一初产妇，宫缩15小时自娩一3000g女婴，现胎儿娩出已8分钟，胎盘尚未娩出，阴道无流血，此时的处理下列何项不当

GriffithworkedforafirmthatspecializedineconomicdevelopmentinWashingtonD.C.becausesheneededmoneytopayforherdebt.

Mostofusaretaughttopayattentiontowhatissaid—thewords.Wordsdoprovideuswithsomeinformation,butmeaningsarederivedfromsomanyothersourcesthatitwouldhinderoureffectivenessasapartnertoarelationshiptorelytooheavilyonwordsalone.Wordsareusedtodescribeonlyasmallpartofthemanyideasweassociatewithanygivenmessage.Sometimeswecangaininsightintosomeofthoseassociationsifwelistenformorethanwords.Wedon’talwayssaywhatwemeanormeanwhatwesay.Sometimesourwordsdon’tmeananythingexcept“I’mlettingoffsomesteam.Idon’treallywantyoutopaycloseattentiontowhatI’msaying.JustpayattentiontowhatI’mfeeling.”Mostlywemeanseveralthingsatonce.Apersonwantingtopurchaseahousesaystothecurrentowner,“ThisstephastobefixedbeforeI’llbuy.”Theownersays,“It’sbeenlikethatforyears.”Actually,thestephasn’tbeenlikethatforyears,buttheunspokenmessageis:“Idon’twanttofixit.Weputupwithit.Whycan’tyou?”Thesearchforamoreexpansiveviewofmeaningcanbedevelopedofexaminingamessageintermsofwhosaidit,whenitoccurred,therelatedconditionsorsituation,andhowitwassaid.

Whenamessageoccurscanalsorevealassociatedmeaning.Letusassumetwocouplesdoexactlythesameamountofkissingandarguing.Butonecouplealwayskissesafteranargumentandtheothercouplealwaysarguesafterakiss.Theorderingofthebehaviorsmaymeanagreatdealmorethanthefrequencyofthebehavior.Afriend’sunusuallydocilebehaviormayonlybeunderstoodbynotingthatitwasprecededbysituationsthatrequiredanabnormalamountofassertiveness.Someresponsesmaybedirectlylinkedtoadevelopingpatternofresponsesanddefylogic.Forexample,apersonwhosays“No!”toaserialsofchargeslike“You’redumb,”“You’relazy,”and“You’redishonest,”mayalsosay“No!”andtrytojustifyhisorherresponseifthenextstatementis“Andyou’regoodlooking.”

Wewoulddowelltolistenforhowmessagesarepresented.Thewords,“Ifsurehasbeennicetohaveyouover,”canbesaidwithemphasisandexcitementorritualistically.Thephrasecanbesaidonceorrepeatedseveraltimes.Andthemeaningsweassociatewiththephrasewillchangeaccordingly.Sometimesifwesaysomethinginfrequentlyitassumesmoreimportance;sometimesthemorewesaysomethingthelessimportanceitassumes.

1.Effectivecommunicationisrenderedpossiblebetweentwoconversingpartners,if___.

A.theyuseproperwordstocarrytheirideas.

B.theybothspeaktrulyoftheirownfeelings.

C.theytrytounderstandeachother’sideasbeyondwords.

D.theyarecapableofassociatingmeaningwiththeirwords.

2.“I’mlettingoffsomesteam”inparagraph1means___.

A.I’mjustcallingyourattention.

B.I’mjustkidding.

C.I’mjustsayingtheopposite.

D.I’mjustgivingoffsomesound.

3.Thehouse-owner’sexampleshowsthatheactuallymeans___.

A.thestephasbeenlikethatforyears.

B.hedoesn’tthinkitnecessarytofixthestep.

C.theconditionofthestepisonlyaminorfault.

D.thecostinvolvedinthefixingshouldbeshared.

4.Someresponsesandbehaviorsmayappearveryillogical,butarejustifiableif___.

A.linkedtoanabnormalamountofassertiveness.

B.seenasone’shabitualpatternofbehavior.

C.takenaspartofanorderingsequence.

D.expressedtoaseriesofcharges.

5.Theword“ritualistically”inthelastparagraphequalssomethingdone___.

A.withouttrueintention.

B.light-heartedly.

C.inawayofceremony.

D.withlessemphasis.

PartIVTranslation：

Almost30millionAmericansweightatleast20percentmorethantheiridealweight.Infact,theUnitedStateisthemostoverweightcountryinthewild.(PassageThree)

Passage4

Questions16to20arebasedonthefollowingpassage:

IrecentlywroteanautobiographyinwhichIrecalledmanyoldmemories.Oneofthemwasfrommyschooldays,whenourninthgradeteacher,MissRaber,wouldpickoutwordsfromtheReader’sDigesttotestourvocabulary.

Today,morethan45yearslater,Ialwayscheckout“ItpaystoEnrichYourWordPower”firstwhentheDigestcomeseachmonth.Iamimpressedwiththatidea,wordpower.Reader’sDigestknowsthepowerthatwordshavetomovepeople—toentertain,inform,andinspire.TheDigesteditorsknowthatthebigwordisn’talwaysthebestword.Takejustoneexample,aQuotableQuoteformtheFebruary1985issue:”Timeisaplayfulthing.Itslipsquicklyanddrinksthedaylikeabowlofmilk.”

Nineteenwords,onlytwoofthemmorethanonesyllable,yethowmuchtheyconvey!That’susuallyhowitiswithReader’sDigest.Smallandsimplecanbeprofound.

AschairmanofafoundationtorestoretheStatueofLiberty,I’vebeenmakingalotofspeecheslately.Itrytokeepthemfairlyshort.Iusesmallbutvividwords:wordslike“hope”,“guts”,“faith”,“dreams”.ThosearewordsthatmovepeopleandsaysomuchaboutthespiritofAmerica.

Don’tgetmewrong.I’mnotagainstusingbigwords,whenitisrighttodoso,butIhavealsolearnedthatasmallwordcanworkasmallmiracle—ifit’srightword,intherightplace,attherighttime.It’sa“secret”thatIhopeneverforget.

16.Thepassageismainlyabout.

A.oneofthemanyoldmemories

B.usingsimplewordstoexpressprofoundideas

C.Reader’sDigestandschoolspeeches

D.howtomakeeffectivespeeches

17.ItseemsthatReader’sDigestisamagazinepopularwith.

A.peopleofallagesB.teenagersC.schoolteachersD.elderlyreaders

18.Theexampletheauthorgivesinthesecondparagraphmightmean.

A.onespendshisdayplayinganddrinking

B.don’twasteyourtimeasonedoes

C.timeslipseasilyifyoudon’tmakegooduseofit

D.timeisjustlikedrinkingmilkfromabowl

19.Theauthor’s“secret”is.

A.toavoidusingbigwordsatanytime

B.tousewordsthathavethepowertomovepeople

C.toworkamiraclebyusingasmallword

D.tousesmallandsimplewordswherepossible

20.Accoedingtotheauthor,well-chosenwordscangivepeople.

A.hope,courageandideas

B.confidence,determinationandstrength

C.pleasure,knowledgeandencourage

D.entertainment,informationandpower

Questions16to20arebasedonthefollowingpassage: