Happy Birthday Times 2, 3, 4…

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  • Lesson Identification and TEKS Addressed

    Cluster : Human Services

    Course : Child Development

  • TEKS Student Expectations

    • (2) The student investigates components of optimal prenatal care and development
      • (B) analyze environmental and hereditary factors affecting fetal development such as Mendel’s Laws of Inheritance, genetics, and substances and how they affect the developing child and prenatal brain development
      • (E) critique technological advances on prenatal care and development such as sound waves used for sonograms, amniocentesis, and alpha-fetoprotein tests in multiple birth situations
  • Basic Direct Teach Lesson

    Instructional Objectives

    Students will:

    • analyze reasons for the high rate of multiple births
    • examine United States statistics for multiple births
    • determine the different types of multiple births
    • assess the risks involved with multiple births and technological advances in prenatal care
  • Rationale


    Are you a twin, triplet or do you know anyone who is? In the past two decades, the rate of multiple births in the United States has increased dramatically. Why do you think the rate has increased? We will explore why multiple births have increased and complications that may arise from carrying multiple babies.

  • Duration of Lesson

    Six 45 minute class periods

  • Word Wall

    Amniocentesis: A prenatal test in which a needle is inserted through the woman’s abdomen into the amniotic sac and a sample of the fluid is removed for cell study

    Assisted reproductive technologies (ART): methods used to achieve pregnancy by artificial or partially artificial means

    Conjoined twins: Identical twins, but the separation is not complete. Conjoined twins share skin and possibly internal organs

    Dizygotic twins: Fraternal twins

    Gestational diabetes: High blood sugar during pregnancy

    In vitro fertilization (IVF): egg cells are fertilized by sperm outside the body

    Monozygotic twins: Identical twins

    Multiple births: Refers to the delivery of twins and higher order multiples (ex: triples, and quadruplets)

    Preeclampsia: Characterized by high blood pressure, protein in the urine and generalized swelling

    Premature birth: Before 37 completed weeks of pregnancy

    Quadruplets: One of four offspring born in a single birth

    Sonogram: The picture of the fetus the ultrasound produces is call a sonogram

    Vanishing twin syndrome: When a twin pregnancy that is identified very early is later found to have only one fetus

  • Materials/Specialized Equipment Needed


    • computer with projector for PowerPoint™ presentation
    • computers with internet access (Be sure to follow district guidelines for internet access)
    • markers
    • poster board/butcher paper
    • stop watch or clock with second hand
    • copies of handouts (see All Lesson Attachments tab)
  • Anticipatory Set

    Before class begins:

    Gather pictures of identical and fraternal twins, triplets, etc and have them displayed around the classroom.

    After class begins, ask if anyone in the class is a twin, or has twins or triplets in their family. Discuss what life might be like growing up as a multiple. Have class brainstorm and create a list of information they already know or would like to know about the topic of multiple births. Discuss career fields that would require knowledge of this topic.

  • Direct Instruction with Special Education Modifications/Accommodations

    Introduce lesson objectives, terms and definitions.

    Introduce PowerPoint ™, Happy Birthday Times 2, 3, 4… Multiple Births (see All Lesson Attachments tab). Students will be expected to take notes while viewing the slide presentation. Allow time for discussion as well as questions and answers. Check for understanding.

    Individualized Education Plan (IEP) for all special education students must be followed. Examples of accommodations may include, but are not limited to:

    • encourage participation
    • providing assistance with note-taking

  • Guided Practice with Special Education Modifications/Accommodations

    After viewing slide presentation, students will participate in a JOT, PAIR, SHARE strategy. instruct students to each JOT down five facts they learned about multiple births on as sheet of paper.

    Divide students into teams of two, A and B (PAIR). Students will be expected to work collaboratively with their partner.
    Team members will take turns SHARING their five facts. Team member A will explain fact #1 in detail to Team member B for exactly 60 seconds. Teacher will call time. Team member B will explain their fact #1 in detail to Team member B for exactly 60 seconds. Teacher will call time. Continue activity until teams have had an opportunity to discuss all 10 facts.

    Distribute graphic organizer, Multiple Births Starburst Chart (see All Lesson Attachments tab). Students will use the information from the slide presentation and previous activity to complete the chart. Students will place five facts on the graphic organizer.
    Students will develop a class list/ wallboard of multiple birth facts. Select a scribe to write down facts on a poster board or sheet of butcher paper. Each team will share one fact with the class. Scribe will add facts to the class list/ wallboard.

    Distribute handout, Multiple Births: Truths or Untruths (see All Lessons Attachments tab) and have students individually complete activity. As a class discuss correct answers.

    Individualized Education Plan (IEP) for all special education students must be followed. Examples of accommodations may include, but are not limited to:

    • allow extra time for assignments
    • provide extended “wait time”

  • Independent Practice/Laboratory Experience with Special Education Modifications/Accommodations

    Divide class into subgroups of three. Distribute Families with Multiple Births (see all Lesson Attachments tab). Allow student groups to randomly select a family from the list.

    Introduce mini research assignment and provide detailed instructions. Inform students that they will be researching a multiple birth family. Challenges, complications and consequences related to the birth of the multiple children will be explored, see Families with Multiple Children Research Questions (see All Lesson Attachments tab). Students will compile their information on a poster board, electronic poster or slide presentation. Students will be expected to present their findings to the class. Explain each component of Rubric for Visual Display (see All Lessons Attachments tab) so that students understand how this project will be assessed.

    Student groups will present their visual, findings and oral presentation during lesson closure

    Individualized Education Plan (IEP) for all special education students must be followed. Examples of accommodations may include, but are not limited to:

    • shortened, simplified instructions
    • providing praise and encouragement

  • Lesson Closure

    Students will take turns presenting their visual, findings and oral presentations to the class.
    Follow each presentation with a classroom discussion.

    Review lesson objectives, terms and definitions.

  • Summative/End of Lesson Assessment with Special Education Modifications/Accommodations

    Group presentations/projects will be assessed with the appropriate Rubric for Visual Display.

    Students will write a one page personal reflection on what they learned from this lesson and how they plan to use the information now and in the future.

    Individualized Education Plan (IEP) for all special education students must be followed. Examples of accommodations may include, but are not limited to:

    • receiving extra time for assignment
    • work with peer tutor

  • References/Resources


    Note: Video should be previewed before student viewing.


  • Additional Required Components

    English Language Proficiency Standards (ELPS) Strategies

  • College and Career Readiness Connection

    AchieveTexas Career Cluster Crosswalks

    The Career Cluster Crosswalks housed on the AchieveTexas website http://www.achievetexas.org/index.html provide Texas teachers with a direct connection between their CTE course TEKS and the College and Career Readiness Standards (CCRS). Language Arts, Mathematics, Science, Social Studies, and Cross-Disciplinary integration are the focus of the CCRS. These college and career readiness standards are essential in the planning and delivery of CTE lessons. The extent to which the integration occurs is determined by the methods and strategies utilized by each teacher.

    Career Cluster Crosswalks for Education and Training, Hospitality and Tourism, and Human Services Career Clusters can be found at:

  • Recommended Strategies

    Reading Strategies

    Incorporate current events – Students can explore articles about multiple births, fertility treatments, etc. in newspapers, magazines, or the internet sources that are current and relevant

  • Quotes

    I may be a twin, but I’m one of a kind.
    -Author unknown

    There are two things in life for which we are never truly prepared: twins.
    -Josh Billings

    Twice as much to love, two blessings from above.
    -Author unknown

    You were born together, and together you shall be forevermore…but let there be spaces in your togetherness. And let the winds of the heavens dance between.
    -Kahlil Gibran

  • Multimedia/Visual Strategies


    • Happy Birthday Times 2, 3, 4… Multiple Births
    • Presentation Notes for Happy Birthday Times 2, 3, 4… Multiple Births


    Files for downloading:

  • Graphic Organizers/Handout

    Graphic Organizer:

    • Multiple Birth Starburst Chart


    • Families with Multiple Births
    • Families with Multiple Children Research Questions
    • Multiple Births: Truths or Untruths
    • Visual Presentation Rubric

    Files for downloading:

  • Writing Strategies

    Journal Entries:

    • Should a fertility doctor lose his/her medical license if they do not follow the American Society for Reproductive Medicine guidelines? Explain.
    • Should couples receive fertility treatments if they are over age 35? Why or why not?
    • Should the number of embryos be reduced to decrease the prenatal risks involved with quadruples, quintuplets, sextuples and more?
    • If I was a twin……
    • If I found out I was having triplets I would
    • Multiple births are……

    Writing Strategy:

    • RAFT (Role/Audience/Format/Topic) writing strategy:
      Role: parent
      Audience: twins
      Format: informal letter
      Topic: Our first year together…
      Your twins have just had their first birthday. Write a letter to them describing their first year in your life.
  • Communication 90 Second Speech Topics

    • If I was a triplet, I would…
    • A question I would ask a quintuplet is….,……. because……
  • Other Essential Lesson Components

    Enrichment activity

    Develop a brochure which will educate others on multiple births in the U.S.. Include reasons for the rise in multiple births and prenatal risks to the mother and babies.

    Math Assessment Problem

    (2) The student investigates components of optimal prenatal care and development. The student is expected to:

    • (B) analyze environment and hereditary factors affecting fetal development such as Mendel’s Law of inheritance, genetics, and substances and how they affect the developing child and prenatal brain development.

    Question 4. Irene’s water just broke and she is on her way to the hospital. When she arrives, doctors tell her she is dilated to 5 centimeters. She must reach 10 centimeters before she can deliver her baby. If her dilation increases .5 centimeters every hour and she arrived at the hospital at 3 AM, when can she expect to deliver her baby?
    a. 8 AM
    b. 1 PM
    c. 8 PM
    d. 1 AM

  • Family/Community Connection

    Invite local parents of twins, triplets, etc. to speak about their multiple pregnancy experience, and what life is like raising multiples.

    Invite a neonatal pediatric nurse to speak on the care of premature babies.

  • CTSO connection

    Family Career and Community Leaders of America (FCCLA)

    STAR Events:

    • Chapter Service Project (Display and Manual): A team event – recognizes chapters that develop and implement an in-depth service project that makes a worthwhile contribution to families, schools, and communities. Students must use Family and Consumer Sciences content and skills to address and take action on a community need.
    • Focus on Children- An individual or team event- recognizes participants who use Family and Consumer Sciences skills to plan and conduct a child development Project that has a positive impact on children and the community.
  • Service Learning Projects

    Successful service learning project ideas originate from student concerns and needs. Allow students to brainstorm about service projects pertaining to lesson. For additional information on service learning see:

    Possible idea:
    Students will identify a local day care or children’s home to work with. They will call the day care/children’s home and contact the general manager to discuss the service learning project.

    Students will volunteer to care for infants to develop an understanding of the time and resources involved in caring for multiple children.
    Upon completion of the project, students will write a three page reflection paper based on their experience with the children.

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