According to MTP act the following are indications for terminating pregnancy before viability except

Appeared in: NHM UP Staff Nurse-2021 Shift-1st

Explanation

An 'unplanned pregnancy' by itself is not a direct legal ground for termination under the MTP Act.
The Act is specific, allowing termination for an unwanted pregnancy only if it results from contraceptive failure, as the resulting anguish is presumed to cause grave injury to the woman's mental health.
The term 'unplanned pregnancy' is too broad and does not fit the specific criteria laid out in the law, making it the correct exception.

Option A: This is a valid therapeutic indication under the MTP Act.
Option B: This is a valid eugenic indication under the MTP Act.
Option C: This is a valid humanitarian and social indication under the MTP Act.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Legal indications for Medical Termination of Pregnancy (MTP) Act as background academic context rather than a clinical decision trigger.
Nurses must be well-versed in the MTP Act's provisions to provide accurate, non-judgmental counseling and care to patients considering pregnancy termination.
The nurse's role includes ensuring that the patient's situation meets the legal criteria, proper informed consent is obtained, and all documentation is completed accurately while maintaining strict confidentiality.
Understanding the legal framework protects both the patient and the healthcare provider from legal complications.

How to Approach the Question

This is a knowledge-based question with a negative keyword ('except'). The goal is to find the option that is NOT a valid reason for MTP.
First, identify the core concept being tested: the legal indications for termination under India's MTP Act.
Recall the main categories of indications: therapeutic (risk to mother's health), eugenic (fetal abnormalities), and social/humanitarian (rape, contraceptive failure).
Evaluate each option against these categories.
Option A, 'Severe cardiac disease,' fits the therapeutic category.
Option B, 'Chromosomal abnormality,' fits the eugenic category.

Concept Tested & Keywords

Concept Tested: Legal indications for Medical Termination of Pregnancy (MTP) Act
Stem keywords: MTP act, terminating pregnancy, indications
Lead-in keywords: except
Negative lead-in flag: The question asks for the EXCEPTION among the listed options.

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E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 199-200

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 1

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 17-25

Practise the full NHM UP Staff Nurse-2021 Shift-1st

Attempt every question from this paper in a timed mock, then review the full solution for each one.