I don't know if dd was technically a nuchal hand, midwife commented that her hand was on her cheek when she came out, but never used the term 'nuchal hand'.
With her I tore just slightly, pushing was shorter, and she was 1 lb 5 oz MORE than ds.
I blame the tearing on the fact that I was 'coerced' into getting an episiotomy with my ds (and the epidural).
So, perhaps I'm an anomoly, but for me, the nuchal hand/bigger baby was easier(-;
That's the power of a supported/empowering birth (aka for me the midwife, doula, my improved knowledge and the hospital I picked).