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问题 单项选择题 A3/A4型题

35岁孕妇，G2P1，妊娠40周临产，产前估计胎儿体重4000g，第一产程顺利，第二产程延长。 * * 检查：胎先露棘下2cm，胎头矢状缝在3点和9点，行会阴侧切胎头吸引器助娩，胎头娩出后，前肩嵌顿于耻骨联合上方，常规手法不能娩出胎肩，后反复旋转牵拉胎颈4分钟，最终娩出一男婴，体重4600g，Apgar评分1分钟2分，5分钟10分。

此时最可能的诊断应除外哪项（）

A.巨大儿

B.扁平骨盆

C.肩难产

D.骨盆倾斜度过小

E.新生儿窒息

答案

参考答案：D

选择题

下列词语中没有错别字的一组是（   ）

A．竣工殒落耍花腔蛛丝马迹

B．弦律凑合做手脚出奇不意

C．精萃针砭跑龙套常年累月

D．装帧坐镇唱主角作壁上观
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I am honored to be here today, (1) Harvard at this celebration of the College Board’s half century of working to promote (2) and equal opportunity in higher education.
Before I say anything else, I want to thank everyone in the room for the work you do every day to make college (3) , available, and (4) for millions of young people across the country.
I want to focus my remarks on a matter of (5) to American familiesand to the future of the nation -- restoring education to its proper role as a (6) to equal opportunity and (7) in our society.
This has been an (8) in higher education, with great and creative efforts made by many institutions. Earlier this year, we announced a new (9) at Harvard aimed at the students from families of low and (10) income. Under our new program, families with incomes of (11) will no longer be expected to contribute to the cost of attending Harvard for their children. Families with incomes of less than $ 60,000 will also see their (12) reduced.
We are proud of this effort at Harvard, but we are aware that the programs of individual institutions with means can never be a substitute for our shared (13) to provide adequate funding for Pell grants and other financial aid, and for the state and community college systems that make higher education (14) and affordable for the (15) .
There is something empty about (16) initiatives that may be right for one institution without attention to their broader impact. (17) , we (18) if we urge changes in national policy without doing what we can on our own campuses.
In this spirit, I want to (19) today a problem that is emerging with (20) in this nation.
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