1.简单
Where does fertilisation of the ovum normally take place?
- AIn the cavity of the uterus
- BIn the ampulla of the fallopian tube
- CIn the cervical canal
- DOn the surface of the ovary
2.简单
Which definition of a fetal heart rate acceleration applies from 32 weeks?
- AA rise of at least 15 bpm lasting at least 15 seconds
- BA rise of 5 bpm lasting 5 seconds
- CA fall of 15 bpm lasting at least 15 seconds
- DA rise of 30 bpm lasting 2 minutes
3.简单
变异减速最常由什么引起?
- A脐带受压
- B正常的胎儿睡眠周期
- C子宫胎盘功能不全
- D胎头受压
4.中等
Obesity before pregnancy (BMI 40) most increases the risk of which pregnancy complication?
- AHyperemesis gravidarum
- BPlacenta praevia only
- CLow birth weight from overnutrition
- DGestational diabetes
5.中等
Why is a baby of a mother with poorly controlled diabetes often large?
- AThe baby inherits a gene for large size
- BFetal hyperinsulinaemia acts as a growth hormone
- CDiabetes always prolongs the pregnancy
- DThe mother's insulin crosses the placenta
6.中等
什么是“有反应型”无应激试验?
- A基线心率高于 160 bpm
- B每次宫缩都出现晚期减速
- C20 分钟内至少有 2 次胎心率加速
- D40 分钟内没有胎心率加速
7.困难
A woman at 30 weeks reports a sudden gush of clear fluid from the vagina without contractions. What is the priority nursing action?
- AReassure her that it is urine and send her home
- BPerform a digital vaginal examination to check dilation
- CAssess the fetal heart rate and check the fluid, and avoid a digital examination
- DAdvise a warm bath to see whether the leaking stops
8.困难
胎心监护图显示基线变异消失,并反复出现晚期减速。该图形如何分类,需要怎样处理?
- AⅠ类:正常,常规护理
- BⅢ类:异常图形,需要及时干预并准备尽快分娩
- CⅡ类:不确定的图形,只需继续常规观察和记录
- D胎儿睡眠期间的正常图形
答案
- 1. B · In the ampulla of the fallopian tube
- 2. A · A rise of at least 15 bpm lasting at least 15 seconds
- 3. A · 脐带受压
- 4. D · Gestational diabetes
- 5. B · Fetal hyperinsulinaemia acts as a growth hormone
- 6. C · 20 分钟内至少有 2 次胎心率加速
- 7. C · Assess the fetal heart rate and check the fluid, and avoid a digital examination
- 8. B · Ⅲ类:异常图形,需要及时干预并准备尽快分娩
完整分步解答:请在 examproblems.com 上练习本主题。