<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 29-year-old G2P1 at 35 weeks gestation presents to the obstetric emergency room with vaginal bleeding and severe lower back pain. She reports the acute onset of these symptoms 1 hour ago while she was outside playing with her 4-year-old son. Her prior birthing history is notable for an emergency cesarean section during her first pregnancy. She received appropriate prenatal care during both pregnancies. She has a history of myomectomy for uterine fibroids. Her past medical history is notable for diabetes mellitus. She takes metformin. Her temperature is 99.0F 37.2C, blood pressure is 10468 mmHg, pulse is 120min, and respirations are 20min. On physical examination, the patient is in moderate distress. Large blood clots are removed from the vaginal vault. Contractions are occurring every 2 minutes. Delayed decelerations are noted on fetal heart monitoring. Which of the following is the most likely cause of this patients symptoms?? A: Amniotic sac rupture prior to the start of uterine contractions, B: Chorionic villi attaching to the decidua basalis, C: Chorionic villi attaching to the myometrium, D: Placental implantation over internal cervical os, E: Premature separation of a normally implanted placenta,  <response>: This is a clinical vignette describing a pregnant patient presenting with vaginal bleeding and back pain. The key findings are:- 35 weeks gestation - Prior C-section- History of fibroids and myomectomy- Diabetes mellitus - Contractions every 2 minutes- Delayed decelerations on fetal monitoring- Large blood clots passed vaginallyThe question asks to identify the most likely cause of her symptoms. Based on the acute onset of bleeding along with contractions and fetal distress, this is most consistent with placental abruption, which is premature separation of a normally implanted placenta.E: Premature separation of a normally implanted placenta 