English for Midwife

Compiled by :

Margaret Stevani

Saint Thomes Catholic University Medan

Faculty of Teaching Education

2015

PREFACE

First, I would say thank you to God I pray toward the presence of God Almighty because with His grace I can finish a book about the English For Business can be done with good despite many flaws in it. And I also thank you for Mrs. Novalina Sembiring who has given instructions to do this task.

This book is written to make easier students who wants to learn English Language for Midwifery, so they can add their knowledge and apply their english which is used in midwifery.

We hope that this book will be useful in order to broaden as well as our knowledge of the English language in midwifery. We are also fully aware that in this book there is a shortage and far from perfect. Therefore, we hope the criticisms and suggestions and proposals for improvement books for the readers to make this book become more perfect.

Hopefully this book can be useful for us and the people who read it. Previously I apologize if there are mistakes of words that are less pleasing, and we invoke criticism and suggestions for improvement this book in the future.

Medan, May 2015

Margaret Stevani

Syllabus

Date05ndof May 2015

Time9.00 a.m. 10.00 a.m.

Lesson Duration1 hour 15 minutes

Target LearnersMidwife

Meetings2 Times A week, In Two months

ObjectivesTo give lessons about midwife to students, to make they understand about midwife, or give them material ESP (English For Specific Purpose) Especially for Midwife.

Teaching ApproachesCommunicative and Integrative Approach

StagesTeachers ActivityStudents ActivityMaterials

Introduction(5 minutes)Teacher greets the students. Teacher gives a brief explanation about definition of midwife and what midwife do.Students take notes and listen carefully.

Students listen to the instruction of teacher and ask questions if they do not understand.White board.

Development IHello, My name is Midwife Jane

(30 Minutes)

Teacher starts the lesson for the day. Teacher explain about greeting and introducing self and also explain about midwife terminology & abbreviations. Students listen attentively and ask questions.Interactive Learning from Exercise.

Development II

I want to know how to get..(30 minutes)Teacher explains about common prepositions for the directions. Teacher can also explain about prepositions of time and place. Students take notes and listen carefully.

Students answer the question. Interactive learning from exercises in book.

Development III

Which wards, midwife? (50 minutes)Teacher explains about simple past tense and past progressive tense.

Students ask questions if they do not understand.Interactive learning from exercises in book.

Development IV

The occupations in the hospital(50 minutes)Teacher explains about common occupations in midwifery.Students answer the questions.

Using exercises in the book.

Development V

Diseases & the symptoms (50 minutes)Teacher explains diseases, the symptoms of pregnant women, problems and advice to cure diseases.Students answer the questions.Using exercises in the book.

Development VI

Let me check your vital signs

Teachers explains about commands and request in midwifery.Students answer the questions.Using exercises in the book.

Development VII

What is it, midwife? Teachers explains about medical supplies and tools in midwifery and also explain about affirmative agreement.Students answer the questions.Using exercises in the book.

CONTENTS

CONTENTS. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .

INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . . . .

UNIT I: Hello, My name is Midwife Jane . . . . . . . . . . . .

1.1 Speaking Focus : I want to check my bag. . . . . . . . . . 1.2 Vocabulary : Midwife terminology & abbreviations. . . . . Exercise :1. Simple Present Tense and Present Progressive Tense . . . . . . . . . . . . . . . . . . . . . . .

2. Singular and Plural . . . . . . . . . . . . . .

3. Reading Focus : Midwife Susie . . . . . . . .

UNIT II: I Want to Know How to Get . . . . . . . . . . . . .

2.1. Speaking Focus : I want to know how to get. . . . . . . . .

2.2. Vocabulary : Common Prepositions for the Directions. . . .

Exercise :

1. Prepositions of Time and Place . . . . . . .

2. Reading Focus : Midwife Maria. . . . . . .

UNIT III: Which Wards, Midwife?. . . . . . . . . . . . . .

3.1. Speaking Focus : Which Wards, Midwife? . . . . . . . . .

3.2. Vocabulary : Kinds of Room in Hospital. . . . . . . . . .

Exercise : 1. Simple Past Tense and Past Progressive Tense. . . . . . . . . . . . . . . . . . . . . . . 2. Filling Gap Dialogue . . . . . . . . . . . .

3. Reading Focus : The Midwife . . . . . . .

UNIT IV : The Occupations In the Hospital. . . . . . . . . . . .

4.1. Speaking Focus : Im a Midwife. . . . . . . . . . . . . . .

4.2. Vocabulary : Occupations In the Hospital. . . . . . . . . .

Exercise : 1. Present Perfect Tense. . . . . . . . . . . .

2. Must / Should + Perfective . . . . . . . .

3. Reading Focus : Midwife Jane on the Wards . . . . . . . . . . . . . . . . . . . . . . UNIT V : Diseases and the Symptoms . . . . . . . . . . . . . .

5.1. Speaking Focus : Am I sick, Midwife? . . . . . . . . . . . 5.2. Vocabulary : The Symptoms of Pregnant Women. . . . .

Exercise : 1. Simple Past Tense and Past Perfect Tense. .

2. The Problems and the Advices . . . . . .

3. Reading Focus : Midwife Jane and Her Accident . . . . . . . . . . . . . . . . . . . . .

4. Adjectives and Adverbs . . . . . . . . . . . UNIT VI : Let Me Check Your Vital Signs . . . . . . . . . . .

6.1. Speaking Focus : Let Me Check Your Body . . . . . . . .

6.2. Vocabulary : Commands and Request . . . . . . . . . . .

Exercise : 1. Passive Voice . . . . . . . . . . . . . . . .

2. Modals + Perfective . . . . . . . . . . . .

3. Reading Focus : Hospital . . . . . . . . . .

UNIT VII : What Is It, Midwife? . . . . . . . . . . . . . . . . .

7.1. Speaking Focus : I have a Fever . . . . . . . . . . . . . .

7.2. Vocabulary : Medical Supplies and Tools. . . . . . . . . .

Exercise : 1. Inclusives. . . . . . . . . . . . . . . . . .

2. Affirmative Agreement . . . . . . . . . . References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aims of MidwiferyThe aims of english for midwife is to understand and to learn book about midwifery in English language. And also facilitate people who wants to apply their midwifery in English language to add and wide their knowledge.Introduction to Midwifery

The learning materials incorporated in this book are written to introduce you to theEnglish for Midwifery. English for midwifery is important for this era because nowadays there are many terms in midwifery which always used as international language in midwifery. With this book, we hopefully that we can apply their english language, especially for midwifery who wants to master english language. We prepare this subject with the questions and discussion to add knowledge about english for midwifery.1. What is Midwifery?The simplest definition of midwifery is with woman, but truly, midwifery means different things to different people. For many others, the midwifery model is am 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.

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. Today, midwives take care of anyone who wishes to see them, but practice within the constraints of their medical and legal systems.

The World Health Organization (WHO) presents us with the following definition of the midwife.

A midwife is a person who having been regularly admitted to a midwifery educational programs, 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 practice midwifery.

2. What Do Midwives Do?

The midwives must able to give the necessary supervision, care, and advice to women during pregnancy, labour and the postpartum period to conduct deliveries on her own responsibility and to care for the newborn and the infant. This care includes preventative measures, the detection of abnormal conditions in mother and child, the procurement of medical assistance and the execution of emergency measures in the absence of medical help.

UNIT I

Hello, My Name is Midwife Jane

A. Speaking Focus : I Want to Check My Back

Situation: Midwife Jane is meeting with her patient, Mrs.

Anne Watson for the first time. Mrs. Watson has

injured her back when she is pregnant.

Midwife: Good afternoon, Mrs. Watson. My name is Jane and

Ill be looking after you this afternoon.

Patient: Hello Jane. Please call me AnneMs Watson is so formal.

Midwife: Okay. How are you feeling today, Anne?

Patient: Not so good actually, Jane. I had a bad nights sleep and my back is really aching.

Midwife: Oh, really ? Let me check you and then Ill see if I can do anything about your sore back.

Patient: Certainly.

Midwife: There you go, Anne. I hope youre feeling more comfortable now.

Patient: Thanks Jane. I feel much better.

Midwife: Thats great. I need to see some of my other

patients now, but if you need anything, just press this bell and I will come as quickly as I can.

Patient: Thank you. Bye.

B. Vocabulary : Midwife Terminology & Abbreviations

When you first start midwifery training, it can feel as though you need to learn a whole new language. Listed below are some of the more common abbreviations you may see or hear on placement.

Midwife Terminology & Abbreviations

1. AF Artificial Feed

2. ANC Antenatal Clinic

3. ANP Advanced Neonatal Practitioner

4. BBA Born Before Arrival

5. BFI Baby Friendly Initiative

6. BPM Beats per Minute

7. DIC Disseminated Intravascular Coagulation

8. DVT Deep Vein Thrombosis

9. EMLSCS Emergency Lower Segment Caesarean Section

10. ERPC Evacuation of Retained Products of Conception

11. FBC Full Blood Count

12. HBAC Home Birth After Caesarean

13. KFD Kielland Forceps Delivery

14. MOT Medical Obstetric Team

15. NB Normal Birth

16. PIH Pregnancy Induced Hypertension

17. PROM Premature Rupture of Membranes

18. SCBU Special Care Baby Unit

19. SIDS Sudden infant Death Syndrome

20. TCI To Come In

C. Language Focus : Simple Present Tense and Present Progressive Tense

Choose either the Simple Present tense or Present Progressive Tense in the following sentences.

1. Midwife Sarah always .. (bring) her patients note everyday.

2. The Midwifes .. (visit) their grandmothers house next month.

3. Midwife Sarah .. (carry) her suitcase to the bus station right now.

4. Dr. White .. (inject) the patient every morning.

5. At 07.00 a.m., Mr. Black .. (go) to Australia with his all family.

6. Dr. Jonathan always .. (come) to work early on Monday.

7. The doctors .. (to be) in the medical ward every day.

8. Mrs. Smith .. (watch) TV right now.

9. Midwife Maya .. (to be) a Midwife student now.

10. Midwife Katy .. (go) to the hospital every Saturday morning.

D. Language Focus : Singular & Plural

Put in is or are in the following sentences.

1. _____ the shop open?

2. My hands _____ cold.

3. Where_____ my camera?

4. Your coat _____ dirty.

5. Who _____ those men?

6. Mice _____ small animals.

7. Where _____ the scissors?

8. _____ the shops open?

9. They _____ nice people.

10. The police _____ coming.E. Reading Focus : Description of Person

Midwife Susie

I am Susie. My friends call me Sue. I am 30 years old. I am a midwife, I am little fat but every people says that I am a sexy girl. I am 165 cm tall an my weight is 58 kg. I have a long and black hair. My eyes are and I wear glasses. I am an Indonesian girl, I come from Palembang. At the moment, I work in a maternity clinic which is near to my house. I am very happy to work there because I have many lovely friends.

Answer the questions below correctly :

1. What is the girl name?

2. What is her occupation?

3. How old is she?

4. How tall is she?

5. Does she has a long and black hair?

6. Where does she come from?

7. Where does she work?

UNIT IIGet and Give Directions In the Hospital

A. Speaking Focus : I Want to Know How to Get ?

Situation: Mrs. Jenny is looking for Surgical ward in Elizabeth hospital, then she asks to the Information Center.Mrs. Jenny

: Excuse me, Miss?

Information Center: Yes, can I help you Mom?

Mrs. Jenny

: I wonder whether you can help me?Information Center: I hope I can help you Mom.

Mrs. Jenny

: Could you tell me how can I get to surgical ward in this hospital?

Information Center: Of course, I can, surgical ward is in the third corridor.

Mrs. Jenny

: In the third corridor? But, where the third

corridor is?

Information Center: From here, you just turn left, then you will find an intersection on corridor six and you

can turn left and go straight on, when you find another intersection, you just pass it; and then you go through until next intersection. The surgical ward is in front of obstetric clinic.

Mrs. Jenny

: Thank you, Miss.

Information Center: Dont mention it.

B. Vocabularies : Common Prepositions For the Directions

Turn left

Turn right

Straight

Intersection

Three junction

Go up/ down

Path

Alley

Short cut

Main road

Freeway

Round about

C. Language Focus : Prepositions of Time and Place

Prepositions are a class of words that indicate relationships between nouns, pronouns, and other words in a sentence. Most often they come before a noun. They never change their form, regardless of the case, gender, etc. of the word they are referring to.a) Prepositions of Time

EnglishUsageExamples

1. OnDays of the weekOn Monday

2. In Months/seasons In August/ in winter

Time of day In the morning

Year In 2006

3. At For night At night

A certain point of time At half past nine

4. Since From a certain point of time (past till now)Since 2003

5. ForOver a certain period of time (past till now)For 2 years

6. AgoA certain time in the past2 years ago

7. ToTelling the timeTen to six (5:50)

8. By In the sense of at the latestI will be back by 6 oclock.

9. PastTelling the timeTen past six (6:10)

b) Prepositions of Place

EnglishUsageExample

1. In Room, building, street, townIn the kitchen, in the London

2. At For events At a concert, at the party

Are to do something At the cinema, at work

3. OnFor a certain sideOn the table

4. UnderLower than something elseUnder the table

5. IntoEnter a room / a buildingGo into the kitchen

6. ThroughSomething with limits on top bottom, and the sidesDrive through the tunnel

7. ByLeft or right of somebody or somethingJane is standing by / next to / beside the car

D. Practice : Prepositions Exercises

Complete the exercises according to the appropriate prepositions.

1) She is sitting ______ a chair.2) Her feet are _______ the table.

3) He lives _____ London.

4) Peter is playing tennis _____ Sunday.

5) What are you doing _____ the afternoon?

6) I have been waiting for you ______ seven oclock.

7) The girl is standing ______ the two boys.

E. Reading Focus : Jobs of Midwife

Midwife Maria

Midwife Maria is my favourite midwife. She cares all patients in the ward very carefully. She speaks calmly and explains about the progress of patients diseases clearly. Every morning, she always smiles and says hello to all patients in the ward. She always controls all of patients condition. At 10 oclock in the morning, she often takes vital signs of patients. And sometimes, she gives us medicines to take.

When she has night shift, she always controls all patients in the ward in the middle of night. If there is something with her patients, she usually calls and reports to doctor in charge at emergency room. Midwife Maria lives in hospital dormitory. So she doesnt need a transportation to go to her dormitory. All patients in the ward like Maria very much.

Answer the questions below correctly :

1) Who is person that in the article?

2) What is her occupation?

3) Where does she live?

4) What she do when she has the night shift?

5) At what time does she often take the vital signs of the patients?

UNIT III

Which Wards, Midwife?

A. Speaking Focus : Where Do You Work, Midwife?

Midwife Risky: Where did you work last year?Midwife Deni: I worked at Cianjur Hospital, in a surgical ward. And you? Where did you work last year?

Midwife Risky: Last year, I worked in orthopedic ward at Hasan Sadiking Bandung Hospital. Now, Im

in medical ward and I am SRN (State Registered Midwife). Are you SRN?

Midwife Deni: No, Im not. Im a student midwife.

B. Vocabulary : Kinds of Room in Hospital

Surgical ward

Medical ward

Orthopedic ward

Gynecological ward

Pediatric ward

Dermatological ward

Long stay ward

Intensive care unit

Psysiotherapy department

Admission department

Anesthetic room

X-ray department

Infection disease unit

C. Language Focus : Simple Past Tense and Past Progressive Tense

Fill the blanks with the simple past tense and past progressive formula.

1) Midwife Sarah (bring) her patient note yesterday.

2) Midwife Maya (to be) a midwife student last day.

3) Dr. Jane . (inject) the patient yesterday morning.

4) The midwifes . (write) a nursing note in the end of shift yesterday.

5) While Dr. Frank .. (control) his patients, the midwife . (measure) the patients blood pressure.

6) While the head midwife . (to be) in the lab, the midwifes (study) microbiology in the class.

7) The doctors (examine) the patients when the midwife .. (prepare) the patients note.

8) My father .. (consult) his health while my sister (read) the newspaper last Friday.

D. Filling Gap Dialogue Exercises

AppointmentFewForHelpIsLikeLovelyThisWelcome

Midwife: Good morning, ______ to our ward. Im midwife Sarah. Can I ______ you?Patient

: Yes, please. Im Mrs. Rina and ______ is my son, Ricky who drove me here. Ive come ______ my operation.

Midwife: Of course, yes. Ill take your ______ letter, thank you.Patient

: Its a ______ place. Is it new/

Midwife: Yes, it ____. We were very proud of it, was inaugurated by Her Royal Highness last December. Now, if youd ______ to take a seat, and help me with a

_______ details.

Patient

: Oh, yes, of course.E. Reading Focus : Skills of Midwife

The Midwife

What is a midwife? A midwife is a person who has accomplished a regular midwifery program. She has certain qualifications required in midwifery, and legally has a license to practice midwifery. She may practice in hospitals, clinics, health units, domiciliary conditions or in any other service. She is able to work as an independent practitioner, or to function in a multi-professional team. The midwife gives the supervision, care and advice to women. Her duty is not only to help women give birth to babies, but it also extends to the period of pregnancy. They are to diagnose pregnancy, to undertake examinations of the woman and her baby, to assess their condition to detect if there is an abnormality in mother or child, to plan care, to implement the care plan. She has to care both the mother and the newborn and the infant. The responsibility of a midwife continues as she evaluates the effectiveness of the plan and its implementation.

The midwife may act as an independent practitioner in her own right as long as the events remain within the range of normality. But when there is an abnormality, and there is an absence of medical help, or while calling upon medical assistance, she has responsibility to undertake an emergency measures, to treat mother or baby. She has to continue to give the care while the help is on the way.

Some of her tasks may overlap with those of nurse, while others are similar to those of the obstetrician and pediatrician. Her task includes health counseling, education. She has responsibility to educate not only the woman, but also within the family and the community. The area of education involves antenatal education, preparation of parenthood, extends to certain area of gynecology, family planning and child care.

A midwife must be competent to carry out a wide range of skills, such as promotion of health, assessment of physical and mental condition of a woman, managing care, undertaking care prescribed by a doctor, and effective communication with clients.

Answer these questions.

1) What is a midwife?

2) What is the duty of a midwife?

3) What should a midwife do in case of an abnormality?

4) What are tasks of a midwife?

5) What kind of skills are required by a midwife?

UNIT IV

The Occupations In the Hospital

A. Speaking Focus : Im a Midwife

Jack: Hi, Peter. Can you tell me a little bit about your current job?

Peter: Certainly. What would you like to know?

Jack: First of all, what do you work as?

Peter: I work as surgeon in Medika Hospital.

Jack: What do your responsibilities include?

Peter: Im responsible for the heart surgery.

Jack: What sort of problems do you deal with on a day-to-do basis?

Peter: Oh, I think, because I love my jobs, I rarely encounter

some hard problems, I just must do my jobs properly,

thats all.

Jack: What else does your job involve?

Peter: Well, as I said, for part of my job I have to convince my

patients that everythings are going to be okay. Jack: Do you have to produce any reports?

Peter: Yes, I must make sure that everything is in good working order.

Jack: Do you ever attend meetings?

Peter: Yes, I attend organizational meetings at the end of the month.

Jack: Thanks for all the information, Peter. It sounds like you have an interesting job.

Peter: Yes, its very interesting, but stressful, too!

B. Vocabulary : Occupation In the Hospital

TitleRole

1. AnaesthetistA medical specialist who administers an anaesthetist before, during and after surgery

2. Enrolled midwifeA person who has completed appropriate training or education; provides basic patient services; may be supervised by registered midwifes

3. Graduate midwifeA newly registered graduate of nursing; beginner practitioner

4. Clinical midwife consultantSomeone who provides a clinical consultancy service to all clinical areas in their field of expertise

5. Midwife practitionerSomeone who educated to work in an independent and/or advanced clinical role

6. InternA physician who has completed a medical course and is practicing under supervision before beginning residency

7. PharmacistA qualified person who supplies and dispenses drugs and medicines in pharmacies and hospitals

8. Registered midwifeA midwife who has completed an approved course of study and met the requirements of the midwifes board; provides day-to-day nursing care to patients

9. FellowAn experienced register who is training to become a consultant

10. SonographerA person who provides ultrasound services for patients.

C. Language Focus : Present Perfect Tense

Fill the blanks with formula of present perfect tense and make it into positive, negative, and interrogative sentence) !

1) The midwife . (measure) all the patients temperature for one hour ago.

2) The doctor .. (examine) the patients since this morning.

3) Midwife Jessica .. (be) a midwife since 1998.

4) The surgeon .. (do) the heart surgery for four hours.

5) Midwife Kimberly .. (insert) the breathing tube to the patient for three times.

6) Miss Jane . (check up) her health for 2 months.

7) The doctor .. (give) me the medicine to relieve the pain since yesterday.

8) I (to be) a great Midwife in the London Hospital since 2 years ago.

9) My sister (go) to the hospital since yesterday.

10) They (to be) in the Lab since this morning.

D. Language Focus : Must / Should + PerfectiveChoose between must + perfective and should + perfective in the following sentences.

1) Henri was deported for having an expired visa. He ______ (have) his visa renewed.

2) Midwife Sarah was absent for the first time yesterday. She ______ (be) sick.

3) Gita got a parking ticket. She ______ (park; negative) in a reserved spot, since she had no permit.

4) Jean did very badly on the exam. She ______ (study) harder.

5) John isnt here yet. He ______ (forget) about our meeting.

6) Tony called us as soon as his wife had her baby. He ______ (be) very proud.

7) Alex failed the exam. He ______ (study; negative) enough.

E. Reading Focus :

Midwife Jane on the Wards

Do you remember Jane Johnson? She and her friend, Joan Bell are both midwifes. They work at Saint Peters Hospital, a large teaching hospital in London. Joan did her training at St. Peters and last year she passed her State Finals and qualified. She is working as a staff midwife in a womens medical ward.

Jane is a student midwife and is still training. Last month, she worked in one of the hospitals surgical wards. She learned to set trolleys for sterile procedures such as surgical dressing, intravenous infusion and catheterization. She carried out certain procedures herself and assisted doctors with others. She often had to go to the central sterile supply department to fetch sterile dressing packs. Sometimes, she took patients to the X-Ray department or to the occupational therapy unit.This month, Jane is working in the same ward as Joan. She is learning to Midwife patients suffering from diseases such as cardiac infarction, cerebral haemorrhage, cerebral thrombosis and pneumonia. At the moment, she is helping a staff midwife to give injections. The staff midwife is explaining to her doses, action and side effects of the drugs they are administering.

The other midwifes in the ward are carrying out various nursing duties. Some are doing bed-baths and another is helping a patient to get out of bed.

A doctor is doing a ward round and a physiotherapist is helping a pneumonia patient to do deep breathing exercises.Answer the following questions.

1. Where did Joan do her training?

2. When did Joan pass her training?

3. Which ward is Joan working for?

4. Where did she sometimes take patients?

5. What is the doctor doing?UNIT V

Diseases & The Symptoms

A. Speaking Focus : Am I sick, Midwife?

Patient

: Good afternoon.

Midwife

: Good afternoon. Have a seat. So, what have you

come in for today?

Patient

: Thank you. Im feeling sick. Ive got a quite bad cough, but I dont seem to have a fever.

Midwife

: I see. How long have you had these symptoms?

Patient

: Oh, Ive had the cough for two weeks, but this feeling just these past few days.

Midwife

: Are you having any other problems?

Patient

: Well, Ive got headache. Ive also had a little bit of diarrhea.

Midwife

: Do you produce any phlegm when coughing?

Patient

: Sometimes, but usually pretty dry.

Midwife

: Do you smoke?

Patient

: No, I dont smoke.

Midwife

: How about allergies? Do you have any allergies?

Patient

: Not that Im aware of.Midwife

: Does your head feel stuffy?

Patient

: Yes, for the past few days.

Midwife

: Okay. Now lets have a look. Could you please open your mouth first?

Patient

: Yes, of course.

B. Vocabulary : The Symptoms of Pregnant Women

Minor ProblemMidwifes response / Suggestions

1. Nausea and VomitingIt is normal (its caused by the change of the hormones during gestation.

2. Heartburn Just avoid bending over while housekeeping.

Just knee when taking something from the ground.

3. Constipation Drink a lot of fresh water

Consume fresh fruit and vegetables

Do mild exercises, such as walking

4. Leg crampJust sit, hold the knee straight

Then stretch the calf muscle by pulling the foot upwards.

5. Fainting Avoid long period of standing Sit or lie down if you feel faint

6. Varicose vein Rest with legs vertical against the wall for a short time Make circling movements with the ankles

7. BackacheIt is normal (this is because of the changing center of gravity during pregnancy)

C. Language Focus : Simple Past Tense & Past Perfect Tense (Before After)

Fill the blanks with correct formula of Simple Past Tense & Past Perfect Tense) !

1) Before Tia (take) the vitamins, she (consult0 to her midwife.

2) Mr. Black (complain) to the midwife about his great headache after he (feel) its.

3) After Dr. Paul (inject) the patient, the midwife (clean up) the used injection.

4) Before the surgeon (require) the surgical, he (give) the patient the anaesthetization, first.

5) My father (consult) his health before my sister (read the newspaper last Friday.6) The midwife . (explore) the patients wound after the midwife (prepare) the patients note.

7) The teachers (make) the new regulations after they (meet) in their conference room.

8) After I (finish) doing my homework, I (tidy up) my room.

9) After John (go) to the store, he (go) home.

10) Before (have) dinner with my father, I (have) dinner with my friends, first.

D. Language Focus : The Problems and The Advices

Mix and match the problems and the advices below!

Problems

Advice

a. Headache

1. Take some aspirin

b. Toothache

2. Go to bed and rest

c. Sore Throat

3. Drink a lot of water

d. Cough

4. Take some vitamin C

e. Backache

5. Put some lotion on it

f. Fever

6. Give taped water compress

g. Burn

7. Dont lift anything

h. Bone fracture

8. Close the mouth when coughing/

sneezing

i. Stomachache

9. Take the diarrhea medicines

10. Brush the teeth regularly

11. See the dentist

12. Take some medicine of

headache

E. Reading Focus : An Accident

Midwife Jane and Her Accident

Jane was going to school this morning, a car knocked her down. Her right leg was broken just below the knee. Some people who saw the accident laid her in comfortable position on the pavement and phoned for an ambulance. The driver of the car that knocked Jane covered her with a coat and tried to comfort her. When the ambulance arrived, Jane was lifted onto a stretcher. When she arrived in hospital, the midwife was admitted her gave an injection of morphine to combat her shock and pain. The midwife who examined her, comforted her and told that everything will be all right.

While the midwife was examining her, the midwife who has admitted took her pulse and blood pressure. As Janes wound was lacerated and contused, she was given an antibiotic to prevent the onset of infection. She was taken to X-ray department, while the X-ray examining was being carried out, Janes parents arrived at the hospital. The midwife who examined Jane told them that Jane had sustained a compound fracture at fibia and fibula.

He explained that an operation was necessary and asked her father to sign a consent form while her mother was giving Janes particulars and previous medical history to the midwife. Before Janes parents left the hospital, they were told when they could visit her and were given a list of things that she would need.

Answer the questions correctly.

1) What was Jane doing when she was knocked down?

2) What did people do when they saw the accident?

3) What did the car driver do to Jane?

4) Why was she given the morphine?

5) What was Janes father asked to sign?

6) Did she get hard wound?

7) What was the midwife told to Janes parents?

F. Language Focus : Adjectives and Adverbs

Choose the correct form in the following sentences.

1) Rita plays the violin (good / well).

2) That is an (intense / intensely) novel.

3) The sun is shining ( bright / brightly).

4) The girls speak (fluent / fluently) French.

5) The boy speak Spanish ( fluent / fluently).

6) The table has a (smooth / smoothly) surface.

7) We must figure our income tax returns (accurate / accurately).

8) We dont like to drink (bitter / bitterly) tea.

9) The plane will arrive (soon / soonly).

10) He had an accident because he was driving too ( fast / fastly).UNIT VI

Let Me Check Your Vital Signs !

A. Speaking Focus : Let Me Check Your Body !

Midwife

: When did you last come in for a physical exam?Patient

: I had my last physical two years ago.

Midwife

: Have you had any other exams recently? Blood work or an ultra-sound?

Patient

: Well, I had a few X-rays at the dentists.

Midwife

: How have you been feeling in general?

Patient

: Pretty well. No complaints, really.

Midwife

: Could you roll up your left sleeve? Id like to take your blood pressure.

Patient

: Certainly.

Midwife

: 120 over 80. Thats fine. You dont seem to be overweight, thats good. Do you exercise regularly?

Patient

: No, not really. If I run up a flight of stairs, it takes me a while to get my breath back. I need to get out more.

Midwife

: That would be a good idea. How about your diet?

Patient

: I think I eat a good balanced diet. You know,

Ill have a hamburger from time to time, but generally I have well- balanced meals.

Midwife

: Thats good. Now, Im going to check your heart.

Patient

: Oohh, thats cold!

Midwife

: Dont worry. Its just my stethoscope. Now, breathe in and hold your breath. Please pull up your shirt, and breathe deeply Everything sounds good. Lets take a look at your throat. Please open wide your mouth.

Patient

: Of course. (Open his mouth)

Midwife

: Okay. Everything looks good.

Patient

: Thank you midwife.

B. Vocabulary : Commands and Request in Midwiferya) Come in

b) Sit down

c) Stand up

d) Lay down

e) Lift your leg

f) Arch your back

g) Lower your foot

h) Put out your tongue

i) Bend your knees

j) Wriggle your fingers

k) Extend your hand

l) Keep your eyes shut

m) Fist your fingers

n) Take deep breath

o) Shake your head

C. Language Focus : Passive Voice

Rewrite the given sentences in Passive Voice.

Example :

Frank built a house.

.

Answer :

A house was built by Frank.

1) She bought four apples.

2) We won the match.

...

3) The man stole the blue car....

4) The police arrested the thieves.

...

5) The students do the reports.

...

6) They played handball.

...

7) She put the chairs on the floors.

...

8) Steven forgot about the book.

...

9) Maria crashes the red cars.

...

10) The teachers opens the window.

...

D. Language Focus : Modals + Perfective

Choose the correct answer in each of the following sentences according to meaning and tense.

1) If I had a bicycle, I (would / will) ride it everyday.

2) George (would have gone /would go) on a trip to Chicago if he had had time.

3) Marcela didnt come to class yesterday. She (will have had / may have had) an accident.

4) John didnt do this homework, so the teacher became very angry. John ( must have done / should have done) his homework.

5) Sharon was supposed to be here at nine oclock. She (must forget / must have forgotten) about our meeting.6) Where do you think Juan is today? I have no idea. He (should have slept / may have slept) Late.

7) George missed class today. He (might have had / might had had0 an accident.

8) Robert arrived without his book. He (could have lost / would have lost) it.

9) Thomas received a warning for speeding. He (should have driven / shouldnt have driven) so fast.

10) Henrys car stopped on the highway. It (may run/ may have run) out of gas.

E. Reading Focus : What is Hospital?

Hospital

A hospital is the largest and most complex from of medical facility. It deals with patients who need complex diagnostic procedures. Treatment in hospital is a team effort. The physicians are directly responsible for a patients welfare. All the hospital personnel support the work of the physicians.

A hospital has many departments in it. They are medical and surgical service, food service, laboratory, scanning, and X-day department, medical records department, pharmacy, and rehabilitation department.

There are many kinds of hospital. A cute-care hospitals include primary, secondary, and tertiary institution. The low- technology primary hospitals are located in rural areas. The secondary hospital provide a greater range of physicians skills and modern technology that the primary hospitals. Meanwhile the tertiary hospitals provide the latest medical equipment.

Other types of hospitals are specialty hospitals. They admit only those patients who fit a restricted group of diagnoses. Psychiatric hospitals are the most numerous specialty hospitals. They are the larges patient population.

Answer the questions correctly.

1. What does paragraph one tells about?

2. How many departments are there in a hospital?

3. Where you can get medicine?

4. What kind of hospitals that the most numerous specialty?

5. How many kind of hospital that has been mentioned above?

6. What does the tertiary hospital provide?

7. Why does the psychiatric hospitals are the most numerous specialty hospitals?

UNIT VII

What Is It, Midwife?

A. Speaking Focus : I Have a FeverPatient

: Midwife, I think I might have a fever. Its so cold in here!

Midwife

: Here, let me check your forehead.

Patient

: What do you think?

Midwife

: Your temperature seems raised. Let me get a thermometer to check.

Patient

: How do I raise my bed? I cant find the controls.

Midwife

: Here you are. Is that better?

Patient

: Could I have another pillow?

Midwife

: Certainly, here you are. Is there anything else I can do for you?

Patient

: No, thank you.

Midwife

: Okay. Ill be right back with the thermometer.

Patient

: Of course.

B. Vocabulary : Medical Supplies and ToolsHere is a list of some of the most common supplies found in doctors offices, operating rooms, and medical kits.

1. AntisepticLiquid used to sterilize (clean0 the surface of the skin.

2. Otoscope A device used for looking into a patients ears.

3. Oxygen maskEquipment that fits over the nose and mouth and supplies oxygen.

4. ThermometerAn instrument used to check a persons body temperature.

5. Medicine cupSmall plastic measuring cup.

6. Blood Pressure MonitorA tool that measures the force of blood flow through a persons body.

7. ScalesA device that measures a persons weight.

8. VialA small bottle or container used for storing liquids.

9. Eye chartA poster of letter, word, and number combinations of various sizes used to test a persons eyesight.

10. GauzeThin, netted material used for dressing wounds.

C. Language Focus : Inclusives (Not only.but also, both and, or as well as)Supply the missing connectors (Not only.but also, both and, or as well as) in the following sentences.1. Robert is talented ________ handsome.

2. Paul _______ plays the piano and composes music.

3. Beth writes _______ correctly and neatly.

4. Maria excels _______ in mathematics but also in science.

5. They have houses _______ in the country and in the city.

6. Clark not only practices law _______ teaches it.

7. He bandaged the arm both tightly _______ quickly.

D. Language Focus : Affirmative Agreement Supply the correct form of the verb for the simple statement in each of the following sentences.

Example :

He has seen her plays, and the girls_____ too.

He has seen her plays, and the girls have too.

1) Rose likes to fly, and her brother ____ too.

2) They will leave at noon, and I ____ too.

3) He has an early appointment, and so ____ I.

4) She has already written her composition, and so ____ her friends.

5) Their plane is arriving at nine oclock, and so ____ mine.

6) I should go grocery shopping this afternoon, and so ____ my neighbor.

7) We like to swim in the pool, and they _____ too.

8) Our English teacher loves to travel, and so ____ we.

9) He has lived in Mexico for five years, and you ____ too.

10) I must write them a letter, and she ____ too.

REFERENCES

Harjanti, Tities. 2011. English For An Extraordinary Midwife. Jakarta : Buku Kesehatan

Pyle, Michael and Marry Ellen Munoz Page. 2001. Toefl :Preparation Guide. New Delhi : Wiley.