Ms. Jоhnsоn is 39 weeks gestаtiоn аnd is in the second stаge of labor. She is experiencing difficulty with the delivery of the fetal shoulders despite effective pushing efforts. History: Routine prenatal care, diagnosed with gestational diabetes Vital Signs: Blood Pressure: 110/70 mmHg Heart Rate: 88 bpm Respiratory Rate: 18 breaths/min Temperature: 98.6°F (37°C) Labor Progress: Cervical Dilation: Complete (10 cm) Fetal Presentation: Head is delivered but the shoulders are stuck Fetal Heart Rate: Variable decelerations noted Maternal Condition: Pain: Severe, especially with contractions The physician noted a positive Turtle Sign and has just asked the nurse to assist with suprapubic pressure and McRoberts maneuver. This client is most likely experiencing complications related to [answer1] as evidenced by [answer2].