All of the above, is the answer :)
A/C/D: All of these answers are positive effects, of human water use.
By process of elimination it must be (B) Also the run off is basically stripping the soil of the nutrients a farmer would need to grow crops, so this is incredibly bad - but a problem easily fixed.
I would say the best option would be C. because it’s the most likely option. Realistically speaking, it’s much more likely for a teenage mother to receive the opposite effects mentioned in the other options.