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.