.
322.
323.
324.
325.
326.
327.
328.
329.
330.
331.
332.
333.
334.
335.
336.
337.
338.
Exercises
Explain briefly how to do : Bathing Baby !
340.
339.
UNIT 13
NURSING CARE NURSING PROCESS
341.
APPROACHES
342.
343.
344.
345.
Activities
346.
AMB
Ambulatory
347.
BRP
Bathroom
privileges
348.
CBR
Complete
bed rest
349.
OOB
Out of bed
350.
Up ad lib
Up as
desired
351.
352.
Assessment Data
353.
Abd
Abdomen
354.
BP
pressure
355.
bx
356.
C
(centigrade)
357.
Cc
complaint
358.
c/o
359.
do
360.
F
361.
GI
gastrointestinal
362.
GU
38
Blood
biopsy
Celsius
chief
complains of
diagnosis
Fahrenheit
genitourinary
363.
h/o
history of
364.
HPI
history of
present illness
365.
Imp
Impressions
366.
It
or left
367.
NAD
no apparent
distress
368.
neg
negative
369.
P
pulse
370.
PE
physical
examination
371.
PMH
past medical
history
382.
383.
Disease
384.
ASHD
arteriosclerotic heart disease
385.
ASCVD
arteriosclerotic
cardiovascular disease
386.
BPH
benign
prostatic hypertrophy
387.
CA
cancer
388.
CAD
coronary
artery disease
389.
C
congestive
heart failure
390.
HF
chronic
obstructive pulmonary disease
391.
COPD
cerebrovascular accident
392.
CVA
diabetes
mellitus
393.
HTN( BP)
hypertension
394.
MI
myocardial
infarction
395.
PVD
peripheral
vascular disease
396.
STD
sexually
transmitted disease
397.
Diagnostic Studies
419.
420.
421.
422.
423.
424.
425.
426.
427.
428.
Orders
ad lib
AMA
BM
before
as desired
against medical orders
bowel movement
39
372.
R
373.
R/O
374.
ROS
system
375.
rt or
376.
RX
377.
Sx
378.
T
379.
WNL
normal limits
380.
(+)
381.
(- )
respirations
rule out
review of
398.
ABG
blood gases
399.
BE
enema
400.
CBC
blood count
401.
CO2
dioxide
402.
C&S
sensitivity
403.
CXR
404.
ECG (EKG)
405.
Lytes
406.
RBC
cells
407.
UA
408.
UGI
409.
WBC
cells
410.
Symbols
411.
>
412.
<
413.
20
414.
=
415.
416.
417.
418.
arterial
right
treatment
symptoms
temperature
within
positive
negative
barium
complete
carbon
culture and
chest x-ray
cardiogram
electrolytes
red blood
urinalysis
upper GI
white blood
greater than
less than
secondary to
equal to
unequal
female
male
degree
429.
BP
blood pressure
430.
(C)
with
431.
CPR
cardiopulmonary resuscitation
432.
dc (disc)
discontinue
433.
do
diagnosis
434.
DNR (no code) do not resuscitate
435.
hs
hour of sleep
436.
I&O
intake and output
437.
IV
intravenous
438.
noc
night
439.
NPO
nothing by mouth
440.
NS (NIS)
normal saline
441.
O2
oxygen
442.
od
daily
443.
p
after
444.
O.T.
occupational therapy
445.
post op
postoperative
446.
pre op
preoperative
447.
Prep
preparation
448.
PRN
as needed
449.
P.T.
physical therapy
450.
pt
patient
451.
q
every
452.
qs
quantity sufficient
453.
ROM
range of motion
454.
(S)
without
455.
STAT
immediately
456.
T,P,R,BP
temperature, pulse, respirations, Blood Pressure
457.
VS
vital signs
458.
x
times
459.
460.
There are many other abbreviations which are commonly use d by medical
staff. The following list gives you some examples:
461.
T.P.R.
462.
B.P.
463.
C.N.S
464.
C.V.S.
465.
B.I.D.
466.
R.T.A.
467.
H.I.
468.
O.D.
469.
Pt.
470.
Ep.
471.
Ch.B.
472.
D.V.T.
473.
486.
487.
488.
489.
490.
491.
492.
M.I.
infraction
474.
Temperature, pulse and
respiration
475.
Blood pressure
476.
Central nervous system
477.
Central venous system
478.
Brought in dead
479.
Road traffic accident
480.
Head injury
481.
Overdose
482.
Patient
483.
Epileptic
484.
Chronic bronchitis
485.
Deep vein thrombosis
493.
B.O.
494.
H.P.U.
urine
495.
S.W.O.
washout
496.
T.O.P.
of pregnancy
Myocardial
40
Bowels open
Has passed
Stomach
Termination
497.
P.V.
Through the
vagina
498.
P.R.
Through the
rectum
499.
BI.B.
Blanket bath
500.
N.A.D.
Nothing
abnormal detected
501.
E.C.G.
Electrocardiogram
502.
E.E.G.
Electroencephalogram
503.
F.B.C.
Full blood
count
504.
505.
521.
506.
507.
508.
509.
510.
511.
512.
513.
514.
515.
516.
517.
518.
519.
520.
ASSESSMENT
522.
Checklist for Evaluating Your Use of the Nursing Process
523.
Assessing
1.
The initial database is obtained by means of a nursing history and nursing
examination.
524.
2.
Assessment data are documented:
3.
Accurately Questionable data are validated.
4.
Completely Use of a systematic guide ensures that recorded data describe (1) the
clients functional ability to meet each basic human need and (2) responses to health
and illness.
5.
Concisely Irrelevant data and meaningless generalizations are avoided.
6.
Factually Client behaviors are recorded rather than the nurses interpretation of
these behaviors.
7.
The initial database communicates areal sense of the client whish makes possible
individualized care.
8.
Focused assessment data are recorded for each client problem.
525.
9.
Data collection and documentation are ongoing and responsive to changes in the
clients condition.
526.
536.
537.
538.
539.
540.
541.
542.
543.
544.
545.
546.
547.
548.
549.
550.
551.
552.
553.
554.
Exercises
41
527.
528.
529.
530.
531.
532.
533.
534.
535.
555.
Writing notes
556.
A nurse observes her patient carefully. She observes what happens to him, and
what treatment the doctors give him. She gives information about the patients health
to other members of the medical staff. Sometimes she must write down information
about the patient. When she does this, it must be easy for other nurses and doctors to r
ead it quickly. For this reason she must use clear handwriting and write brief notes.
Some words can be shortened. She can write pt. Instead of patient and c/o instead
of complains of.
557.
Here are some examples of how to write information down briefly: Instead of
The patient was sitting in a chair. If she gives a patient some water to drink, but he
says I dont want it,
558.
she writes Pt. refused water. If a patient has been vomiting a lot, but then he
drinks some water and does not vomit, she writes Pt. tolerated water.
559.
560.
Now answer these questions:
1. Who does a nurse write down information about a patient
2. Why must the notes she writes be clear and brief?
561.
562.
563.
564.
565.
566.
567.
568.
569.
570.
571.
572.
573.
574.
575.
576.
577.
578.
579.
580.
581.
582.
583.
584.
585.
586.
587.
588.
589.
590.
591.
592.
593.
594.
595.
42
597.
596.
UNIT 14
MALE AND FEMALE REPRODUCTIVE SYSTEM
598.
bladder. Their secretions are about 60% of the total volume of the semen (= sperm and
associated fluid) and contain mucus, amino acids, fructose as the main energy source
for the sperm, and prostaglandins to stimulate female uterine contractions to move the
semen up into the uterus. The seminal vesicles empty into the ejaculatory ducts. The
ejaculatory ducts then empty into the urethra (which, in males, also empties the
urinary bladder).
619.
The initial segment of the urethra is surrounded by the prostate gland (note
spelling!). The prostate is the largest of the accessory glands and puts its secretions
directly into the urethra. These secretions are alkaline to buffer any residual urine,
which tends to be acidic, and the acidity of the womans vagina. The prostate needs a
lot of zinc to function properly, and insufficient dietary zinc (as well as other causes)
can lead to enlargement which potentially can constrict the urethra to the point of
interferring with urination. Mild cases of prostate hypertrophy can often be treated by
adding supplemental zinc to the mans diet, but severe cases require surgical removal
of portions of the prostate. This surgery, if not done very carefully can lead to
problems with urination or sexual performance.
620.
The bulbourethral glands or Cowpers glands are the third of the accessory
structures. These are a small pair of glands along the urethra below the prostate. Their
fluid is secreted just before emission of the semen, thus it is thought that this fluid may
serve as a lubricant for inserting the penis into the vagina, but because the volume of
these secretions is very small, people are not totally sure of this function.
621.
The urethra goes through the penis. In humans, the penis contains three
cylinders of spongy, erectile tissue. During arousal, these become filled with blood
from the arteries that supply them and the pressure seals off the veins that drain these
areas causing an erection, which is necessary for insertion of the penis into the
womans vagina. In a number of other animals, the penis also has a bone, the
baculum, which helps to stiffen it. The head of the penis, the glans penis, is very
sensitive to stimulation. In humans, as in other mammals, the glans is covered by the
foreskin or prepuce, which may have been removed by circumcision. Medically,
circumcision is not a necessity, but rather a cultural tradition. Males who have not
been circumcised need to keep the area between the glans and the prepuce clean so
bacteria and/or yeasts dont start to grow on accumulated secretions, etc. there. There
is some evidence that uncircumcised males who do not keep the glans/prepuce area
clean are slightly more prone to penile cancer.
622.
623.
624.
625.
44
626.
627.
628.
629.
630.
631.
2. FEMALE
REPRODUCTIVE SYSTEM
632.
633.
634.
635.
636.
637.
638.
639.
640.
641.
The female reproductive system is illustrated to the right. Eggs are produced
in the ovaries, but remember from our discussion of meiosis, that these are not true
eggs, yet, and will never complete meiosis and become such unless/until first fertilized
by a sperm. Within the ovary, a follicle consists of one precursor egg cell surrounded
by special cells to nourish and protect it. A human female typically has about 400,000
follicles/potential eggs, all formed before birth. Only several hundred of these eggs
will actually ever be released during her reproductive years. Normally, in humans,
after the onset of puberty, due to the stimulation of follicle-stimulating hormone
(FSH) one egg per cycle matures and is released from its ovary. Ovulation is the
45
release of a mature egg due to the stimulation of leutenizing hormone (LH), which
then stimulates the remaining follicle cells to turn into a corpus luteum which then
secretes progesterone to prepare the uterus for possible implantation. If an egg is not
fertilized and does not implant, the corpus luteum disintegrates and when it stops
producing progesterone, the lining of the uterus breaks down and is shed.
642.
Each egg is released into the abdominal cavity near the opening of one of the
oviducts or Fallopian tubes. Cilia in the oviduct set up currents that draw the egg in.
If sperm are present in the oviduct (if the couple has recently had intercourse), the egg
will be fertilized near the far end of the Fallopian tube, will quickly finish meiosis, and
the embryo will start to divide and grow as it travels to the uterus. The trip down the
Fallopian tube takes about a week as the cilia in the tube propel the unfertilized egg
or the embryo down to the uterus. At this point, if she had intercourse near the time of
ovulation, the woman has no idea whether an unfertilized egg or a new baby is
travelling down that tube. During this time, progesterone secreted by the corpus
luteum has been stimulating the endometrium, the lining of the uterus, to thicken in
preparation for possible implantation, and when a growing embryo finally reaches the
uterus, it will implant in this nutritious environment and begin to secrete its own
hormones to maintain the endometrium. If the egg was not fertilized, it dies and
disintegrates, and as the corpus luteum also disintegrates, its progesterone production
falls, and the unneeded, built-up endometrium is shed.
643.
644.
The uterus has thick, muscular walls and is very small. In a nulliparous
woman, the uterus is only about 7 cm long by 4 to 5 cm wide, but it can expand to
hold a 4 kg baby. The lining of the uterus is called the endometrium, and has a rich
capillary supply to bring food to any embryo that might implant there.
645.
The bottom end of the uterus is called the cervix. The cervix secretes mucus,
the consistency of which varies with the stages in her menstrual cycle. At ovulation,
this cervical mucus is clear, runny, and conducive to sperm. Post-ovulation, the
mucus gets thick and pasty to block sperm. Enough of this mucus is produced that it is
possible for a woman to touch a finger to the opening of her vagina and obtain some of
it. If she does this on a daily basis, she can use the information thus gained, along with
daily temperature records, to tell where in her cycle she is. If a woman becomes
pregnant, the cervical mucus forms a plug to seal off the uterus and protect the
developing baby, and any medical procedure which involves removal of that plug
carries the risk of introducing pathogens into the nearly-sterile uterine environment.
646.
The vagina is a relatively-thin-walled chamber. It servs as a repository for
sperm (it is where the penis is inserted), and also serves as the birth canal. Note that,
unlike the male, the female has separate opening for the urinary tract and reproductive
system. These openings are covered externally by two sets of skin folds. The thinner,
inner folds are the labia minora and the thicker, outer ones are the labia majora. The
labia minora contain erectile tissue like that in the penis, thus change shape when the
46
woman is sexually aroused. The opening around the genital area is called the
vestibule. There is a membrane called the hymen that partially covers the opening of
the vagina. This is torn by the womans first sexual intercourse (or sometimes other
causes like injury or some kinds of vigorous physical activity). In women, the
openings of the vagina and urethra are susceptible to bacterial infections if fecal
bacteria are wiped towards them. Thus, while parents who are toilet-training a toddler
usually wipe her from back to front, thus imprinting that sensation as feeling right
to her, it is important, rather, that that little girls be taught to wipe themselves from the
front to the back to help prevent vaginal and bladder infections. Older girls and
women who were taught the wrong way need to make a conscious effort to change
their habits.
647.
At the anterior end of the labia, under the pubic bone, is the clitoris, the female
equivalent of the penis. This small structure contains erectile tissue and many nerve
endings in a sensitive glans within a prepuce which totally encloses the glans. This is
the most sensitive point for female sexual stimulation, so senstiive that vigorous,
direct stimulation does not feel good. It is better for the man to gently stimulate near
the clitoris rather than right on it. Some cultures do a procedure, similar to
circumcision, as a puberty rite in teenage girls in which the prepuce is cut, exposing
the extremely-sensitive clitoris. There are some interesting speculations on the cultural
significance of this because the sensitivity of the exposed clitoris would probably
make having sexual intercourse a much less pleasant experience for these women.
648.
649.
650.
651.
652.
653.
654.
EXERCISES
655.
674.
675.
676.
UNIT 15
MID TEST
677.
678.
Number 1-2
679.
680.
Students
: 1............
681.
Miss Dina
: 2..............
682.
Students
683.
684.
Number 3
685.
686.
Number 4&5
687.
688.
Deni
689.
Rendi : 5...................
: See You
Endocrinology
Gastroenterology
Hematology
Microbiology
Nephrology
Neurology
Problems of brain
Brain and spinal cord surgery
Disease of the blood
Identification of organisms that cause disease
Problems of stomachs and intestine
Problems of endocrine glands and hormones and
Neurosurgery
C. esis
D. emesis
722.
723.
724.
725.
UNIT 16
726.
FINAL TEST
727.
1. How can infective hepatitis can NOT be cured
728.
A. bed rest
C. gives medication (antibiotic)
729.
B. suitable diet
D. Relax
730.
2. Skin reaction, which is usually caused by allergic:
731.
A. redness
C. urticaria
732.
b. anemia
d. Bruising
733.
3. Which of the communicable diseases does a virus NOT cause:
734.
A. pertusis
C. mumps
735.
B. poliomyelitis
D. Measles
736.
4. An obstruction of alimentary tract can cause loss of weight. What does alimentary mean
737.
A. digestive
C. circulation
738.
B. respiratory
D. nervous system
739.
5. In thoracentesis fluid is removed from t he:
740.
A. alveolar space
C. pleural cavity
741.
B. thoracic cavity
D. respiratory tract
742.
6. The skin and eyes of a patient look yellow which is called
743.
A. Cyanosis C. Edema
744.
B. Rash
D. Jaundice
745.
7. The spread of infection from one person to a nother is called
746.
A. Transfer C. Constamination
747.
B. Cross
D. Enter on
748.
8. If patient vomit contains blood is called
749.
A. Bleeding C. Hematomesis
750.
B. Vomiting D. Mellena
751.
9. The feeling that everything is turning around you, and lose balance:
752.
A. Fainting B. Dizziness C. Fatigue
D. Shock
753.
10. Blues lips or nails are signs of:
754.
A. Anemia
C. Fatigue
755.
B. Cyanosis D. Fainting
756.
757.
51
758.
759.
760.
Match
761. Maternal
762. Maternity
763. Gynaecology
764. Transfusion
765. Parity
766. Caesarean
767. Illiterate
768. Abortion
769. Complication
770. Bleed
771.
773.
774. What is midwifery ?
775. Where does the sperm produced ?
776. The bottom of end of the uterus is called...
777. What is prostate gland surrounded ?
778. What is function of cilia in the oviduct ?
779.
780.
781.
782.
783.
784.
785.
786.
787.
788.
789.
790.
791.
792.
793.
794.
795.
796.
797.
798.
799.
800.
801.
802.
803.
804.
805.
806.
52
k)
l)
m)
n)
o)
p)
q)
r)
s)
t)
Pengguguran
Maternas
Berdarah
Operasi sesar
Orang buta huruf
Gynaecology
Kesulitan
Kesamaan
Transfusi
Maternal
772.
807.
808.
809.
810.
811.
812.
813.
1.
2.
3.
4.
ANSWER KEY
Page 1
Page 3
1. Hi
2. My name is
3. I am
4. See you
815.
Page 10
816.
Exercises I
817.
1D; 2H; 3G; 4B; 5F; 6A; 7J; 8C; 9.E, 10I
818.
819.
Exercises II
1K; 2L; 3M; 4I; 5J; 6A; 7B; 8O; 9N, 10.D; 11.E; 12.C; 13.H; 14.G; 15. F
820.
821.
822.
Page 11-15
1.
2.
3.
4.
5.
6.
7.
8.
9.
B
B
B
B
D
B
D
B
D
10. B
11. D
12. B
13. A
14. B
15. B
16. C
17. C
18. A
19. A
20. C
21. D
22. B
23. C
24. B
25. B
26. A
27. A
28. C
29. B
30. B
31. D
32. B
33. A
34. D
35. B
36. D
37. C
38. A
39. D
40. B
41. C
53
42. B
43. D
44. A
45. D
46. C
47. B
48. A
49. A
50. B
51. Page 16
52.
Part A
1. Jhon was badly shocked
2. Some people whos saw the accident laid him in a comfortable position on the pavement
and telephoned for an ambulance
3. Because Jhon had been imunized against tetanus sixth month earlier
4. Jhon sustained a compound fracture of the tibia and fibula
5. He was given a suitable premedication
53. Part B
1.
2.
3.
4.
5.
6.
7.
8.
Knocked
Saw
Took
Covered/waited
Gave
Asked
Examined/took
Waited
54. Page 19
21.
22. Page 23
23. Part A
1.
2.
3.
4.
5.
1.
2.
3.
4.
5.
6.
7.
8.
penyakit
hamil
vaksin
kematian
cepat menyebar
genital
ketidaksuburan/kemandulan
symptomps
25. page 25
1. a woman
2. a midwife is a person who have been regularly admitted to a midwifery educational
programme.
3. To help the women give birth
4. 70%
5.
26. Page 27
1. It shows that state are several laws passed to prevent through deliveries very short,
pregnancy dangerous hospital stays for women following childbirth are partiall wrong to
correct problem.
2. In the mid 1980s because of managed health care organizations trying to cut costs.
3. Less than 24 hours
4. UNC report on the impact of theses regulation
5. 55%
27.
28.
29.
30.
31.
32.
55
33. Page 31
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
berdarah
34. Page 35
maternal
maternas
gynaecology
transfusi
kesamaan
operasi sesar
orang buta huruf
pengguguran
kesulitan
56
35.
36.
37. page 36
1.
2.
3.
4.
5.
6.
7.
8.
b
b
c
b
you will become prone to illness and infection
yes it does
take a rest
cheer up
38. page 46
1.
2.
3.
4.
5.
6.
7.