初孕妇,39岁,孕40周,在第一产程分娩过程中发生羊水栓塞。不妥的护理措施是
A. 解除肺血管痉挛
B. 补充血容量,纠正休克
C. 防止凝血功能障碍
D. 维持有效呼吸
E. 应用缩宫素加强宫缩缩短产程
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孕42周初产妇,给予缩宫素引产4小时后,产妇腹痛难忍,查体:子宫下段压痛明显,胎心忽快忽慢,导出尿液成血性,首选的处理措施是
A. 通知家属
B. 通知医生
C. 停用缩宫素
D. 吸氧保暖
E. 做剖宫产的准备
(14-15题共用题干)患者初产妇,孕39周,产程进展16小时,宫口开大2cm,静脉滴注缩宫素10单位后,宫缩持续不缓解,产妇烦躁不安,胎心100次/分,下腹部有压痛,子宫外形呈葫芦状。14.此时首先考虑的诊断是
A. 胎盘早剥
B. 先兆子宫破裂
C. 高张性宫缩乏力
D. 子宫收缩过强
E. 痉挛性子宫
15.此时最佳的处理方法是
A. 立即给予镇静剂
B. 抗休克治疗
C. 立即停用缩宫素,抑制宫缩同时进行剖宫产
D. 吸氧
E. 剖宫产
Reading in DepthThere is a short passage with 10 blanks. You are required to select one word for each blank from a list of choices given in the word bank following the passage. Read the passage through carefully before making your choices. You may not use any of the words in the bank more than once.The need for 1____________bike-sharing systems has never been greater. Cities are on a mission to modernize urban mobility to keep pace with the public’s shift away from personal vehicle 2____________and toward shared transportation. However, bike-sharing’s tremendous growth and evolution — most notably the recent shift from 3___________-based to dockless systems — has not been without obstacles.Over the past few years, some cities have moved toward a dockless model that took China by storm: 4____________ streetscapes with a flood of 5__________, cheap bikes to gain market share. But as bikes began piling up, getting stolen, and blocking roadways, cities in America are beginning to 6 __________whether this model is practical. However, there are a number of guidelines that should be followed in order to build sustainable bike-sharing businesses in the West.Firstly, providers should prime 7____________members for the new service to ensure the bike-sharing debuts in a welcoming atmosphere. Bike advocacy groups should be 8_____________, and a launch event with city officials would allow the business to open in a favorable environment.Secondly, bike-sharing providers must engage 9______________officials, local businesses, and community members to understand and adequately address their needs, and fill any gaps in the current 10______________system. All transit systems should integrate with each other.