Which collection of risk factors will most likely result in damaging lacerations (including episiotomies)?

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Reddish-haired women have tissue that is less distensible than darker-skinned women and so may have less efficient healing.First-time mothers are also more at risk,especially with breech births,long second-stage labors,or rapid labors in which there is insufficient time for the perineum to stretch.The rate of episiotomies is higher when obstetricians rather than midwives attend births.This woman is at low risk for either damaging lacerations or an episiotomy.The client is multiparous,has dark skin,and is being attended by a midwife (who is less likely to perform an episiotomy).Reddish-haired women have tissue that is less distensible than that of darker-skinned women.This puts the client at increased risk for lacerations;however,she has had two previous deliveries,which result in a lower likelihood of an episiotomy.The fact that this woman is experiencing a prolonged labor might increase her risk for lacerations.Fortunately she is dark skinned,which indicates that her tissue is more distensible than that of fair-skinned women and therefore less susceptible to injury.

Which Collection of Risk Factors Will Most Likely Result in Damaging