Asthma in pregnancy Quiz: Ace Your Exams

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A 29-year-old woman, gravida 2 para 1, at 26 weeks of gestation, presents to the clinic for a regular prenatal visit. She has a history of asthma that was previously well-controlled with an as-needed albuterol inhaler that she used about once a week. However, recently she has had to use her albuterol inhaler twice a day. Previously, she did not experience nighttime awakenings. She does not have nasal congestion, postnasal drip, fevers, or cough with sputum. Vital signs are within normal limits. Physical examination is unremarkable, and lung examination reveals scattered wheezes bilaterally. Fetal heart rate is 160 beats per minute. Which of the following additional findings would be consistent with moderate persistent asthma?

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Occasional coughing while doing very hard cross fit sessions

FEV₁ of 70%

Cough and wheezing two days a week

FEV₁ of 85

Nighttime awakenings every other week