During a prenatal visit, the practical nurse (PN) discusses with a client the effects of smoking on her fetus. Which problem is common among neonates whose mothers smoked during pregnancy?

A. Lower birth weights: Nicotine and carbon monoxide reduce placental blood flow and oxygen delivery, leading to intrauterine growth restriction. B. Respiratory distress: Possible but not the most consistent finding in smoking-related outcomes. C. Anemia: Not a typical direct outcome of maternal smoking. D. A higher rate of congenital anomalies: Smoking is not strongly linked to structural anomalies compared to other teratogens.