North American Registry of Midwives (NARM) Practice Exam

Which of the following is a common relief measure for morning sickness?

1. High sugar snacks

2. 50 mg B-6 at bedtime

3. Drinking large amounts of water

4. Extreme physical activity

The correct answer is: 50 mg B-6 at bedtime

The choice of 50 mg B-6 at bedtime is commonly recommended as a relief measure for morning sickness due to its role in alleviating nausea. Vitamin B-6 (pyridoxine) has been shown in research to be effective in reducing the severity of nausea and vomiting during pregnancy. It works by influencing the neurotransmitters associated with nausea, helping to regulate mood and promote a sense of well-being. In clinical practice, healthcare providers often suggest this dosage for expecting mothers experiencing morning sickness, particularly in the first trimester when symptoms are most prevalent. In contrast, high sugar snacks may provide temporary relief from nausea for some individuals, but they can also lead to fluctuations in blood sugar that might exacerbate nausea in the long run. Drinking large amounts of water is crucial for hydration, but overconsumption during meals can actually lead to feeling fuller and may trigger nausea. Extreme physical activity is not advisable during episodes of morning sickness, as it can lead to fatigue and further gastrointestinal discomfort. Therefore, the recommendation of 50 mg B-6 at bedtime stands out as a well-researched and effective approach for managing morning sickness symptoms.