【医学类职业资格】临床三基训练妇产科及儿科产科学胎儿发育异常及死胎及答案解析.doc

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1、临床三基训练妇产科及儿科产科学胎儿发育异常及死胎及答案解析(总分:7.00,做题时间:600 分钟)一、(一)选择题(总题数:5,分数:5.00)1.引起死胎的因素不包括下列哪一项 (分数:1.00)A.妊娠期高血压疾病B.慢性肾炎C.糖尿病D.慢性高血压E.宫颈内口松弛2.不属于胎儿宫内生长发育受限因素的是 (分数:1.00)A.胎儿自身发育缺陷B.孕母妊娠并发症C.遗传因素D.营养因素E.生活习惯3.胎儿宫内死亡几周以上发生凝血功能障碍的几率明显增大 (分数:1.00)A.23 周B.12 周C.34 周D.56 周E.1 周以内4.关于胎儿生长受限,正确的是 (分数:1.00)A.孕 2

2、8 周以后胎儿体重低于 1500gB.低于同孕龄平均体重的 3 个标准差C.低于同孕龄体重的第 5 百分位数D.其围生儿死亡率为正常儿的 46 倍E.出生后远期影响不大5.下面哪项不是胎儿宫内发育迟缓终止妊娠的指征 (分数:1.00)A.发现羊水逐渐减少,胎儿停止生长 3 周以上,孕妇自觉胎动减少B.治疗后胎儿宫内发育迟缓未见好转,每周无应激试验呈无反应型,胎儿生物物理评分为 46 分C.妊娠合并症、并发症逐渐加重D.胎儿已经成熟E.若胎儿未成熟,也应立即终止妊娠二、(二)名词解释(总题数:2,分数:2.00)6.胎儿生长受限 (分数:1.00)_死胎_临床三基训练妇产科及儿科产科学胎儿发育异

3、常及死胎答案解析(总分:7.00,做题时间:600 分钟)一、(一)选择题(总题数:5,分数:5.00)1.引起死胎的因素不包括下列哪一项 (分数:1.00)A.妊娠期高血压疾病B.慢性肾炎C.糖尿病D.慢性高血压E.宫颈内口松弛 解析:2.不属于胎儿宫内生长发育受限因素的是 (分数:1.00)A.胎儿自身发育缺陷B.孕母妊娠并发症C.遗传因素D.营养因素E.生活习惯 解析:3.胎儿宫内死亡几周以上发生凝血功能障碍的几率明显增大 (分数:1.00)A.23 周B.12 周C.34 周 D.56 周E.1 周以内解析:4.关于胎儿生长受限,正确的是 (分数:1.00)A.孕 28 周以后胎儿体重

4、低于 1500gB.低于同孕龄平均体重的 3 个标准差C.低于同孕龄体重的第 5 百分位数D.其围生儿死亡率为正常儿的 46 倍 E.出生后远期影响不大解析:5.下面哪项不是胎儿宫内发育迟缓终止妊娠的指征 (分数:1.00)A.发现羊水逐渐减少,胎儿停止生长 3 周以上,孕妇自觉胎动减少B.治疗后胎儿宫内发育迟缓未见好转,每周无应激试验呈无反应型,胎儿生物物理评分为 46 分C.妊娠合并症、并发症逐渐加重D.胎儿已经成熟E.若胎儿未成熟,也应立即终止妊娠 解析:二、(二)名词解释(总题数:2,分数:2.00)6.胎儿生长受限 (分数:1.00)_正确答案:(胎儿生长受限 是指妊娠 37 周后,胎儿出生体重小于 2500g,或低于同孕龄平均体重的两个标准差,或低于同孕龄正常体重的第 10 百分位数。 )解析:死胎_正确答案:(死胎 妊娠 20 周以后胎儿在子宫内死亡,称为死胎。胎儿在分娩过程中死亡,称为死产,亦是死胎的一种。)解析:

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