<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 30-year-old woman, gravida 2, para 1, at 28 weeks gestation comes to the physician for a prenatal visit. She feels well. Pregnancy and delivery of her first child were uncomplicated. She has a history of bipolar disorder and hypothyroidism. She uses cocaine once a month and has a history of drinking alcohol excessively, but has not consumed alcohol for the past 5 years. Medications include quetiapine, levothyroxine, folic acid, and a multivitamin. Her temperature is 37.1C 98.8F, pulse is 88min, and blood pressure is 11575 mm Hg. Pelvic examination shows a uterus consistent in size with a 28-week gestation. Serum studies show a hemoglobin concentration of 11.2 gdL and thyroid-stimulating hormone level of 3.5 μUmL. Her fetus is at greatest risk of developing which of the following complications?? A: Aplasia cutis congenita, B: Cretinism, C: Neural tube defect, D: Premature placental separation, E: Shoulder dystocia,  <response>: This is a question about complications in pregnancy associated with the mothers medical history and substance use. The key points from the stem are:- 28 weeks gestation - History of bipolar disorder and hypothyroidism- Uses cocaine monthly and history of alcohol abuse- Normal vital signs and fetal growth- Normal hemoglobin and TSHThe answer choices list various fetalneonatal complications. Aplasia cutis congenita A is not associated with the mothers history. Cretinism B results from severe congenital hypothyroidism, which is not indicated here. Neural tube defects C are associated with lack of folic acid, which she is taking. Premature placental separation D may occur with cocaine use but is not the most likely complication. Shoulder dystocia E is a neonatal complication unrelated to the history. Based on the mothers monthly cocaine use, the fetus is most at risk for premature birth or growth restriction. Of the choices, premature placental separation is most likely to result from cocaine use in pregnancy.D: Premature placental separation 