the answer is Fatigue and exhaustion that may also exist among her relatives
because researching Anemia it said that it is a condition that develops when your blood lacks enough healthy red blood cells or hemoglobin. And also reading it said that it causes fatigue and exuhation meaning that anemia is tiered blood cells, and it is passed down through families because Inherited hemolytic anemia is due to an inherited (passed down from parents to their children) defect in the red blood cells. so my answer becomes A