<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 35-year-old G1 is brought to the emergency department because of sharp pains in her abdomen. She is at 30 weeks gestation based on ultrasound. She complains of feeling a little uneasy during the last 3 weeks of her pregnancy. She mentions that her abdomen has not been enlarging as expected and her baby is not moving as much as during the earlier part of the pregnancy. If anything, she noticed her abdomen has decreased in size. While she is giving her history, the emergency medicine physician notices that she is restless and is sweating profusely. An ultrasound is performed and her blood is sent for type and match. The blood pressure is 9060 mm Hg, the pulse is 120min, and the respiratory rate is 18min. The fetal ultrasound is significant for no fetal heart motion or fetal movement. Her blood work shows the following: hemoglobin, 10.3 gdL; platelet count, 1.1105ml; bleeding time, 10 minutes; PT, 25 seconds; and PTT, 45 seconds. Which of the following would be the best immediate course of management for this patient?? A: IV fluids, B: Initiation of labor, C: D-dimer assay, D: Fresh frozen plasma, E: Low-molecular-weight heparin,  <response>: This is a medical question about the management of a 35-year-old pregnant woman at 30 weeks gestation who is brought to the emergency department with abdominal pain and other concerning symptoms. The key findings in the stem are:- Sharp abdominal pains at 30 weeks gestation - Feeling uneasy in the last 3 weeks of pregnancy- Decreased abdominal size and decreased fetal movement - Signs of shock - restlessness, sweating, low blood pressure - Ultrasound shows no fetal heart motion or movement- Lab findings show anemia, thrombocytopenia, coagulopathyBased on the history and exam findings, this patient likely has an abrupted placenta leading to fetal demise, placental separation, and maternal hemorrhageshock. The immediate priority is to stabilize the mother who is showing signs of hypovolemic shock. Fresh frozen plasma would help correct the coagulopathy but would not be the best immediate step. Low molecular weight heparin is used for thrombosis prophylaxis but is not indicated here. D-dimer assay would not change management. Initiation of labor may eventually be indicated but is not the most urgent step. IV fluids would help stabilize the mother in shock and is the best immediate next step.A: IV fluids 