A 6-Year-Old Boy Is Brought to the Physician by His

A 6-year-old boy is brought to the physician by his father due progressive lethargy. He feels that he is out of the energy and he cannot play or do any outdoor activity due to fatigue and dyspnea. He has no prior medical conditions and takes no medications. During the auscultation, there is a holosystolic murmur at the lower sternal border. Echocardiography reveals apical displacement of the tricuspid valve leaflets, decreased right ventricular volume, and atrialization of the right ventricle.  If this patient's diagnosis is due to a side effect of a drug taken during pregnancy, his biological mother most likely had which of the following conditions?

A) Alcohol use disorder
B) Bipolar disorder
C) Cocaine use disorder
D) Down syndrome
E) Epilepsy
F) Gestational diabetes
G) Hypothyroidism
H) Opioid use disorder
I) Schizophrenia