A 28-year-old G1P0 woman at 36 weeks gestation presents to the emergency department with sudden onset of severe abdominal pain and vaginal bleeding. She reports a history of chronic hypertension. On examination, her uterus is tender, firm, and hypertonic. Fetal heart tones are 90 bpm and show late decelerations. Which of the following is the most likely diagnosis?
✓ Correct Answer: Option D
The classic presentation of painful vaginal bleeding, a tender and hypertonic uterus, fetal distress (bradycardia, late decelerations), and a risk factor of chronic hypertension points to abruptio placentae.