一产妇临产8小时，肛查头先露，宫口已开全，先露+4，请问此时产力组成是下列哪种情况
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: