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Review Question - QID 101899

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QID 101899 (Type "101899" in App Search)
A 24-year-old woman who is 16 weeks pregnant comes to your office requesting a referral for an abortion. Upon questioning she states that she is scared that her baby will be "deformed" because on routine screening she was found to have an elevated level of alpha-fetoprotein. What is the most likely cause of this lab abnormality in this patient?