Placenta previa true are:
Wait, the options are A to D but they're not listed. The user probably made a mistake. Since the correct answer is given as empty, I have to infer based on typical MCQs. Let me think of common true statements about placenta previa. For example, it's associated with antepartum hemorrhage, ultrasound is diagnostic, and it's more common in multiparous women. The correct answer is likely one of these.
The user wants the explanation to include the core concept, why correct answer is right, why others are wrong, a clinical pearl, and the correct answer line. But without the options, I have to make educated guesses. Let's structure the answer with placeholders for the options. Maybe the correct answer is about painless bleeding, and the wrong options might mention pain, risk factors like age, or management strategies.
I need to ensure that the explanation is accurate and detailed. For example, the core concept is placenta previa's pathophysiology. The correct answer would be a true statement about its presentation. The incorrect options could be things like "associated with pain" or "managed with immediate delivery in all cases". The clinical pearl would emphasize the importance of ultrasound for diagnosis.
Wait, but the user's example has a correct answer with a letter and text. Since the options are missing here, maybe the original question had specific options. The user might have intended to include them but forgot. I'll proceed with the information I have and make sure the explanation covers the key points about placenta previa, even if the specific options aren't there. I'll structure the answer based on common MCQ scenarios related to this condition.
**Core Concept**
Placenta previa is a condition where the placenta implants over the internal cervical os, leading to painless antepartum hemorrhage. Diagnosis relies on transvaginal ultrasound, and management depends on gestational age, bleeding severity, and fetal status.
**Why the Correct Answer is Right**
The correct statement would align with pathophysiological features: placenta previa causes painless vaginal bleeding due to separation of the placenta from the cervix during pregnancy. Transvaginal ultrasound confirms the diagnosis, and risk factors include prior cesarean delivery, multiparity, and smoking. Management may involve cesarean delivery in severe cases.
**Why Each Wrong Option is Incorrect**
**Option A:** Incorrect if it states "associated with severe abdominal pain"—placenta previa is *painless*; pain suggests placental abruption.
**Option B:** Incorrect if it claims "managed with immediate induction of labor"—delivery is delayed until 37 weeks unless bleeding is life-threatening.
**Option C:** Incorrect if it lists "first-trimester ultrasound for diagnosis"—diagnosis is typically made in second/third trimester due to placental migration.
**Option D:** Incorrect if it mentions "