The bloodís ability to carry oxygen is blocked by
a.
tar.
c.
nicotine.
b.
carbon monoxide.
d.
formaldehyde.

out of the choices i'd say d the ability to set goals, mainly because to desire to continue you need motivation but it isn't motivation in that part, but setting goals means you have an endgame and you want to reach it which sums up motivation.

was there more to the question like a picture or something? also i mean with no picture i think something that's not likely to be an educational impact would probably be the way the child is raised since it has special health care needs