**Core Concept**
Abruptio placentae, also known as placental abruption, is a condition where the placenta separates from the uterus, disrupting blood flow to the fetus. This can lead to fetal distress, preterm labor, and maternal hemorrhage. The underlying pathophysiology involves vascular compromise and coagulopathy.

**Why the Correct Answer is Right**
Abruptio placentae is characterized by the premature separation of the placenta, which can be caused by various factors such as hypertension, trauma, and smoking. The condition leads to fetal hypoxia due to impaired placental perfusion, resulting in distress and potential fetal demise. The maternal response to abruptio placentae involves activation of the coagulation cascade, leading to disseminated intravascular coagulation (DIC) and potentially severe hemorrhage.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it is a true statement about abruptio placentae. Abruptio placentae can indeed cause fetal distress, which is a direct consequence of impaired placental perfusion.

**Option B:** This option is incorrect because it is a true statement about abruptio placentae. Abruptio placentae can lead to maternal hemorrhage due to the activation of the coagulation cascade and disruption of placental circulation.

**Option C:** This option is incorrect because it is a true statement about abruptio placentae. Abruptio placentae is often associated with hypertension, which can contribute to the development of the condition.

**Clinical Pearl / High-Yield Fact**
A key clinical correlation is that abruptio placentae is a leading cause of antepartum hemorrhage, and prompt recognition and management are crucial to prevent maternal and fetal morbidity.

**Correct Answer:** D