Asthma in pregnancy Quiz: Ace Your Exams
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A 31-year-old woman, gravida 1 para 0, at 10 weeks of gestation presents to the clinic for an initial prenatal evaluation. She has a history of asthma that has been well-controlled with as-needed albuterol. In the past month, she has had an increase in nighttime awakenings due to coughing and shortness of breath, which is relieved when she takes her albuterol. She has had a sore throat and runny nose for the past week. She works as a preschool teacher. Vitals are within normal limits. Physical examination is unremarkable, and lung examination is within normal limits. Measured peak flow shows FEV1 > 80%. Which of the following elements from the patient's history and physical examination most strongly suggests the need to augment her asthma management plan?
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