Your patient is a 41-year-old female who is alert and in obvious distress, complaining of abdominal pain. The patient states that she is 32 weeks pregnant and she experienced an acute onset of tearing abdominal pain this evening. She admits to smoking cocaine this afternoon. She is G5P2 with two spontaneous abortions. Her skin is cool, moist, and pale, and you note about 50 mL of dark red vaginal

bleeding. Her abdomen is rigid to palpation in all quadrants. HR = 128, BP = 90/52, RR = 22, SpO2 = 96%. Which of the following is most likely?

A) Placenta previa
B) Abruptio placentae
C) Preeclampsia
D) Preterm labor

B