Nausea and vomiting of pregnancy Quiz: Ace Your Exams
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A 29-year-old woman, gravida 4 para 3, at 7 weeks gestation presents to the emergency department for evaluation of persistent nausea and vomiting. The patient had multiple daily episodes of vomiting during this pregnancy and early in her previous three pregnancies. Her second pregnancy was complicated by preeclampsia. The patient has no other significant past medical history. She is taking a daily prenatal vitamin. The patient smoked cigarettes until her first pregnancy at age 22. Temperature is 37°C (98.6°F), pulse is 105/min, respiratory rate is 22/min, blood pressure is 102/60 mmHg, and oxygen saturation is 97% on room air. BMI is 18. Her weight has been increasing appropriately. Physical examination reveals dry mucous membranes. Cardiopulmonary examination is within normal limits. Abdominal exam shows a gravid abdomen appropriate for gestational age. Which of the following is a risk factor for developing the likely underlying condition?
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