单项选择题

李女士，怀孕36周，第一胎。昨晚突然无诱因阴道出血，出血量约400ml，无腹痛。检查：血压100/60mmHg，宫底高度与孕月相符，腹软无压痛，胎位清楚，胎心音120次/分。
此患者诊断可能性最大的是

A.正常临产
B.前置胎盘
C.胎盘早剥
D.流产
E.先兆早产
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单项选择题
一名患有风湿性心脏病的妇女，心功能Ⅱ级，现妊娠38周，头位，胎心率正常，血压120 70mmHg，已临产。此时最适宜的处理方法是
A.第一产程，每小时测胎心率1次
B.缩宫素静脉滴注加强宫缩，缩短第一产程
C.严密监测产程进展，缩短第二产程，给予阴道助产
D.第二产程，每30分钟测血压、脉搏、呼吸、心率1次
E.立即行剖宫产
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