A 24-year-old client on the labor unit is being coached in the Lamaze method by her husband. On assessment, the nurse finds the client to be 5 cm dilated, 90% effaced, at +1 station with contractions coming every 2 to 3 minutes and lasting 35 to 40 seconds. The client has asked for pain relief. What’s the nurse’s best action ？（）

A．Check maternal blood pressure and pulse and fetal heart rate in response to contractions.

B．Realize that it’s too early to give pain medication, and encourage the husband to continue with the Lamaze coaching.

C．Arrange for a sonogram to determine fetal position.

D．Perform a vaginal examination to determine dilation, effacement, and station.

中央型肺癌常见到的阻塞性改变为（）

A.阻塞性肺气肿

B.间质性肺气肿

C.阻塞性肺炎

D.阻塞性支气管扩张

E.阻塞性肺不张