A G2P1 woman at 38 weeks gestation presents to the emergency department with sudden onset of severe, constant abdominal pain, dark vaginal bleeding, and a rigid, tender uterus. Fetal heart rate monitoring shows late decelerations. She reports no recent trauma. What is the most likely diagnosis?

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C) Placental abruption. The classic presentation of placental abruption includes sudden, severe abdominal pain, vaginal bleeding (often dark), and a rigid, tender uterus. Fetal distress (e.g., late decelerations) is also common due to impaired placental perfusion.

A G2P1 woman at 38 weeks gestation presents to the emergency department with sudden onset of severe, constant abdominal pain, dark vaginal bleeding, and a rigid, tender uterus. Fetal heart rate monitoring shows late decelerations. She reports no recent trauma. What is the most likely diagnosis?

✓ Correct Answer: Option C

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