At the maternity hospital (Gynecologist’s examination)
Woman: Good morning, doctor. My name is Helen McLean.
Doctor: What is the matter with you?
W: I think I’m pregnant.
Dr: What are the symptoms?
W: I have not had menstruation 2 months already.
Dr: Have you done a pregnancy test?
W: Yeah, the answer was positive. There were two strips on the line.
Dr: Put off your clothes, please. I’ll make a vaginal examination. Well …. …. My dear! I congratulate you! You are pregnant really!
W: Oh! I’m so happy!
Dr: I’ll measure your pelvic and examine your milk glands … … Everything is all right. Come to me in a week.
W: Thank you, doctor! Good-bye!
Dr: Good-bye.
Текст В: The stages of normal human birth. Obstetrician’s duties
Текстовый глоссарий:
| dilation - расширение labor - роды effaced - уменьшенный, сокращённый cervix – шейка матки contractions – родовые схватки | expulsion – выталки-вание (плода) pelvis - таз brim - край to expel – выталкивать blood loss – потеря крови |
First stage: dilation
The first stage of labor starts classically when the effaced (thinned) cervix is 3 cm dilated. There is variation in
this point as some women may have active contractions prior to reaching this point, or they may reach this point without regular contractions.
Full dilatation is reached when the cervix is the size of the baby's head; at around 10 cm dilation for a term baby. The duration of labor varies widely, but active phase averages some 8 hours for women giving birth to their first child and 4 hours for women who have already given birth.
Second stage: expulsion
This stage begins when the cervix is fully dilated, and ends when the baby is finally birthed. At the beginning of the normal second stage, the head is fully engaged in the pelvis; the widest diameter of the head has successfully passed through the pelvic brim. Birth of the fetal head signals the successful completion of the fourth mechanism of labor.The second stage of labor will vary, depending on successful accomplishment of the preceding tasks.
Third stage: placenta
In this stage, the uterus expels the placenta (afterbirth). The placenta is usually birthed within 15-30 minutes of the baby being born. Maternal blood loss is limited by contraction of the uterus following birth of the placenta. Normal blood loss is 250-300 ml.
Упражнения
I. Переведите следующие слова и словосочетания с английского на русский язык, используя текстовый глоссарий. Выучите словосочетания.
Stage of labor, the effaced cervix, active contractions, full dilatation, the duration of labor, finally birthed, engaged in the pelvis, the pelvic brim, the fetal head, expels the placenta, blood loss, contraction of the uterus.
II. Заполните пропуски словами из текста.
1. The first stage of labor starts classically when the … (thinned) cervix is 3 cm dilated.
2. At the beginning of the normal second stage, the head is fully engaged in the ….
3. Birth of the fetal head signals the successful completion of the fourth mechanism of ….
4. Maternal … is limited by contraction of the uterus following birth of the placenta.
III. В колонке B найдите перевод каждого английского слова из колонки A.
Составьте словосочетания с каждым английским словом.
| A | B |
| 1. cervix | a. продолжительность |
| 2. dilatation | b. эмбрион |
| 3. duration | c. завершение |
| 4. to give birth | d. шейка матки |
| 5. the fetal | f. плацента |
| 6. accomplishment | g. рожать |
| 7. placenta | h. расширение |
IV. Составьте краткое изложение текста “ The stages of normal human birth”.
УРОК 47-48. СЕСТРИНСКОЕ ДЕЛО В ПЕДИАТРИИ. ПАТРОНАЖНАЯ МЕДСЕСТРА. (NURSING IN PEDIATRICS. A NURSE CASE MANAGER)
Текст А. Pediatric Nurse
Текстовый глоссарий:
| late adolescence – позд-ний подростковый возраст pediatric physician – пе-диатр preventative care – про-филактическая помощь acute care – неотложная помощь developmental screenings – развивающие показа-ния health care personnel – мед. персонал evaluation of results – оценка результатов liaison – связь | immunization – прививка chickenpox - ветряная оспа ear infections - ушные инфекции tonsillitis – тонзиллит intravenous lines – ка-пельницы they are admitted to – их принимают в… the medical facility – мед. учреждение prompt health care service – своевременное мед. обсл. infancy – младенчество |
Pediatric nurses care for patients ranging from infancy to late adolescence. They work closely with other healthcare professionals, such as family doctors, pediatric physicians and other nurses, to provide preventative and acute care. Typical duties include conducting routine developmental screenings, "well child" examinations, administration of immunizations, and the diagnosis and treatment of common childhood illnesses, such as chickenpox, ear infections and tonsillitis. Pediatric nurses also work closely with patients' families, educating them about the role of health during child development and bringing awareness to issues that are vital during childhood, such as child disease prevention, proper nutrition, and growth and development. As they possess a strong understanding of the different emotional needs children have, these types of nurses play an important role in the treatment of young patients by putting them at ease and helping them to understand what they are going through.
They can be found working in hospitals, clinics and private practices. Depending on each patient's particular treatment plan, pediatric nurses job duties may include administering medications, placing intravenous lines on patients and administering other kinds of therapies.
