Review Question - QID 109815

A 23-year-old woman is brought to the psychiatric emergency room after she was found naked in the street proclaiming that she was a prophet sent down from heaven to save the world. A review of the electronic medical record reveals that she has a history of an unspecified coagulation disorder. On exam, she speaks rapidly and makes inappropriate sexual comments about the physician. She is alert and oriented to person but not place, time, or situation. She is easily distracted and reports that she has not slept in 3 days. She is involuntarily admitted and is treated appropriately. Her symptoms improve and she is discharged 4 days later. She misses multiple outpatient psychiatric appointments after discharge. She is seen 5 months later and reports feeling better and that she is 3 months pregnant. Her fetus is at an increased risk for developing which of the following?