产妇，足月分娩一儿。关于其产褥期血液系统变化，正确的是

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• 1女性，26岁。现产后6个月，准备断奶。以下哪一种做法不利于退奶

  A.芒硝敷于乳房

  B.生麦芽

  C.大剂量雌激素

  D.多喝汤水

  E.针刺足临泣、悬钟等穴位

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• 2Which of the following statements is correct about the management after delivery

  A.Monitoring uterine fundal height is not necessary after caesarean delivery

  B.Women delivered by caesareanr equire strict bed rest for 24 hours to allow the uterine incision time to heal

  C.Uterine contraction should be carefully watched，judging by the height of uter­ine fundus and condition of bladder filling

  D.Blood transfusion should be recommended if the haemoglobin is less than 10 grams post partum

  E.Non-steroidal anti-inflammatories should never be used for analgesia in the postpartum period

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• 3Care on the postnatal wards includes all following except

  A.Administration of anti-D to all rhesus-D negative women who have given birth to rhesus-D positive babies

  B.Arranging rubella immunization where appropriate for 3 months post partum

  C.Discussion of contraceptive needs

  D.Regular checks to ensure bladder emptying for 24-48 hours following delivery

  E.Women delivered by caesarean should becounseled regarding mode of delivery in future pregnancies

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• 4Puerperium is defined as the time from the delivery of the placenta through the first few weeks after the delivery.How long is this period usually considered to be indura­tion

  A.2 weeks

  B.4 weeks

  C.6 weeks

  D.9 weeks

  E.13 weeks

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• 5促进乳腺发育及泌乳功能的激素是

  A.雌激素

  B.胎盘生乳素

  C.甲状旁腺素

  D.催产素

  E.胰岛素

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• 6产后3日家庭随访，关于正常产褥，以下哪一项是错误的

  A.出汗量多，睡眠和初醒时更为明显

  B.产后10天经腹扪不到子宫底

  C.一般在产后24小时内体温轻度升高，不超过38℃

  D.浆液恶露内含有细菌

  E.子宫复旧是肌细胞数目减少及体积缩小

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• 7会阴侧切术后5天拆线，伤口感染裂开。若用PP粉坐浴，应从何时开始为宜

  A.拆线马上开始

  B.产后7天

  C.拆线后的4天

  D.产后10天

  E.拆线后1周

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• 8女性，28岁，足月分娩一男婴。其产后2小时的处理，不包括以下何种因素

  A.协助产妇首次哺乳

  B.观察阴道流血量

  C.注意子宫收缩情况

  D.注意测量血压、脉搏

  E.以上说法均不对

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• 9女性，28岁，足月分娩一男婴，重3250g。其产后子宫复旧，下列哪一种属于正常

  A.产后第1天宫底脐下

  B.产后1个月子宫恢复正常大小

  C.产后宫底每天下降1〜2cm

  D.产后10天为红色恶露

  E.产后14天宫底在耻骨联合上2cm

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• 10产后第2天，下腹阵痛，出汗较多，无恶心、呕吐。检查：体温37.6℃，脐下3横指可触及一硬块，白细胞为12×109/L，中性为0.78。可能的诊断是

  A.卵巢囊肿蒂扭转

  B.产后子宫内膜炎

  C.产后宫缩痛

  D.急性盆腔炎

  E.产后尿潴留

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