Miranda is a 21-year-old G1P0 at 27 weeks 2 days. She has a history of methamphetamine use, chronic hypertension, smoking, and cystic fibrosis. She has been brought to OB triage by ambulance complaining of severe abdominal pain (10 on a scale from 1 to 10) and vaginal bleeding. FHT are 95. Miranda’s vital signs are BP 101/53 mm Hg, pulse is 142 bpm, and respirations are 31 a minute. What diagnosis would you anticipate the provider giving Miranda?