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

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• 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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