You are treating a multigravida female who is not receiving prenatal care. The patient is 42-years-old and is in her third trimester of pregnancy. She admits to using cocaine earlier in the day and throughout her pregnancy. She is currently experiencing a painful, rigid abdomen and signs and symptoms of shock. You should suspect:

A) spontaneous abortion.
B) placenta previa.
C) eclampsia.
D) abruptio placenta.

D