A 27-year-old woman at 28 weeks' gestation has hemoglobin 10.8 g/dL and mean corpuscular volume 88 fL. Ferritin is normal. She feels well and has no

Question

A 27-year-old woman at 28 weeks' gestation has hemoglobin 10.8 g/dL and mean corpuscular volume 88 fL. Ferritin is normal. She feels well and has no bleeding. Prepregnancy hemoglobin was 12.4 g/dL. Which of the following is the most likely explanation for this patient's findings?

Accepted Answer

Plasma volume expansion exceeding red cell mass expansion

Answer

Occult placental abruption

Answer

Autoimmune hemolysis

Answer

Bone marrow aplasia

Answer

Acute folate toxicity

Physiologic anemia of pregnancy — USMLE Step 3 MCQ

A 27-year-old woman at 28 weeks' gestation has hemoglobin 10.8 g/dL and mean corpuscular volume 88 fL. Ferritin is normal. She feels well and has no bleeding. Prepregnancy hemoglobin was 12.4 g/dL. Which of the following is the most likely explanation for this patient's findings?