Anemia in pregnancy Quiz: Ace Your Exams

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A 40-year-old G2P1 woman at 28 weeks gestation presents to the obstetrics clinic for routine follow-up. Past medical history is significant for hypertension and advanced chronic kidney disease. Her renal function and urine protein levels have been stable throughout the pregnancy. Current medications include labetalol, vitamin D, and a prenatal vitamin. Temperature is 37.0ºC (98.6ºF), heart rate is 96/min, respiratory rate is 18/min, and blood pressure is 135/70. On physical examination, the patient appears pale. The abdomen is gravid and appropriate for gestational age with normal fetal heart sounds present. Serum hemoglobin is 8.6 g/dL with low serum iron levels and MCV of 85 f/L. Which of the following laboratory results is consistent with the most likely type of anemia in this patient?

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