孕妇28岁，孕36周，产前检查扪及胎背位于母体腹部左侧，胎心位于左上腹，宫底可触及浮球感。胎方位诊断为(    )

试卷相关题目

• 1Common complaints in pregnancy include following except(    )

  A.fatigue，somnolence

  B.vaginal bleeding

  C.morning sickness

  D.pelvic joint pain

  E.constipation

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• 2If the fetal biophysical assessment suggested the score is 4，which treatment is ap­propriate(    )

  A.Repeat in 1 week

  B.Repeat twice weekly

  C.Repeat in 24 hours

  D.If fetal pulmonary maturity assured and cervix favourable，repeat in 24 hours

  E.If persistent score of 4 to 6，deliver if fetal pulmonary maturity certain

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• 3Through which method of determining gestational age is most reliable(    )

  A.Calculate from the size of natal in the second trimester

  B.Calculate from the date of the last menstrual period

  C.Measurement of uterine size

  D.Measure crown-rump length in the early stage of pregnancy

  E.Calculate from the time of the earliest complaint inpregnancy

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• 4To screening for congenital abnormality through measurement of nuchal translu-cency(NT)，which stage is the most suitable(    )

  A.11 to 14 weeks

  B.15 to 21 weeks

  C.20 to 24 weeks

  D.28 to 32 weeks

  E.8 to 10 weeks

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• 5Which event is not appropriate inpregnancy(    )

  A.A diet high in fibre and fruit

  B.Avoid any form of medication in any time

  C.Sexual intercourse

  D.Exercise and work may be continued

  E.Use of iron and folic acid supplements

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• 6女性，27岁。停经2个月，阴道流血3天伴下腹痛1天。检查：子宫增大如鹅蛋大小，宫口闭。下列哪一项检查对确诊最有意义(    )

  A.尿妊娠试验

  B.A型超声检查

  C.B型超声检查

  D.诊断性刮宫

  E.基础体温测定

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• 7女性，26岁。既往月经规律，停经50天，近3天，晨起呕吐，厌油食，伴有轻度尿频，仍坚持工作。可能的诊断是(    )

  A.病毒性肝炎

  B.膀胱炎

  C.继发性闭经

  D.早期妊娠

  E.妊娠剧吐

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• 8女性，28岁，以往月经4〜6/28〜30，停经40天。下列哪一项检查无助于早孕诊断(    )

  A.基础体温双相、高温持续23天

  B.基础体温双相、高温持续23天

  C.多普勒超声检查

  D.孕激素试验

  E.尿雌三醇测定

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• 9女性，32岁，孕39周，G2P0，下腹胀痛8小时。检查：血压145/90mmHg，尿蛋白（+），宫底剑突下3横指，LOA，胎心156次/分，宫缩25"〜35"/5′〜6′。肛诊：宫口开大2cm。胎心监护出现多次晚期减速。最适宜的处理是(    )

  A.静脉推注地西泮药物

  B.静滴25%硫酸镁

  C.待自然分娩

  D.静滴缩宫素

  E.即行剖宫产

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• 10孕妇，31岁，43周妊娠，G3P0。过期妊娠入院待产。检查：血压126/78mmHg，宫高35cm，腹围106cm，LOA，胎心138次/分。拟行胎盘功能检查，下列哪一项表示胎盘功能减退(    )

  A.B型超声检查见羊水池最大直径大于3cm

  B.NST试验为有反应型

  C.OCT试验胎心电子监护出现连续晚期减速

  D.血清胎盘泌乳素大于等于4μg/L

  E.12小时胎动次数大于等于20次

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