English for Midwifery

This is a Final Test of English for Midwifery. Academic Year  2021/2022. Bhakta Institute of
Health Science.

Name
Siti Mar'atus Solichah

Student Identity Number

10920007

Read the text carefully and answer  the following questions !

Family planning is "the ability of individuals and couples to anticipate and attain their desired
number of children and the spacing and timing of their births. It is achieved through use of
contraceptive methods and the treatment of involuntary infertility." Family planning may
involve consideration of the number of children a woman wishes to have, including the
choice to have no children, and the age at which she wishes to have them. These matters
are influenced by external factors such as marital situation, career considerations, financial
position, and any disabilities that may affect their ability to have children and raise them. If
sexually active, family planning may involve the use of contraception and other techniques to
control the timing of reproduction.

Family planning has been of practice since the 16th century by the people of Djenné in West
Africa. Physicians advised women to space their children, having them every three years
rather than too many and too quickly. Other aspects of family planning include sex
education, prevention and management of sexually transmitted infections, pre-conception
counseling and management, and infertility management. Family planning, as defined by the
United Nations and the World Health Organization, encompasses services leading up to
conception. Abortion is not typically recommended as a primary method of family planning,
and access to contraception reduces the need for abortion.

Family planning is sometimes used as a synonym or euphemism for access to and the use
of contraception. However, it often involves methods and practices in addition to
contraception. Additionally, many might wish to use contraception but are not necessarily
planning a family (e.g., unmarried adolescents, young married couples delaying childbearing
while building a career). Family planning has become a catch-all phrase for much of the
work undertaken in this realm. However, contemporary notions of family planning tend to
place a woman and her childbearing decisions at the center of the discussion, as notions of
women's empowerment and reproductive autonomy have gained traction in many parts of
the world. It is usually applied to a female-male couple who wish to limit the number of
children they have or control pregnancy timing (also known as spacing children).

It is the ability of individuals and couples to anticipate and attain their desired number
of children and the spacing and timing of their births. It is achieved through use of
contraceptive methods and the treatment of involuntary infertility. What is it ?
Family Planning
Family Consideration
Family Policy
Family Wisdom

Which one of these followings is not  the external factors that influenced the family
planning consideration ?
marital situation
career consideration
health problem
financial position

Which one of these followings is not the other aspect of family planning ?
sex education
prevention and management of sexually transmitted infections
pre-conception counseling and management
fertility management
Yang lain:

What is not recommended as a primary method of family planning ?

oral contraceptive pill
Intra Uterine Device
Abortion
Contraceptive implant
Yang lain:

Untitled Section
"Maternal health refers to the health of women during pregnancy, childbirth and the
postpartum period. While motherhood is often a positive and fulfilling experience, for too
many women it is associated with suffering, ill-health and even death."
About 99% of maternal deaths occur in less developed countries; less than one half occur in
sub-Saharan Africa and almost a third in South Asia.

Both early and late motherhood have increased risks. Young teenagers face a higher risk of
complications and death as a result of pregnancy. Waiting until the mother is at least 18
years old before trying to have children improves maternal and child health.

Also, if additional children are desired after a child is born, it is healthier for the mother and
the child to wait at least two years (but not more than five years) after the previous birth
before attempting to conceive. After a miscarriage or abortion, it is healthier to wait at least
six months.

When planning a family, women should be aware that reproductive risks increase with the
age of the woman. Like older men, older women have a higher chance of having a child with
autism or Down syndrome; the chances of having multiple births increases, which cause
further late-pregnancy risk; they have an increased chance of developing gestational
diabetes; the need for a Caesarian section is greater; and the risk of prolonged labor is
higher, putting the baby in distress.

What is   the risk of early motherhood pregnancy ?

complication
having a child with autism
having a child with Down Syndrome
Increasing the chances of having multiple births

What is the best age of a woman to have a baby ?

before 18 years old
after 18 years old
after 20 years old
after 25 years old

Read the text and answer the following questions !

WHAT IS EMERGENCY CONTRACEPTION?
There are two options for emergency contraception: the emergency contraceptive pill (ECP)
or a copper IUD.
ECP can be taken up to three days after unprotected sex. If you are an average weight, the
ECP is 98% effective. If you weigh more than 70kg, the ECP is less effective and a copper
IUD is recommended. If you weigh more than 70kg and you choose to take ECP, you should
ask if taking a double dose is the right option for you.
The copper IUD can be inserted up to five days after unprotected sex, and is more than 99%
effective at preventing pregnancy.
Emergency contraception can be used to prevent pregnancy if:
you haven't used protection
your normal contraception fails e.g. condom splits
you have missed more than one contraceptive pill
you have been vomiting or had diarrhoea while on the pill
you have missed your injection
you have been forced to have sex without contraception.
It is not a good idea to use ECP as your regular method of contraception - it is less effective
than if you were using a LARC or hormonal method.

Which one  is an emergency contraception ?

vasectomy
tubal ligation
condoms
IUD

The emergency contraceptive pill (ECP) will be effective in a certain weight of a

woman ? what is that certain weight ?
70kg
less than 70 kg
more than 70 kg
ideal weight

What is the right time for the copper IUD to be inserted after unprotected sex ?
after 2 days
after 3 days
after 4 days
after 5 days

It is not a good idea to use ECP as your regular method of contraception. Why ?
it is less effective than LARC method
it is more effective than LARC method
it will promote a woman to be obese
it causes a specific disease for woman

Read the text carefully and answer the following questions !

International Code of Ethics for Midwives
Preamble
The aim of the International Confederation of Midwives (ICM) is to improve the standard of
care provided to women, babies and families throughout the world through the
development, education and appropriate utilization of the professional midwife. In keeping
with this aim, the ICM sets forth the following code to guide the education, practice and
research of the midwife. This code acknowledges women as persons with human rights,
seeks justice for all people and equity in access to health care, and is based on mutual
relationships of respect, trust and the dignity of all members of society.
The code addresses the midwife’s ethical mandates in keeping with the Mission, the
International definition of the Midwife, and standards of ICM to promote the health and
wellbeing of women and newborns within their families and communities. Such care may
encompass the reproductive life cycle of the woman from the pre-pregnancy stage right
through to the menopause and to the end of life. These mandates include how midwives
relate to others; how they practice midwifery; how they uphold professional responsibilities
and duties; and how they are to work to assure the integrity of the profession of midwifery.

Adopted at Glasgow International Council meeting, 2008

Reviewed and adopted at Prague Council meeting, 2014
Due for next review 2020

It is to improve the standard of care provided to women, babies and families

throughout the world through the development, education and appropriate utilization
of the professional midwife. What is it ?
The aim of ICM
The mission of ICM
The vision of ICM
The responsibilities of ICM

Which one of these followings is not the Midwife's Ethical Mandates ?

how midwife relate to others
how they practice midwifery; how they uphold professional responsibilities
how they uphold professional responsibilities and duties
how they are to work to camouflage the integrity of the profession of midwifery

Read the text and fill in the blanks with appropriate words !
Women's Health in Community Health: The Role of the Community Midwife Women's Health
has its place in ...... (1)  health. Women account for 49.6% of the global population. There
are global issues that some women may be prone to experiencing than other women
residing in a different part of the world. For women in a community, it is important to consider
various aspects that determines wellbeing. Different women's health topics include the role
of the woman in her community, mental wellbeing, ................. (2) prevention, health
promotion, nutrition, sexuality, sex, sexual health, sexually transmitted infections, and
reproductive health (Alexander, LaRosa, Bader, H., Garfield, & Alexander, 2017). The role of
the nursing midwife has a large impact on women in the community experiencing pregnancy.
The nursing midwife is responsible for caring for women who are.......... (3) . Their duty
includes assessing for a healthy pregnancy by ensuring appropriate healthcare management
during pregnancy and actively participating in a safe delivery. Duties of a community midwife
includes ensuring the pregnant woman is maintaining health by assessing vital signs and
changes in the woman's behavior. The nurse midwife should assess the fetus for
normal ....... (4)  habits and ensure the appropriate treatments, medications, and diagnostic
tests are being completed for close management of the pregnancy. The nurse midwife
provides ................ (5)  education for the woman throughout her pregnancy. Aannestad,
Herstad, & Severinsson (2019) concluded that women who have the experience of having a
midwife during pregnancy and at birth expressed the need for the role in the community
health. The nurse midwife establishes a relationship whose presence provided security,
guidance, support, and expertise (Aannestad et al., 2019). The role of the community nurse
midwife plays a large role in dependable care of pregnant women and safe delivery of the
baby.

1.
society
environment
community
population

2.
sore
disease
ache
pain

3.
pregnant
pregnancy
menopouse
menstruation

4.
grow
growth
growing
grew

5.
continuous
continuing
contemporary
permanent

Read this text carefully and answer the following questions !

Pilates is a whole-body exercise system that’s great for the ever-changing pregnant body.
With a deep emphasis on your breath, Pilates balances strength, mobility, and flexibility to
support your body’s structure.
With its large repertoire of exercises, there are plenty of options and modifications for every
stage of pregnancy — regardless of whether you’re new to the method.
Every pregnancy is a unique experience, so a typical Pilates practice is not suitable for most
pregnant people. You’ll want an instructor specialized in (or a program designed for) pre-
and postnatal Pilates training.
Prenatal Pilates prepares you for labor and delivery, sets you up for recovery, promotes
pelvic floor health, and helps prevent or manage diastasis recti

What is the name of an exercise with a deep emphasis on breath, balances strength,
mobility and flexibility to support body's structure?
yoga
aerobic
pilates
gymnastics

Which one of these followings s not the goal of prenatal pilates ?

prepare for labor and delivery
set up for recovery
maintain stable body weight during pregnancy
promote pelvic floor health
Yang lain:

Read  the text and answer the following questions !

Benefits of Pilates during pregnancy
A lot is happening physiologically when you grow a human.
The pregnant body experiences an increased blood volume, heart rate, and cardiac output,
causing you to feel short of breath.
Pilates breathing not only calms the nervous system, thereby lowering blood pressure, but
also helps build the stamina required for the mental and emotional strength of labor and
delivery.
Pilates has been shown to aid postpartum recovery and lower rates of cesarean deliveries
(also known as C-sections or cesarean sections), birth interventions, episiotomies, and
preeclampsia.
With an emphasis on the abdominals, back, and pelvic floor, prenatal Pilates increases body
awareness and prepares you for pushing. It decreases back pain and has been shown to aid
with sleep .
Furthermore, the involved diaphragmatic breathing and coordination of breath with
movement patterns are likewise beneficial.
But Pilates and exercise are not only good for mama, baby also reaps the benefits!
When a pregnant person continues to exercise safely during pregnancy, their baby is less
susceptible to certain illnesses and benefits from a jump start in brain growth and
development.
Studies have shown there are numerous benefits for Pilates during pregnancy, both for
those who may have been sedentary before, as well as the avid exerciser

What is not  the effect of pregnancy to the body ?

increased blood volume
increased heart rate
lowering blood pressure
causing short of breath

What is not the effect of pilate during pregnancy ?

to aid postpartum recovery and lower rates of cesarean deliveries
to calm the nervous system
to decrease back pain
to encourage preeclampsia

Read the text and fill in the blanks with appropriate answer !
The role of the community midwife differs dramatically from that of a hospital based
practitioner but many midwifes entering this area of practice may not feel well equipped for
this diverse........ (1) . Community Midwifery Practice is the first text specifically tailored to
meet the needs of community midwives, providing a practical, skills-based guide to
improving and underpinning their day-to-day practice with an emphasis on ‘normal’ birth and
the importance of developing relationships with the women they are charged with helping.
This accessible text includes .................. (2) on the broad range of skills required by
midwives working in community settings, providing practical guidance on issues such as
supporting women with HIV/AIDS, issues surrounding domestic abuse, perinatal mental
health, and pelvic girdle pain. Community Midwifery Practice will provide all midwives who
work in community placements with a comprehensive, accessible tool designed to assist
them in all .................. (3)  of their practice

1.
experience
experiencing
experiment
research

2.
announcement
information
events
evidence

3.
environments
aspects
circumstances
effects

Read the text and answer the following questions !

I am writing to apply for the Midwife position that was recently advertised on your website. I
am confident that I have the skills and qualifications that you are looking for, and I am eager
to put my experience to work for your organization.

I have been a practicing midwife for the past three years, and during that time I have
delivered hundreds of babies. I have also worked extensively with pregnant women and their
families, providing them with information and support throughout their pregnancies. I am
knowledgeable in all aspects of midwifery, from prenatal care to post-delivery care.

I am a highly skilled midwife, and I have a proven track record of delivering positive results. I
am patient and compassionate, and I have a strong desire to help others. I am also a team
player, and I am confident that I can work effectively with other members of your staff.

I would like to thank you for your time and consideration, and I look forward to hearing from
you soon.

Sincerely,

Rosiana

Where did the applicant get the information about that job vacancy ?
newsletter
relatives
website
colleague

How long is the applicant job experience ?

2 years
3 years
4 years
5 years

what is not the character of the applicant ?

patient
compassionate
hesitate
confident
what environment does she choose to get involved in ?
works individually
works in team
works individually and in team
works independently

Untitled Section
I am writing to express my interest in the midwife position that is currently available at your
hospital. I have been working as a midwife for the past five years and have gained extensive
experience in this field. My passion for helping women during their pregnancy has led me to
pursue this career, and I have found it to be extremely fulfilling.

I have worked with many different types of patients, ranging from first-time mothers to those
who are expecting multiples. I enjoy being able to help women through all stages of their
pregnancy, and I find it very rewarding when they deliver healthy babies. I also love being
able to provide emotional support to my patients, especially those who are nervous about
giving birth.

One of my greatest strengths is my ability to work well with others. I am always willing to
lend a hand to other staff members, and I believe that teamwork is essential when it comes
to providing quality care. I am also very good at communicating with patients and their
families, which is an important skill for a midwife.

I would like the opportunity to meet with you in person so that we can discuss my
qualifications and how I could contribute to your team. I am available at your earliest
convenience, and I look forward to hearing from you soon.

Sincerely,

Amelia

What is Amelia's motivation to be a midwife ?  

to get a good job in a hospital
to have experience as a midwife
to help pregnant woman
to fulfill her ambition

How is Amelia's feeling when she help a woman delivers a healthy baby ?*
honored
worthy
rewarded
satisfied

I am always willing to lend a hand to other staff members, and I believe that
teamwork is essential when it comes to providing quality care. What is the meaning
of ' lend a hand " in that sentence ?
give a hand
asking for help
giving a help
offering a loan

Read the text and answer the following questions !

1. Why Are You Interested In This Role?
My passion for this role started when I was a teenager. I spent a lot of time taking care of my
small sister who was suffering from cerebral palsy. As I was caring for her, I developed a
desire to help people especially mothers who have delivered children and their babies.  I
joined the university to pursue a bachelor of midwifery which I have already completed. The
education has equipped me with the knowledge and skills that are needed in this role. Upon
seeing your job posting for this role, I felt I have what it takes to perform this job as expected.
I believe that given an opportunity, I will exceed your expectations for this role.

What job  is discussing in that conversation ?

a nurse
a midwife
a teacher
a nurse-practitioner

What is her motivation to get that role  ?

her education
the opportunity
the condition of her sister
to help her mother

Please arrange the word in the bracket into the right spelling and match with the
sentence ! ( the capital letter is the first letter )
Do you prefer working independently or on a team?
Your answer should be informed by the research you’ve done on the company culture and
the job in question. .................. (1) , you should expect that most work environments will
have some team aspect.

Many positions require you to work collaboratively with other people on a daily basis, while
some roles require you to work on your own. When you answer this question, highlight the
best traits of your ...... (2) and how they fit the job requirements. It could also be in your
interest to answer this question by highlighting the advantages and disadvantages of both
situations.

Example: “I enjoy a blend of the two. I like having a team to strategize with, get diverse
opinions from, and reach out to for feedback. But I am also comfortable taking on
assignments that require me to work independently. I find I do some of my best work when I
can focus alone in a quiet space, but I really value collaborating with my teammates to come
up with the best ideas.”

1. Neevrthlssee
Nevertheless

2. Psonerltiay
Personality

Please arrange the word in the bracket into the right spelling and match with the
sentence ! ( the capital letter is the first letter )
3. What Are The Qualities That A Midwife need To Be Successful?
This job can be stressful and a  ........ ( 1)   must have the ability to work under pressure to
succeed in this role. She must know how to communicate effectively both orally and in
writing when passing on simple and complex information to patients, families, and other staff
members. A midwife should uphold kindness, respect, and ....... (2)  while performing her
role. Besides, a midwife must be patient , ............. (3)  ,  and self-driven and possess strong
clinical assessment, analytical, and problem-solving skills.

1.  Mfiidwe
Midwife

2. Ephaytm
Empathy

3. Copmssioantae
Compassionate

Read the text and answer the following  questions!

Why Do You Feel You Are Qualified For This Role?
I am a certified midwife with a bachelor’s degree in nursing. Previously, I worked as a
midwife in a hospital setting. I am familiar with monitoring the health of expectant mothers
and their unborn babies. I have also been educating pregnant mothers and their families on
reproductive health, how to prepare for parenthood, antenatal care, and post-delivery care.
Besides, I am a patient, compassionate,  and self-driven midwife with strong communication,
clinical assessment, analytical, and problem-solving skills. I believe that my strong skills,
education, experience, and qualities will enable me to succeed in this role should I be given
this opportunity.

What is the other name of opportunity ?

luck
change
chance
time

What is not the strength of the applicant to get that job ?

education
skills
experience
individual motivation