A 16-year-old G1P0 girl presents to the emergency department at 32 weeks" gestation with 2 hours of painless bleeding. She denies any abdominal pain, cramping, or contractions. Her past medical history is significant for two prior episodes of pelvic infla

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A. Young maternal age
 
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B. Nulliparity
 
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C. Tobacco use
 
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D. Singleton pregnancy
 
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E. Prior history of pelvic inflammatory disease
 
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