A 32-Year-Old Woman, Gravida 2 Para 1, at 30 Weeks

A 32-year-old woman, gravida 2 para 1, at 30 weeks gestation comes to the office for a routine prenatal visit.  The patient's pregnancy has been uncomplicated, and she has had no vaginal bleeding or contractions.  She has continued to jog daily throughout the pregnancy but is becoming more fatigued by the end of her workouts.  The patient has no chronic medical conditions, and her only medication is a daily prenatal vitamin.  She does not use tobacco, alcohol, or illicit drugs.  Blood pressure is 110/70 mm Hg, pulse is 76/min, and respirations are 20/min.  Fetal heart tones are normal.  Physical examination is unremarkable.  Compared to a nonpregnant state, this patient most likely has which of the following hematologic changes?

A) A
B) B
C) C
D) D
E) E

Correct Answer:

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