I attest that the exam will be my own work. I will neither g…

I attest that the exam will be my own work. I will neither give nor receive assistance with the exam. I understand this is a closed book exam and will not use any written or electronic sources to answer questions. I will not attempt to copy or print or record this exam.

Arielle is a 36 year old female G3P2002 at 39 weeks gestatio…

Arielle is a 36 year old female G3P2002 at 39 weeks gestation who was admitted 24 hours ago for induction of labor. On admission cervical exam was 4cm/90%/-1. Two hours ago she became fully dilated and at a -1 station started pushing. Her prenatal history was uncomplicated aside from diet controlled gestational diabetes. Her membranes spontaneously ruptured 10 hours ago with clear fluid. The fetal heart rate has a baseline of 130 bmp with moderate variability. Since she started pushing she has become very tired and fetal head remains at -1 station after 2 hours. What risk factors for a shoulder dystocia does she have? Select all that apply.