Question

A 26-year-old primigravida at 10 weeks gestation has severe nausea, vomiting and weight loss of 5 kg in 3 weeks. Urinalysis shows ketonuria and she is dehydrated. What is the most appropriate initial management?

Accepted Answer

Admit for intravenous fluids and antiemetics

Answer

Reassure and advise small frequent meals only

Answer

Start high-dose corticosteroids immediately

Answer

Arrange termination of pregnancy

Answer

Advise over-the-counter herbal remedies only

Practice question

A 26-year-old primigravida at 10 weeks gestation has severe nausea, vomiting and weight loss of 5 kg in 3 weeks. Urinalysis shows ketonuria and she is dehydrated. What is the most appropriate initial management?