Section C

[25 marks]

Questions 26 30 are based on the following passage

1It was March 2001, and I as a fourth-year medical student I had just started my obstetrics rotation in a rundown, sparsely equipped government hospital in Manila. My co-clerks and I referred to the hospital as a baby factory. During a 24-hour period, it was not unusual for the staff to attend to the birth of 180 babies.

2This particular day, which was also my 25th birthday, marked my first ever shift working in a delivery room. I felt ill-prepared for the coming onslaught of women giving birth. I felt inexperienced and half the time I was praying that I wouldnt drop the slippery infant as he came out to the world.

3I soon got the hang of things. During deliveries, I would encourage the mothers by saying Push, Mummy, so we can see if your baby is a girl or a boy! In this hospital, women often saw a doctor for the first time on the day they were about to give birth. Finding out the sex of the infant usually was enough motivation for them to push with all their might.

4Around 10 pm 15 hours into my shift a patient was brought to my delivery table. She was in her late 20s fair-skinned and with long straight hair. It was her second pregnancy, and she was weeping softly. The woman had come to the emergency room because she had not felt her baby kicking for several days. She had a brown foul-smelling discharge that reeked of death and doctors could not detect a heartbeat using a Doppler ultrasound. The baby, she was told, was dead.

5It was my job to deliver the still-born infant. I wondered why this poor woman wasnt given a Caesarean to ease her sufferings, but I assumed that, since this was a busy hospital, no operating theatres were available. Besides, the obstetric resident told me that it would be an easy delivery because the baby was dead and the mother had given birth before. She said I should have the baby out in less than 30 minutes.

6For the first time that night I was silent. How could I convince this woman to push, just so she could deliver her dead child into the world?

7After almost an hour, the resident returned and asked me why it was taking so long. I whispered that I could feel the infants head but the mother just wasnt pushing enough. I asked if I could speed up the delivery by doing an episiotomy, a small incision to enlarge the birth canal. She nodded her approval.

8I quickly made the incision and felt the baby pop into my hands. He was a lovely little boy, weighing about three kilos. As was normal practice, I placed the infant on a sterile sheet I had draped over the mothers abdomen. She looked at her dead son then turned her head away. I was quiet the whole time. There are simply no words to say to a woman who has just given birth to a dead infant.9As I started to suture the incision I had made, I heard a small cough. I looked up at the baby, who was still on the mothers belly. Then I heard the loveliest and loudest sound of my life. He was screaming his lungs out! All I could say was, Mummy your baby is alive! over and over again. Her soft cries turned into convulsive happy tears. Doctor, thank you for bringing my child to life, she said repeatedly.

10It was the most memorial birthday I ever had. Nothing compares to that magical moment when I experienced the wonderful miracle of birth and learned first-hand that doctors are not gods. By all accounts, the infant should have been dead. It was then I realised that if I were to make mistakes as a doctor, this was the kind I would not mind making to be proven wrong by a patient who turns out to be alive when I thought he was dead.

11I never found out what happened to that woman and her baby after they were discharged. But I will never forget them. They made me believe that miracles do happen.

(Adapted from: A Little Miracle, Readers Digest, Dec 2005; Dr Fay Catherine Gloria)

Answer all questions. You are advised to answer them in the order set.

26 (a) Why was the hospital referred to as a baby factory?

________________________________________________________________[ 1 mark]

(b) Where did the writer worked in on her 25th birthday?

________________________________________________________________[ 1 mark]

27In paragraph 3,

(a) how would the writer encourage the mothers during deliveries?

________________________________________________________________[ 1 mark]

(b) which phrase conveys the meaning of being familiar?

________________________________________________________________[ 1 mark]

28Give two reasons why the baby was told to be a still-born.

(a) _____________________________________________________________[ 1 mark]

(b) _____________________________________________________________[ 1 mark]

29(a) In paragraph 7, what led to the episiotomy?________________________________________________________________[ 1 mark]

(a) In paragraph 8, why did the woman turned her head away from her baby?________________________________________________________________[ 1 mark]

30In your own words, why do you think the writer mention that doctors are not gods?__________________________________________________________________

_______________________________________________________________ [ 2 marks]

Question 31

Write a summary on: How the writer deliver and save the baby

What she thought during the process

Your summary must

Be in continuous writing (not note form)

Not be longer than 130 words, including the 10 words given

Use materials from lines 18 to 38Credit will be given for use of own words but care must be taken not to change the original meaning.

Begin your summary as follows:

The writer was assigned to deliver the still-born infant. She..

[15 marks]

Answer scheme

26 (a) the staff would attend to the birth of 180 babies daily / allow lifting from line 3 to 4 During a 24-hour period .babies

(b) in a delivery room

27(a) by saying Push Mummy, so we can see if your baby is a girl or a boy / by motivating them to find out the sex of the baby.

(b) got the hang of (things)

28 (a) the mother had a brown foul-smelling discharge (that reeked of death)(b) doctors could not detect a heartbeat using a Doppler ultrasound

29(a) It was taking so long and the mother just wasnt pushing enough

(b) She was sad / she could not bear to see the dead baby / she was disappointed

30Accept any relevant answer31 Content points NOPOINTSPOSSIBLE PARAPHRASINGLINES

1wondered why this poor woman wasnt given a Caesarean to ease her sufferingsthought the women should undergo Caesarean to alleviate her pain19-20

2assumed that, since this was a busy hospital, no operating theatres were availableThe hectic hospital had no vacant operating theatres 20-21

3the obstetric resident told me that it would be an easy deliveryher obstetric resident told her that it would be uncomplicated21-22

4because the baby was dead and the mother had given birth beforesince the baby was dead and the mother was experienced.22

5How could I convince this woman to push, just so she could deliver her dead child into the world?persuaded the woman to deliver her still-born baby24-25

6I could feel the infants head but the mother just wasnt pushing enoughThe baby was nearly delivered but the mother gave up27

7asked if I could speed up the delivery by doing an episiotomyrequested for an episiotomy28

8I quickly made the incision 30

9and felt the baby pop into my handsthe baby immediately delivered30

10I placed the infant on a sterile sheet I had draped over the mothers abdomenThe baby was on a disinfected sheet on the mothers belly31-32

11I started to suture the incision I had madestitched the cut35

12I heard a small cough35

13He was screaming his lungs outThe baby shrieked37

14All I could say was, Mummy your baby is alive! over and over againdeclared the baby survived, repeatedly to the mother.37-38

The writer was assigned to deliver the still-born infant. She thought the woman should undergo Caesarean to alleviate her pain but supposed the hectic hospital had no vacant operating theatres. Her superior told her it would be uncomplicated since the baby was dead and the mother was experienced. She was uncertain on persuading the woman to deliver her still-born baby. The baby was almost out but the mother gave up so she requested for an episiotomy. She quickly made the incision and the baby immediately delivered. The baby was on a disinfected sheet on the mothers belly while she stitched the cut. Suddenly, she heard a small cough and the baby shrieked. She declared the baby survived repeatedly to the mother.Section D

[20 marks]

32 Read the poem below and answer the questions that follow.He had such quiet eyesShe did not realiseThey were two pools of liesLayered with thinnest iceTo her, those quiet eyesWere breathing desolate sighsImploring her to be niceAnd to render him paradise

If only shed been wiseAnd had listened to the adviceNever to compromiseWith pleasure-seeking guysShed be free from the hows and whys

Now heres a bit of adviceBe sure that nice really means niceThen youll never be losing at diceThough you may lose your heart once or twiceBibsy Soenharjo-1968(a) In the first stanza, what does the phrase two pools of lies imply?

_______________________________________________________________ [ 1 mark]

(b) What does the persona advice about:

(i) men ________________________________________________[ 1 mark]

(ii) love _________________________________________________[ 1 mark]

(c) If you meet such a man as depicted in the poem, what would you like to tell him and why?________________________________________________________________________

_______________________________________________________________ [ 2 marks]Answer scheme

32(a) the mans eyes are full with deceit / the man is dishonest

(b) (i) not to be easily fooled by their appearance or what they say

(ii) be ready to be heart-broken / you may find true love or you may not

(c) accept any relevant answer

Section A: Directed Writing [35 marks]

[Time suggested: 45 minutes]You are noticing that many of your fellow friends in school are stressed out. You decided to interview the school counselor about the issue. Based on your findings from the interview, write an article for the school newsletter about tips on living a stress-free life.

Use the following notes to write your article:

Tips on living a stress-free life

When writing the article you should remember to: Provide a title

Use all the points given.

Add two other suggestions of your own.

Section B: Continuous Writing [50 marks]

[Time suggested: One hour]Write a composition of about 350 words on one of the following topics.1. A terrible encounter.

2. Describe a scene at a local night market.

3. People without a tertiary education will not be successful. Do you agree?

4. Write a story ending with:

. life just had to go on.

5. Trouble

Answer scheme

Format marks

-Title (1 mark)

Writers name (1 mark)

Content marks (1 mark for each content)

C1-something that causes a state of strain or tension to a person

C2-Exercise regularly

C3-Eat a healthy and balanced diet

C4-Take slow deep breaths when stressed

C5-Always keep a straight and correct body posture

C6-Get a massage

C7 -Pray / meditate to calm down

C8-Smile as often as possible

C9-Be grateful and always count your blessings

C10-Distract yourself by doing fun activities

C11-Have a positive outlook on life

C12-Own suggestions

C13-Own suggestions

STRESS

something that causes a state of strain or tension to a person

Physically

Exercise regularly

Eat a healthy and balanced diet

Take slow deep breaths when stressed

Always keep a straight and correct body posture

Get a massage

Emotionally

Pray / meditate to calm down

Smile as often as possible

Be grateful and always count your blessings

Distract yourself by doing fun activities

Have a positive outlook on life

5

10

15

20

25

30

35

35

40

45