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Nausea and vomiting of pregnancy — ABFM Board MCQ

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EasyWomen's health/OB/GYNNausea and vomiting of pregnancyABFM Board

A 24-year-old woman at 9 weeks' gestation has nausea and vomiting without weight loss, abdominal pain, ketonuria, or dehydration. She asks what to try first. Which of the following would you advise this patient?

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

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Correct answer: E — Try pyridoxine with or without doxylamine

Pyridoxine, with doxylamine if needed, is an appropriate first-line treatment for uncomplicated nausea and vomiting of pregnancy. Red flags such as dehydration or weight loss would require escalation.

Reference: ACOG Nausea and Vomiting of Pregnancy Guidance