My interpretation of the phone call is that it demonstrates the reverse causality that is now possible thanks to her new understanding. It doesn't mean the cause nor the effect are mutable, just that they are now accessible in a different order than is typical.
I think in the movie the decision to have the child is also immutable. So when in the final scene she commits to that path - it is because of the paradoxical freedom born of fatalism that she manages to be cheerful. There is literally no other way things could go - so why worry?
If she's selfish - she's deterministically, immutably selfish. Under the new model - the concept of a "change" to the future through action is incomprehensible. The future just "is".