Patient presents with nausea and vomiting in pregnancy, also known as morning sickness or NVP (nausea and vomiting of pregnancy).  Onset, duration, frequency, and severity of nausea and emesis were documented.  Associated symptoms such as ptyalism, anorexia, weight loss, and dehydration were assessed.  Dietary triggers, aversions, and any alleviating factors were explored.  Current gestational age was confirmed and obstetric history, including gravidity and parity, was reviewed.  Physical examination revealed hydration status, vital signs within normal limits except for possible mild tachycardia, and abdominal exam was unremarkable.  Differential diagnosis included hyperemesis gravidarum, gastrointestinal disorders such as gastroenteritis, and other pregnancy-related conditions.  Diagnosis of nausea in pregnancy was made based on clinical presentation and gestational age.  Severity was classified as mild, moderate, or severe based on frequency and impact on daily activities.  Patient education provided on dietary modifications, including small frequent meals, avoiding trigger foods, and maintaining hydration.  Treatment plan includes lifestyle changes and, if indicated,  antiemetic medications, vitamin B6 supplementation, and ginger.  Follow-up scheduled to monitor symptom resolution and assess for potential complications such as hyperemesis gravidarum.  ICD-10 code O21.0 and relevant CPT codes for the evaluation and management visit were documented for billing purposes.  The patient was counseled on warning signs and instructed to return for further evaluation if symptoms worsen or dehydration develops.