e*********r
发帖数: 221 | 1 1）A 30-year-old woman, gravida 4, para 3, is admitted to the hospital in
labor at 38 weeks' gestation. The cervix is 4 cm dilated. Contractions occur
every4 minutes. The fundal height is 40 cm. The membranes are intact. The
fetal lie cannot be determined by abdominal examination, and no presenting
part is palpable in the pelvis. Which of the following is the most
appropriate next step in management?
O A) Ultrasonography
O B) Administration of oxytocin
O C) Administration of tocolytic drugs
O D) | c********n
发帖数: 4762 | 2 I may be wrong.
1. A. This is not an emergency case. Ultrasonography is very handy and
should be used to determine baby's presentation before any other management.
2. D. This is an emergency case. Any IIb and III AV block need be treated
immediately. (choice E) Pacemaker can be placed in a few seconds and should
be the first measure to correct the heart rate. ECG didn't show high-
peaked T wave, but it can not rule out hyperkalemia, so the next will be
check potassium concentration and treat it | e*********r
发帖数: 221 | |
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