Coping with misophonia as a nanny

Hi! I’m having a more difficult time coping with misophonia as I’m pregnant in my first trimester. I’m also experiencing misophonia to much more stimuli than I have before, and some of it triggers nausea for me. I’m usually able to cope with misophonia but lately, it’s been especially hard at work. I nanny for an almost 4 year old and 2 year old that I enjoy working with a lot! I’m not sure if there’s much I can do with coping with misophonia as a nanny, but if anyone has any recommendations, I’m open to them!