1. А) Which of the minor disorders from the bох is explained bу the following:

Numbness; varicose veins and hemorrhoids; heartburn; need to urinate more frequently; supine hypotension.

1. This is partly due to reduced tone in the alimentary tract. It may become worse in the later part of pregnancy, when the uterus and fetus fill the abdominal cavity and press against the stomach. ________________________________________________________

2. This is due to edema in the carpal tunnel, one of the structures, which run through the wrist. _________________________________________________________

3. The fetus starts to move into the birth canal, the space for bladder

becomes reduced.______________________________________

4. The heavy uterus containing the fetus may compress the vena cava which passes down the posterior wall of the abdominal cavity. This reduces the venous blood return from the lower part of the body, thus reducing the blood input to the heart, which in turn reduces the heart’s output. The pulse rate goes down, the blood pressure drops, and the mother feels faint, even though she is lying down. The amount of blood going to the uterus and placenta is reduced and with it, the oxygen supply to the fetus. For this reason, the mother should never lie flat on her back.__________________________________________________

5. The latter can be aggravated by constipation. _________________

b) Which of the minor disorders form the box can be reduced or relieved by the following? Match them.

1. The mother should be encouraged to sleep at night with extra pillows.

2. This can be helped by eating vegetables and fruit, and by taking exercise regularly.

3. This discomfort can be relieved by sitting with the feet up whenever possible.

4. Walking upright and sitting with good support to the back can help.

Constipation Backache Varicose veins, Heartburn,

4. Mini role-play.

Work in pairs. Based on the text “Pregnancy” as well as your answers (Text exercises) make a dialogue between a pregnant woman (A) and a nurse (B).

A. on the part of a pregnant woman, complain of your problems and ask questions about their solving.

B. On the part of a nurse, answer pregnant woman‘s questions and give her some advice on the problem.

A. To express your problems and ask questions use:	B. To give answers and recommendations use:
I worry about … I am not feeling too well. I feel pains in … I can hardly … How should I …? Can you help me to …?	What is your complaint / trouble? Where does it hurt? Do you feel pain when you walk? You should … It is important to … It is more comfortable to … The best way to …is … It may help to …

Problems:

• Backache

• Constipation

• Varicose veins

• Heartburn

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