问题 单项选择题

32岁初产妇,妊娠39周,枕右前位。阵发性腹痛8小时入院,检查宫口开大4cm,头S-1,宫缩35秒/3分,胎心140次/分;2小时后检查宫口开大仍4cm,头S-1,宫缩35秒/3分,胎心140次/分。

目前产妇的诊断应该是

A.原发性子宫收缩乏力

B.头盆不称

C.潜伏期延长

D.活跃期延长

E.活跃期停滞

答案

参考答案:E

解析:32岁初产妇,足月头位。临产8小时宫口开大4cm,头S-1,宫缩 35秒/3分.胎心140次/分,提示第一产程的潜伏期进展顺利,已进入活跃期,宫缩正常;但2小时后宫口开大仍4cm无进展,所以诊断活跃期停滞,若活跃期超过8小时才诊断活跃期延长;活跃期停滞原因可能为继发性子宫收缩乏力,可能潜在有头盆不称,但目前还不能诊断,需进一步密切观察。

阅读理解

Professor Reason recently persuaded 35 people to keep a diary of all their absentminded actions for two weeks. When he came to analyse their embarrassing errors, he was surprised to find that nearly all of them fell into a few groups.

One of the women, for instance, on leaving her house for work one morning threw her pet dog her earrings and tried to fix a dog biscuit on her ear. “The explanation for this is that the brain is like a computer,”explains the professor.“People programme themselves to do certain activities regularly. It was the woman's custom every morning to throw her dog two biscuits and then put on her ear rings. But somehow the action got reversed(颠倒) in the programme.” About one in twenty of the incidents the volunteers reported were these “programme assembly failures”.

Twenty percent of all errors were “test failures”— primarily due to not verifying the progress of what the body was doing. A man about to get his car out

of the garage passed through the back yard where his garden jacket and boots were kept, put them on—much to his surprise. A woman victim reported:“I got into the bath with my socks on.”

The commonest problem was information “storage failures”. People forgot the

names of people whose faces they knew,went into a room and forgot why they were

there, mislaid something, or smoked a cigarette without realizing it.

The research so far suggests that while the “central processor” of the brain is liberated from secondtosecond control of a wellpractised routine, it must repeatedly switch back its attention at important decision points to check that the action goes on as intended. Otherwise the activity may be “captured” by another frequently and recently used programme, resulting in embarrassing errors.

1.The purpose of Professor Reason's research is  _______.

A.to show the difference between men and women in their reasoning

B.to classify and explain some errors in human actions

C.to find the causes which lead to computer failures

D.to compare computer functions with brain workings

2.Which of the following might be grouped under “programme assembly failures”?

A.A woman went into a shop and forgot what to buy.

B.A man returning home after work left his key in the lock.

C.A lady fell as she was concentrating on each step her feet were taking.

D.An old man, with his shoes on, was trying to put on his socks.

3.The word “verifying” in paragraph 3 can be replaced by _______ .

A.improvingB.changingC.checkingD.stopping

4.According to the passage, the information “storage failures” refer to _______ .

A.the destruction of information collecting system

B.the elimination of one's total memory

C.the temporary loss of part of one's memory

D.the separation of one's action from consciousness

判断题