28岁，女，停经40天， * * 不规则少量流血7天，尿妊娠试验（+），给予刮宫，刮出物病理检查结果为蜕膜组织，考虑最大可能为（）。

A.功能失调性子宫出血

B.异位妊娠

C.先兆流产

D.炎性子宫出血

E.葡萄胎

Motivation is "the driving force within individuals that impels them to action." And goals are the sought-after results (1) motivated behavior.
Motivation can be either positive or negative (2) direction. We may feel a driving force toward some object or condition, (3) a driving force away from some object or condition. For example, a person may be impelled toward a restaurant to fulfill a need, hunger, and away (4) an airplane to fulfill a need of safety. Some psychologists refer to positive drives (5) needs, wants or desires, (6) negative drives as fears or aversions (7) , though negative and positive motivational forces seem to differ dramatically (8) terms of physical and sometimes emotional activity, they are basically similar in (9) they both serve to initiate and sustain human behavior. (10) this reason, researchers often refer (11) both kinds of drives or motives as needs, wants and desires.
Goals, (12) , can be either positive or negative. A positive goal is one toward (13) behavior is directed and it is often referred to as an approach object. A negative goal is (14) from which behavior is directed away and it is sometimes referred to as an avoidance object. Since both approach and avoidance goals can be considered objectives of motivated behavior, most researchers refer to (15) types simply as goals. Consider this example. A middle-aged woman may wish to remain (16) attractive as possible. Her positive goal is to appear desirable, and (17) she may use a perfume advertised to make her irresistible. A negative goal may be to prevent her skin (18) aging, and therefore she may buy and use face creams. (19) the former case, she uses perfume to help her achieve her positive goal -- attractiveness; in the (20) case, she uses face creams to help avoid a negative goal -- wrinkled skin.