skip to main content

Hyperemesis gravidarum — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

EasyAntenatal CareHyperemesis gravidarumDRCOG

A 26-year-old woman is 9 weeks pregnant and has vomited repeatedly for 3 days. She has lost 3 kg, feels dizzy on standing and has ketones on urine dipstick. She is unable to keep fluids down. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Arrange urgent assessment for intravenous fluids and antiemetics

Weight loss, dehydration and ketonuria suggest hyperemesis gravidarum requiring urgent assessment and rehydration. Lifestyle measures may help mild nausea but are inadequate here. Oral iron can worsen nausea and does not address dehydration. Ultrasound may be used to assess viability or multiple pregnancy, but immediate clinical stabilisation comes first.

Reference: RCOG Green-top Guideline No. 69; NICE CKS nausea/vomiting in pregnancy