Review Question - QID 108619

A 26-year-old woman is found wandering in the street at 3 AM in the morning shouting about a new cure for cancer. When interviewed in the psychiatric triage unit, she speaks rapidly without pauses and continues to boast of her upcoming contribution to science. When the physician attempts to interrupt her, she becomes angry and begins to shout about all of her “accomplishments” in the last week. She states that because she anticipates a substantial sum of money from the Nobel Prize she will win, she bought a new car and diamond earrings. In addition, the patient divulges that she is 8 weeks pregnant with a fetus who will “change the course of history.” Her chart in the electronic medical record shows an admission 3 months ago for suicidality and depression. She was released on fluoxetine after being stabilized, but the patient now denies ever taking any medications that “could poison my brain.” Her temperature is 98.6°F (37°C), blood pressure is 118/71 mmHg, pulse is 112/min, and respirations are 14/min. A urine pregnancy test is positive. Which of the following is a potential adverse effect of the drug that is shown to reduce suicide-related mortality in this patient?