Widya Dharma Husada: Sekolah Tinggi Ilmu Kesehatan

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SEKOLAH TINGGI ILMU KESEHATAN

WIDYA DHARMA HUSADA


PROGRAM STUDI ILMU KEPERAWATAN
UJIAN TENGAH SEMESTER TAHUN AKADEMIK
2020/2021

MATA KULIAH : BAHASA INGGRIS III N A M A : Yustina Adriani


Kristin
HARI/TANGGAL : RABU, 28 OKTOBER N.I.M :181030100186
2020
WAKTU : 120 MENIT (10 – 12) SEM/KELAS : 5/A - J
DOSEN : Drs. NURHILALUDIN, MM NILAI TANDA TANGAN
SIFAT UJIAN : TUTUP BUKU

MISCARRIAGE
Miscarriage, also called spontaneous abortion, spontaneous expulsion of
the embryo or fetus from the uterus before the 20th week of pregnancy,
prior to the conceptus having developed sufciently to live without maternal
support. An estimated 10 to 25 percent of recognized pregnancies are lost as
a result of miscarriage, with the risk of loss being highest in the frst six
weeks of pregnancy. Because many miscarriages occur prior to a woman
knowing she is pregnant, the actual prevalence of miscarriage is suspected
to be higher than that refected in the data for clinically recognized cases.

The loss of pregnancy in the frst weeks following implantation typically


results in bleeding at about the time of the next expected menstruation. This
form of early miscarriage, which accounts for the majority of miscarriages, is
described as chemical pregnancy. The consecutive loss of pregnancies,
which occurs in about 1 to 2 percent of women, is known as recurrent
miscarriage.

The most common cause, accounting for more than 60 percent of


miscarriages, is an inherited defect in the fetus, which might result in a
deformed or otherwise abnormal child. An acute infectious disease may play
a role in causing some miscarriages, particularly if it reduces the oxygen
supply to the fetus. Certain uterine tumors or other uterine abnormalities
also may induce a miscarriage. Death of the fetus stemming from external
trauma or from knotting of the umbilical cord is another cause of
miscarriage. Physical traumas (such as blows to or falls of the mother) and
psychological traumas are rarely implicated in miscarriage.

Endocrine disorders such as defcient secretion of the hormone progesterone


may cause poor development of the decidua (the mucal lining of the uterus)
or an abnormally irritable uterus and may thus sometimes result in
miscarriage.

Women over age 35 tend to be at increased risk of miscarriage relative to


younger women. Risk factors include the presence of a preexisting medical
condition such as thyroid disease, a history of miscarriage, and prenatal
testing such as amniocentesis. Smoking, drinking alcohol, or taking certain
drugs during pregnancy are also recognized risk factors.

The principal sign of an impending or threatened miscarriage is vaginal


bleeding. Other symptoms may include pain in the abdomen and lower back.

I. ANSWER THE FOLLOWING QUESTIONS

1. What is miscarriage?

A miscarriage is the loss of a pregnancy before 20 weeks, prior to the


conceptus having developed sufciently to live without maternal support.

2. According to estimation, what causes miscarriage?


The most common cause, accounting for more than 60 percent of
miscarriages, is an inherited defect in the fetus, which might result in a
deformed or otherwise abnormal child. An acute infectious disease may
play a role in causing some miscarriages, particularly if it reduces the
oxygen supply to the fetus. Certain uterine tumors or other uterine
abnormalities also may induce a miscarriage.

3. What is the risk of miscarriage?


Risk factors include the presence of a preexisting medical condition such
as thyroid disease, a history of miscarriage, and prenatal testing such
as amniocentesis. Smoking, drinking alcohol, or taking certain drugs
during pregnancy are also recognized risk factors.

4. When do miscarriages occur?


Many miscarriages occur prior to a woman knowing she is pregnant, the
actual prevalence of miscarriage is suspected to be higher than that
refected in the data for clinically recognized cases.

5. What is the indication of early miscarriage?


This form of early miscarriage, which accounts for the majority of
miscarriages, is described as chemical pregnancy.

6. What is the recurrent miscarriage?


The consecutive loss of pregnancies, which occurs in about 1 to 2
percent of women, is known as recurrent miscarriage.

7. What may play a role in causing some miscarriages?


Endocrine disorders such as defcient secretion of the
hormone progesterone may cause poor development of the decidua (the
mucal lining of the uterus) or an abnormally irritable uterus and may thus
sometimes result in miscarriage.

8. What is the principal sign of impending or threatened miscarriage?


The principal sign of an impending or threatened miscarriage is vaginal
bleeding. Other symptoms may include pain in the abdomen and lower
back.

II. VOCABULARY
A. EMBRYO TO BIRTH

CHOOSE AN ADJECTIVE AND A NOUN TO COMPLETE THE SENTENCES BELOW

ADJECTIVES NOUNS

amniotic, birth, breech, dilated, fallopian, baby, blood, canal, cervix, contraction, cord,
fluid, hair, monitoring, period, position,
foetal, lanugo, maternal, menstrual, multiple, pregnancy, tubes
premature, umbilical, uterine

1. Fertilization takes place in the fallopian tubes


2. the foetus develops within a sac containing amniotic fuii
3. Oxygen and nutrient are obtained from umbilical cori
4. At sixteen weeks the foetus is covered in fne lanugo hair
5. Verniox eases the baby’s passage down the maternal canal
6. Pregnancy normally lasts forty weeks from the frst date of a woman’s last
birth baby
7. During labour uterine contraction becomes stronger and more regular.
8. Having more than one foetus in the wombs is known as a multiple
pregnancy
9. A full iilatei cervix has an opening of about 10 cm
10.A foetal position is when the baby is lying head upwards before delivery

III. GRAMMAR

A. COMPLETE THE SENTENCES USING ELLIPTICAL CONSTRUCTION

1. I have returned the book to the library and she …she is……………../………
so…………..

2. She will go hometown and her sister …………is…………………/ ……


too…………………
3. Mr. Johan did not work yesterday and his partner …is not………………./
……either……………..

4. She is in the library and I …………I am……………../ ………too……………

5. Mr. Harun has not come yet, and his assistant ………was not……………../
…………either……………

6. They were in the classroom, and I …………I was……………../ ………


too………………..

7. She does not take an English course, her sister ……does not…………./ ……
either…………………

8. He attends the lecture nearly every day and his friends ……was…………../
…………too…………

9. The nurse has not given an injection, and the other nurse ……was
not……………/……………either…

10. Doctor Ahmad performed the operation, and doctor Amir ………
is…………/……………too…..

11. He had eaten before he went to work, and his father ………did………../
…………too……………

12. His father did not attend the wedding party, and his mother ……
did………../ ………too…….

13. He was not at home, and his wife ………not………………/ ………


eiher……………….

14. He took the medicine and his friend ……were……………../……


too………………….

15. She has not made the report, and her friend ………were not………………/
………either………………..

B. USE PROPER NOUN IN THE FOLLOWING SENTENCES

1. The doctor operated (he Him………) because he had an accident that


makes (he …His……..) leg break.
2. (she Her………….) always do exercise to maintain (she …Her…….) health
according to (she ……Her………..) doctor’s advice
3. The woman (who ……Who……….) is taking care of (I ……My…..) baby is
my (I …My…..) relative
4. (he Him…….) always takes care of (he ……His…..) necessity (he …
Himself………..)
5. (I …My…………..) mother brought up (she …Her…………..) children since
(I ……My…….) father passed away.
6. ( ……I………..) am responsible for (I …My……..) nephew’s education
expense since (he ……His……..) father totally paralyzed.
7. The man (who …Whom………..) (I.) visit every month is (I ………My……..)
uncle
8. (they ……Their……….) father (who…Whom…….) leg was amputated had
passed away before (…He……..) underwent (he …………His…….)
operation
9. (…He…………..) spends the rest of (he……His…………) life) in (he…
His……….) hometown.
10. The nurse (…Who……) works at hospital is nursing (she Her…..) mother
(…Who…….) has diabetes mellitus.

IV. TRANSLATION: Translate this paragraph into good Bahasa


Indonesia

The key feature of abortion is cervical dilatation. As the name


suggests, the outcome is unavoidable pregnancy loss. The bleeding is more
severe than in threatened abortion and the woman may collapse from blood
loss. The gestation sac separates from the uterine wall and the uterus
contracts to expel the concept. The uterine contractions cause discomfort
similar to that of labour contraction. If a vaginal examination were made, the
doctor would fnd the cervix dilating, possibly with products of conception
protruding through it. The gestation sac may be expelled complete or part,
usually placental tissue may be retained.

TERJEMAHAN:
Ciri utama aborsi adalah dilatasi serviks. Seperti namanya, akibatnya adalah
keguguran yang tak terhindarkan. Pendarahan lebih parah daripada aborsi
mengancam dan wanita bisa pingsan karena kehilangan darah. Kantung
kehamilan terpisah dari dinding rahim dan rahim berkontraksi untuk
mengeluarkan konsep tersebut. Kontraksi uterus menyebabkan
ketidaknyamanan yang mirip dengan kontraksi persalinan. Jika pemeriksaan
vagina dilakukan, dokter akan menemukan serviks melebar, kemungkinan
dengan hasil konsepsi menonjol melalui itu. Kantung kehamilan dapat
dikeluarkan seluruhnya atau sebagian, biasanya jaringan plasenta dapat
tertahan

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