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Nausea and vomiting in pregnancy — GPhC CRA MCQ

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ModerateGI TherapeuticsNausea and vomiting in pregnancyGPhC CRA

A woman who is 9 weeks pregnant asks for advice about persistent nausea and vomiting. She can keep some fluids down, has no abdominal pain or bleeding, and has passed urine today. She asks if she can buy prochlorperazine. What is the most appropriate action?

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

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Correct answer: E — refer to the GP or pregnancy service for assessment and suitable antiemetic choice

Persistent nausea and vomiting in early pregnancy should be assessed for hydration, severity and appropriate treatment. Some antiemetics may be used in pregnancy, but supply should follow local service scope and clinical assessment. The patient has no immediate severe dehydration features, but ongoing symptoms warrant professional review. NSAIDs and loperamide do not treat pregnancy-related nausea.

Reference: BNF; NICE CKS: Nausea/vomiting in pregnancy