Which presentation is most consistent with abruptio placentae as described in the lecture?

The lecture describes abruption as a clinical diagnosis commonly associated with **painful vaginal bleeding**, abdominal or back pain, a tense and tender uterus, abnormal contractions, and possible fetal distress. The other choices do not represent the clinical pattern emphasized in the supplied material. Clinical presentation must be assessed urgently because abruption can involve maternal and fetal compromise.\n\n**Key takeaway:** Pain, uterine tenderness or tension, and fetal compromise are important clues to abruption.\n\n**Glossary:** **Abruptio placentae**: Premature placental separation; **uterine tenderness**: Pain elicited over the uterus.