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Pregnancy nausea — GPhC CRA MCQ

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ModerateGastrointestinal TherapeuticsPregnancy nauseaGPhC CRA

A pregnant patient asks for an antiemetic after dietary measures have failed. She is dehydrated and has ketones on a urine dip. What is the most appropriate alternative?

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

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Correct answer: D — Urgent referral for assessment rather than self-care treatment

Dehydration and ketones suggest hyperemesis risk requiring clinical assessment. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS