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产科试题(90题中的1—10题)问:32岁初产妇。妊娠34周零2天,宫底高26cm,血压170/90mmHg,浮肿(+),尿蛋白(++),2天前尿雌三醇为6.3mg/日。NST(无负荷试验)结果如图1。对这一病例今后应做何处置才好?a.立即做剖腹产 b.做催产素激惹试验(OCT)c.对胎儿进行振动刺激以观其变化 d.测定母血 HPL(人胎盘催乳素)值 e.测定羊水卵磷脂/鞘磷脂比率。问2:31岁经产妇,上次分娩为孕38周3,450g死产。一周前门诊检查为孕36周,腹围94.5cm,宫底高35cm,血压130/90mmHg,浮肿(±),尿蛋白(-),尿糖(++)。今晨因有血性白带和腹部收缩入院。
Obstetric examination questions (1-10 of 90 questions) Q: 32-year-old primipara. 34 weeks and 2 days of gestation, the end of the palace 26cm high, blood pressure 170 / 90mmHg, edema (+), urinary protein (++), urinary estriol two days ago to 6.3mg / day. NST (no-load test) The results shown in Figure 1. A. Immediate Caesarean section b. Oxytocin-induced stress test (OCT) c. Vibratory stimulation of the fetus to visualize changes d. Determination of maternal plasma HPL (human placental lactogen ) Value e. Determination of amniotic fluid lecithin / sphingomyelin ratio. Question 2:31 years old by the mother, the last delivery 38 weeks of pregnancy 3,450 g stillbirth. One week before the outpatient examination was 36 weeks pregnant, abdominal circumference 94.5cm, palace bottom height 35cm, blood pressure 130 / 90mmHg, edema (±), urinary protein (-), urine sugar (++). This morning due to bloody vaginal discharge and abdominal contraction admission.