This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
[{'content': 'Grade 2 abruptio placenta is characterized by \nSelect and explain. \nA. Pronounced shock, B. Severe bleeding, C. Coagulation defect, D. Fetal distress', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Grade 2 abruptio placenta is characterized by fetal distress. Page clinical classification of placental abruption: Grade 1 Grade 2 Grade 3 Vaginal bleeding is slight Vaginal bleeding mild to moderate Bleeding is moderate to severe or concealed Uterus irritable, minimal tenderness Uterine tenderness is always present Uterine tenderness is marked Maternal BP and fibrinogen unaffected Maternal pulse increased, BP maintained Shock is pronounced FHS good Fetal distress present Fetal death is the rule Maternal shock absent Maternal shock absent Associated coagulation defect or anuria may complicate Ref: DC Dutta&;s Textbook of Obsterics 8th edition Pgno: 297', 'role': 'assistant'}]