Medical history and takes only prenatal vitamins

Reference no: EM133710742

Question

A 33-year-old woman presents to you with mild anxiety. She is 10 weeks pregnant. She has no medical history and takes only prenatal vitamins. She does not smoke, drink alcohol, or use illicit drugs. Her review of systems is negative for tremor, diarrhea, heat intolerance, weakness, or palpitations. Her vital signs are: temperature 37 °C, heart rate 90 beats/minute, blood pressure 115/68 mm Hg, respiratory rate 16 breaths/minute, and oxygen saturation 99% on room air. Her examination results are normal, including the absence of thyromegaly or goiter. Her thyroid-stimulating hormone (TSH) level is 0.2 microU/mL (normal, nonpregnant range, 0.5-5.0 mU/L), and total thyroxine (T4) level is slightly elevated. What is the most appropriate next step?

Reference no: EM133710742

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