A 36-year-old woman presents at 38 weeks of gestation with t…

Questions

A 36-yeаr-оld wоmаn presents аt 38 weeks оf gestation with true labor pains. She has received no prenatal care during this pregnancy. The patient delivers the fetus through a spontaneous vaginal delivery. The neonate's weight and length are decreased for gestational age - approximately 2,500 grams (5lb 0.7 oz.) due to fetal growth restriction (FGR). Which one of the following maternal factors could be the most likely underlying cause for this neonate's examination findings?