16．Happy Birthday to Me（and My Mom）
Forty-three years ago my mother went into labour for the second time．It was either very late New Year's Day or very early on the second day of 1969depending on how you looked at it but either way，it was a full week past her due date when my mom woke up knowing it was time to wake my dad up．get dressed，pack up the car and head to the hospital．Her regular doctor was on vacation and when they reached the hospital they planned to deliver in*they were told that the doctor was on his way to another hospital so they should head there，in neighbouring city．Most surprising to me now is that she felt well enough to attend a New Year's party the previous night and stayed long enough to toast in the new year!
My mom and her family had immigrated to the United States just twenty years earlier from El Salvador．And that was a lucky thing for me．Not only did my mom gain access to a belter education and career options here in the US for herself，each of her three daughters would also enjoy her access to quality maternity （孕產(chǎn)婦的）care．While the US is hardly the world leader in maternal health or birth outcomes，these days a woman faces a 1in 2，100 risk of dying during her life and in El Salvador，it's 1in 350-6times worse．In 1969．that difference was even greater．
However，I was pregnant with my second child in El Salvador six years ago when I realized how very different my life might have turned out if I'd lived there when I delivered my first child．I travelled down there with CARE，the humanitarian relief organization．whose efforts my mom had long supported，to see some of their principal programmes in action．Among them was one in particular that remains with me today．It was a water project where pregnant women，many of whom had walked miles to access this clean water，receive some basic care before or after childbirth．Here these women were，facing the exact same physical challenges as me hut still carrying the full work load of the family and with little to no resources for information，care，transportation or comfort during or after their pregnancies．
By this time，I was all loo aware of what a challenge childbirth could be．After delivering my daughter in 2003，I survived a hemorrhage（大出血），the leading childbirth-related complication （hat takes the lives of thousands of other mothers all over the world．One girl or woman dies every 90seconds in pregnancy or childbirth
from what is in most cases a preventable death．I was as shocked as you arc when I discovered this fact but I was also grateful．Grateful because I had been in the care of a team of health worktT^when 1needed them most．
I thought of my mother's life．While she had been born in a good hospital in San Salvador in the 1930's，at that time pregnancy-related deaths were common even in the US，My great grandmother also hemorrhaged*only after delivering her filth child and she died．Her husband，my mom's grandfather was a physician at the time．He would give up practising medicine forever when he couldn't save her．
But it wasn't only my mom and her family that I thought of as I considered my own fate and good fortune，it was all those women I'd spent the day with in the rural community I d visited with CARE*Wc tl made a connection that day，we mothers，as women．These women did not have access to the simple interventions （介入）that could insure their survival and that's what concerned me．It did more than concern me，it woke me up and begged this question，why should any one life be of different value than any other？
And so，I made the commitment right there and then to do all I could to improve maternal health and reduce the number ot maternal deaths around the globe．
65．The underlined phrase"went into labour"，in Paragraph 1 means"B"．
A．suffered from a disease
B．gave birth to a baby
C．took up m offer of work
D．tidied up the house
66．According to the passage，the writer felt fortunate enoughD．
A．to enjoy the best maternity care in the world
B．to attend better schools in the United States
C．to live in a developed country permanently
D．to have a better sense of maternal security
67．When she returned to her motherland six years ago，the writerC．
A．regretted not delivering her first child there
B．was very surprised at the great changes there
C．offered special care to women in need there
D．researched into the medical conditions there
68．The writer realized the vital importance of maternity care
A．through her own experience
B．with the help of health workers
C．during her slay in El Salvador
D．upon the death of some women
69．The writer is obviously determined toB．
A．be a physician different from her great grandfather
B．change the situation in the field of maternal health
C．request more people to care about maternity care
D．volunteer care during or after women's pregnancies
70．What conclusion docs the passage lead you to？B
A．Pregnancy-related deaths can hardly be kept from happening．
B．Birth and death went hand in hand with each other very often，
C．Physicians failed to save patients from various curable diseases．
D．Women would rather have no children for tear of a hemorrhage．
分析 本文屬于說明文閱讀，作者通過這篇文章主要向我們描述了作者通過自己的經(jīng)驗(yàn)意識(shí)到產(chǎn)科護(hù)理的重要性，并決心改變婦幼衛(wèi)生領(lǐng)域的現(xiàn)狀．
解答 65．B．詞義猜測(cè)題．根據(jù)第一段Forty-three years ago my mother went into labour for the second time可知43歲的媽媽第二次臨盆；即生下孩子；故選B．
66．D．細(xì)節(jié)理解題．根據(jù)第二段And that was a lucky thing for me．Not only did my mom gain access to a belter education and career options here in the US for herself，each of her three daughters would also enjoy her access to quality maternity （孕產(chǎn)婦的）care可知作者覺得十分幸運(yùn)因?yàn)橛懈玫哪笅氚踩珬l件；故選D．
67．C．細(xì)節(jié)理解題．根據(jù)文章I travelled down there with CARE，the humanitarian relief organization．whose efforts my mom had long supported，to see some of their principal programmes in action可知作者回到祖國(guó)后對(duì)有需要的女人特殊照顧；故選C．
68．A．細(xì)節(jié)理解題．根據(jù)文章I was as shocked as you arc when I discovered this fact but I was also grateful．Grateful because I had been in the care of a team of health worktT^when 1needed them most可知作者通過自己的經(jīng)驗(yàn)意識(shí)到產(chǎn)科護(hù)理的重要性；故選A．
69．B．細(xì)節(jié)理解題．根據(jù)文章最后一段And so，I made the commitment right there and then to do all I could to improve maternal health and reduce the number ot maternal deaths around the globe可知作者決定要改變婦幼衛(wèi)生領(lǐng)域的現(xiàn)狀；故選B．
70．B．推理判斷題．根據(jù)文章While she had been born in a good hospital in San Salvador in the 1930's，at that time pregnancy-related deaths were common even in the US可知生與死經(jīng)常發(fā)生在一起，要關(guān)注產(chǎn)科護(hù)理；故選B．
點(diǎn)評(píng) 考察學(xué)生的細(xì)節(jié)理解和推理判斷能力，做細(xì)節(jié)理解題時(shí)一定要找到文章中的原句，和題干進(jìn)行比較，再做出正確的選擇．在做推理判斷題不要以個(gè)人的主觀想象代替文章的事實(shí)，要根據(jù)文章事實(shí)進(jìn)行合乎邏輯的推理判斷．
