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A physician is examining a newborn who has a significantly low birth weight and displays symptoms consistent with receiving insufficient oxygen during development. Which of the following maternal behaviors during pregnancy is the most direct and well-established cause for this specific combination of outcomes?
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A physician is examining a newborn who has a significantly low birth weight and displays symptoms consistent with receiving insufficient oxygen during development. Which of the following maternal behaviors during pregnancy is the most direct and well-established cause for this specific combination of outcomes?