A 25-year-old woman comes to you for a Papanicolaou smear

A 25-year-old woman comes to you for a Papanicolaou smear test. She says she is hoping to get pregnant and is going to discontinue using her birth control pills. You do routine laboratory tests and fi nd that she has an elevated mean cell volume, normal serum iron level, and normal serum ferritin level. Which nutritionally related health risk to her off spring should you be most concerned about at this point? A. Neural tube defects. B. Stunted growth. C. Pernicious anemia. D. Malabsorption. E. Decreased learning ability.

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