How Well do you Know the Management of Nausea and Vomiting During Pregnancy – Interactive Quiz

Interactive Questions on Nausea and Vomiting During Pregnancy (17 T/F Questions)

The SOGC published The Management of Nausea and Vomiting of Pregnancy in 2016.  I thought I would develop an interactive quiz to see how familiar you are with the guidelines.  I hope you find it useful.

The Management of Nausea and Vomiting During Pregnancy Quiz

1. Women with nausea and vomiting during pregnancy can be safely advised to discontinue their iron-containing prenatal vitamins during the first trimester and just use folic acid or an adult/children's vitamin low in iron.

2. The maximum dose of Doxylamine/pyridoxine is 4 tablets per day.

3. There is strong evidence to demonstrate that dietary changes are effective in relieving nausea and vomiting during pregnancy

4. Nausea and vomiting during pregnancy occurs in 50% to 80% of women

5. Prochlorperazine 5 to 10 mg PO/PR/IM Q6-8H PRN is  considered safe during pregnancy

6. Fatigue can exacerbate nausea and vomiting in pregnancy and sleep requirements increase in early pregnancy

7. Clinicians must be careful with dietary recommendations for women with nausea and vomiting during pregnancy as these dietary changes may lead to long-term negative pregnancy outcomes.

8. Ondansetron should be considered for nausea and vomiting during pregnancy if doxylamine/pyridoxine is not effective.

9. Doxylamine/pyridoxine is not for acute relief and should be taken regularly to prevent nausea and vomiting.

10. Metoclopramide can be safely used as an adjuvant therapy for the management of nausea and vomiting of pregnancy

11. The impact of nausea and vomiting during pregnancy is minimal for the vast majority of women.

12. Clinicians should recommend that women with nausea and vomiting during pregnancy to avoid strong sensory stimuli (e.g. strong odours)

13. Pyridoxine with or without doxylamine is recommended first-line for the management of nausea and vomiting during pregnancy.

14. Carbohydrates tend to be better tolerated than fats and proteins for women with nausea and vomiting during pregnancy

15. Ginger 250 mg QID is considered safe and effective for the management of nausea and vomiting during pregnancy.

16. Acupressure has little value in the management of nausea and vomiting during pregnancy.

17. If a patient is using pyridoxine/doxylamine, they cannot take dimenhydrinate for nausea and vomiting during pregnancy


 

References

Campbell, Kim, Hilary Rowe, Hussam Azzam, and Carolyn A. Lane. “The Management of Nausea and Vomiting of Pregnancy.” Journal of Obstetrics and Gynaecology Canada 38, no. 12 (December 2016): 1127–37. https://doi.org/10.1016/j.jogc.2016.08.009.
Committee on Practice Bulletins-Obstetrics. “ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy.” Obstetrics and Gynecology 131, no. 1 (2018): e15–30. https://doi.org/10.1097/AOG.0000000000002456.

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