**Core Concept:**
Hypertensive disorders in pregnancy, particularly preeclampsia and eclampsia, are serious complications that can lead to maternal and fetal complications. These disorders are characterized by hypertension and proteinuria. Bleeding per vagina can be a sign of complications like placental abruption, which is a serious condition.

**Why the Correct Answer is Right:**
The correct answer is based on the decision-making principles in managing complications in pregnancy, specifically focusing on maternal and fetal wellbeing. In this case, the presence of bleeding per vagina is a concerning sign, indicating potential placental abruption. Placental abruption increases the risk of severe maternal complications like hemorrhage, disseminated intravascular coagulation, and multi-organ dysfunction. Additionally, it poses a significant threat to the fetus due to reduced placental blood flow and oxygenation, leading to fetal distress, reduced fetal growth, and increased risk of intrauterine death.

**Why Each Wrong Option is Incorrect:**
A. Hypertensive disorders are usually managed by controlling blood pressure, managing complications, and monitoring fetal wellbeing. However, bleeding per vagina is a concerning sign, so this option is incorrect.
B. While controlling blood pressure and managing complications is crucial, the presence of bleeding per vagina makes the decision to continue the pregnancy questionable, making this option incorrect.
C. This option mirrors the correct answer, focusing on blood pressure control and monitoring fetal wellbeing. However, bleeding per vagina is a concerning sign that outweighs these considerations, rendering this option incorrect.
D. While monitoring fetal wellbeing is essential, the presence of bleeding per vagina significantly increases the risk to the mother and fetus, making this option incorrect.

**Clinical Pearl:**
In cases where a pregnant woman with hypertensive disorders experiences bleeding per vagina, the focus of management shifts from solely controlling blood pressure and monitoring fetal wellbeing to prioritizing maternal and fetal survival. Therefore, the decision to continue the pregnancy should be carefully considered based on the severity of the bleeding and the overall maternal and fetal wellbeing.

**Correct Answer: D.** The correct answer is D, which emphasizes the importance of monitoring fetal wellbeing in the context of hypertensive disorders and bleeding per vagina. However, the presence of bleeding per vagina significantly increases the risk to the mother and fetus, making this option the correct answer while considering the patient's overall maternal and fetal well-being.