MSFinals-3290

MSFinals-3290

A 29-year-old primigravida presents at ten weeks’ gestation with persistent nausea and vomiting. She reports this is mostly in the morning but has affected her a lot, as she is struggling to attend work. She can manage oral fluids, but she struggles mostly with eating. She has tried avoiding certain foods and has followed some conservative advice she found on the National Health Service (NHS) website, including ginger, and they have not helped. Her examination is unremarkable. Her documented pre-pregnancy weight is 60 kg, and today she weighs 65 kg. The patient is keen to try some medication.
Which of the following is the most appropriate management for this patient?