A Pregnant Patient at 24 Weeks' Gestation Complains of Shortness

question 17

Multiple Choice

A pregnant patient at 24 weeks' gestation complains of shortness of breath on exertion,fatigue,weakness,and constant cravings for ice chips.On physical examination,vital signs are T 98.6,pulse 100,resps 18/min,BP 120/ 70.On physical examination,heart has regular rate and rhythm at 100 beats/min,no S3,no murmurs.Lungs are clear to auscultation.Abdominal examination is negative.Uterus fundus is above umbilicus.Ankles: no edema.Dorsalis pedis pulses +2/4 bilaterally.Urine dipstick is negative for protein.Laboratory tests reveal CBC: Hgb 10 microcytic hypochromic RBCs.Which of the following conditions should be suspected?

• A) Iron deficiency anemia
• B) Folic acid deficiency anemia
• C) Vitamin B12 deficiency anemia
• D) None of the above

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