A CNS is evaluating a postpartum patient for hemorrhage risk. Which combination of factors places this patient at HIGHEST risk?
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A
Primiparity and vaginal delivery of a 7-pound infant
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B
Grand multiparity, prolonged labor, and uterine overdistension with twins
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C
Cesarean section for fetal distress in an otherwise uncomplicated pregnancy
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D
Preterm labor at 34 weeks with a single fetus and no prior deliveries