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The most similar word to 保姆 (bǎomǔ) is 保育员 (bǎoyùyuán), which means "childcare worker" or "childcare provider". It is used to refer to someone who looks after children in a professional capacity, such as a nanny or babysitter.
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保姆 (bǎomǔ) is commonly used to refer to a babysitter or nanny. It is used to describe someone who is hired to take care of a child or children, usually in the home of the family who hired them. It is also used to describe someone who is employed to do housework, such as cleaning and cooking. It is not used to refer to a teacher or tutor.
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Hi! Yes the original tone of 保 is the third tone. However, in spoken Chinese, because 保 appears before another third-tone word 姆, the first third-tone syllable will take up the second tone instead. Examples:
保姆 bao3 mu3 => bao2 mu3
老虎 lao3 hu3 => lao2 hu3
小姐 xiao3 jie3 => xiao2 jie3
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