第24题: [单项选择]46岁妇女,G3P2,流产1次,既往月经规律,近2年来月经不规则,周期2~3个月,经期10~25天,量多,伴有较多血块,无痛经。现闭经60天后,持续阴道流血20天未止。体检:贫血貌,心肺(-),腹软,肝脾未及。妇检:子宫大小正常,附件(-)。 应首先考虑下列哪种疾病 A. 不全流产 B. 宫外孕 C. 子宫内膜癌 D. 凝血功能障碍 E. 功血 参考答案:E 答案解析:围绝经期功血表现为绝经前妇女常有数周或数月短期闭经史,继发大量或长时间的子宫出血,因有短期闭经史,有时会被误认为“流产”。
第33题: [单项选择]Which of the following interventions would be most helpful in preventing pressure ulcer formation in at-risk client A. Massaging reddened areas on the sacrum. B. Ensuring a generous fluid intake. C. Repositioning every hour. D. Providing a low protein diet. 参考答案:C 答案解析:Because pressure ulcers (decubitus ulcers) are caused by pressure to the tissues, the most important