A 29-year-old woman, gravida 1 para 0, at 16 weeks gestation comes to the office for prenatal care. The patient was hospitalized at 7
weeks gestation for hyperemesis gravidarum Since the hospitalization, she has received intravenous hydration several times in the
emergency department due to dehydration from persistent nause.a and vomiting. She is able to tolerate prenatal vitamins, which she
takes with metoclopramide However, despite taking antiemetics frequently, the patient is unable to eat or drink much. Blood
pressure is 90/50 mm Hg. Prepregnancy BMI was 18 kg/m2 Weight is 50 kg (1102 lb), a decrease of 2 kg (4.4 lb) from
prepregnancy weight Fetal heart tones are normal by Doppler. The patient is concerned about her weight loss and whether it will
affect the baby The fetus is at greatest risk for which of the following complications?
QA Anemia
0 B. Cystic hygroma
0 C. Growth restriction
0 D. Neural tube defect
0 E. Organomegaly
0 F. Postterm birth
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