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问题 单项选择题

25岁，女，第1次妊娠，平时月经规律 4～5d/28～32d，孕期多次检查，母婴均未发现明显异常，目前妊娠41周，以下处理哪项恰当

A．胎动计数12h内少于12次，提示胎儿缺氧

B．应用羊膜镜观察羊水多少和形状，了解胎儿是否缺氧

C．NST无反应型，提示胎儿缺氧

D．一旦确诊过期妊娠，应立即终止妊娠

E．终止妊娠的方法应选择剖宫产

答案

参考答案：C

解析：[解题思路] 可通过羊膜镜观察羊水的颜色，但临床较少使用；对接近过期的妊娠常用的监测方法有胎动计数、NST、CST、尿雌激素/肌酐比值等了解胎儿宫内情况。一旦确诊过期妊娠，应根据宫颈条件、胎盘功能、胎儿大小、有无合并症等选择终止妊娠的时间和方法。[命题规律] 考察“过期妊娠的监护及处理”。必须掌握。

阅读理解
Imagine that you are going on a trip to Ireland. The first three days of your trip are planned below. Read the schedule and use it to answer the questions below.
Day 1
Morning:   Your trip begins in the capital city, Dublin. There you will visit Temple Bar, an area famous for its brightly colored buildings, busy stores and restaurants. Stop by the outdoor market for some cheese and homemade bread.
Afternoon:  Walk to Dublin Castle(城堡). Visit the Throne Room to see the golden chair where the kings and queens from England once sat.
Evening:    Watch an Irish step-dance performance.
Day 2
Morning:  Ride the train to the city of Limerick. Take a tour of King John’s Castle, which has built about 800 years ago.
Afternoon: Ride a boat along the River Shannon.
Evening:   Enjoy a nice Irish meal.
Day 3
Morning:  Ride the train to the city of Cork. Walk along St. Patrick’s Street, known for its many stores. Feel free to buy souvenirs.
Afternoon: Take a bus to nearby Blarney Castle. Climb the tower to see the famous Blarney Stone, which is thought to give those who kiss it good luck. Then return to Cork.
Evening:  Watch a Gaelic football match. Rest for the next day’s horseback riding lesson.
小题1: Where can the tourists see the golden chair?
A．At Temple Bar.B．In Dublin Castle
C．On St. Patrick’s StreetD．In Blarney Castle.
小题2: What kind of transportation will the tourists use during the trip?
A．Train, bus and boat.B．Bus, train and plane.
C．Horse, bus and bike.D．Boat, car and bus.
小题3:How many days will the trip probably last?
A．Only one dayB．No more than three days.
C．Exactly two daysD．At least four days
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