Who’s Doing What?
Glow-Up Moments
Big Ideas, Big Lessons
Fever Frenzy
Think Like a Survivor
100

Who is Nell, and what has happened to her before Matilda meets her?

Nell is a young girl whose mother died of yellow fever, leaving her alone.

100

What responsibility does Matilda take on when she meets Nell?

She becomes responsible for caring for her.

100

What theme is shown when Matilda begins caring for Nell?

Family can be formed in unexpected ways.

100

What did doctors incorrectly believe about Black people and yellow fever?

That they could not catch the disease.

100

Why doesn’t Matilda abandon Nell even when things are difficult?

She feels responsible and cares about her.

200

How does Matilda end up finding Eliza again in Philadelphia?

She follows two women she thinks includes Eliza and successfully tracks her down.

200

How does Matilda show maturity when deciding what to do about Nell?

She considers taking her to the orphanage even though it’s emotionally difficult.

200

How do Joseph and his family contribute to the theme of family in these chapters?

They welcome Matilda and Nell, showing family can extend beyond blood relations.

200

What organization does Eliza work with to help the sick?

The Free African Society.

200

What does the failure of the orphan house suggest about the situation in Philadelphia?

The city is overwhelmed and cannot care for all those in need.

300

Why does Matilda try to take Nell to the orphan house, and what problem does she face there?

She knows she cannot care for Nell, but the orphanage is full and cannot take her.

300

Why is it difficult for Matilda to follow Mother Smith’s advice about not loving Nell?

She is already emotionally attached and feels responsible for her.

300

How does Matilda’s attempt to leave Nell at the orphanage develop the theme of responsibility?

It shows she is trying to do what is best for Nell, even if it’s painful.

300

What reality proves the doctors’ belief about Black people wrong?

Black people begin getting sick as well.

300

Why might fresh air have seemed like a good idea for treating the sick?

People believed it could help reduce fever and improve recovery.

400

What major problem occurs when Matilda and Eliza return home in Chapter 24?

Robert, William, and Nell are all sick with yellow fever.

400

How does Matilda respond when Eliza becomes emotional about the sick children?

She stays calm and takes control of the situation.

400

How does Matilda’s role change from Chapter 21 to Chapter 25?

She grows from someone struggling to survive into a capable caretaker and decision-maker.

400

Why is bloodletting a controversial treatment in these chapters?

It is believed to help but often makes patients weaker or die.

400

How do these chapters show that the fever does not discriminate?

People of different races and classes all become sick.

500

Describe what Matilda and Eliza do to try to help the sick children and why they choose that plan.

They move them to the coffeehouse for fresh air, believing it may help them recover.

500

What does Matilda’s decision to reject bloodletting reveal about how she has changed?

She has become independent, knowledgeable, and confident in making life-or-death decisions.

500

Explain how Matilda’s experiences with Nell and the sick children together develop a central theme of the novel.

They show that hardship forces growth and that caring for others builds strength and maturity.

500

What different responses to the epidemic are shown through characters like Eliza and the pharmacist?

Some people help selflessly, while others profit from others’ suffering.

500

Why is Matilda’s emotional exhaustion at the end of Chapter 25 significant?

It shows the toll of responsibility and highlights how much she has endured and grown.