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 : Aliya Cahyani

HARI/TANGGAL : N.I.M : 181030100151
WAKTU : 90 MENIT SEM/KELAS : 5B
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 sufficiently 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 first 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 reflected in the data for clinically recognized cases.

The loss of pregnancy in the first 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 deficient 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?
= Miscarriage is a spontaneous abortion, the spontaneous removal of an embryo or fetus
from the uterus before the 20th week of pregnancy, before conception has developed
sufficiently to survive without material 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.
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?
= Six weeks of pregnancy
5. What is the indication of early miscarriage?

= Premature
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?
= An acuteinfections disease may play a role in causing some miscarriages, particularly if it
reduces the oxygen supply to the fetus.
8. What is the principal sign of impending or threatened miscarriage?
= Vaginal bleeding. Othe 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 FLUID
3. Oxygen and nutrient are obtained from MATERNAL BLOOD
4. At sixteen weeks the foetus is covered in fine LANUGO HAIR
5. Verniox eases the baby’s passage down the BIRTH CANAL
6. Pregnancy normally lasts forty weeks from the first date of a woman’s last
MENSTRUAL PERIOD
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 DILATED CERVIX , has an opening of about 10 cm
10.A BREECH 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 did too / So did she
2. She will go hometown and her sister : will too / so will her sister

3. Mr. Johan did not work yesterday and his partner : didn't either / neither did his partner

4. She is in the library and I : am too / So am i

5. Mr. Harun has not come yet, and his assistant : haven't either / neither have his assistant

6. They were in the classroom, and I : am too / So am i

7. She does not take an English course, her sister : doesn't either / Neither does her sister

8. He attends the lecture nearly every day and his friends : did too / So did his friends

9. The nurse has not given an injection, and the other nurse : haven't either / Neither
have the other nurse

10. Doctor Ahmad performed the operation, and doctor Amir : did too / So did doctor amir

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

12. His father did not attend the wedding party, and his mother : didn't either / Neither
did his mother.

13. He was not at home, and his wife : wasn't either / Neither was his wife

14. He took the medicine and his friend : is too / so is his friend

15. She has not made the report, and her friend : haven't either / neither have her friend.

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