The following are the contraindications of induction of labor; EXCEPT:

AIIMS Raipur NO - 2019 (Shift-1)

Obstetrics & Gynaecology

Medium

Appeared in: AIIMS Raipur NO - 2019 (Shift-1)

Explanation

The question requires identifying the condition that is NOT a contraindication for inducing labor, meaning it is an acceptable reason to induce.
Premature Rupture of Membranes (PROM) is the correct answer because it is often an indication for labor induction.
When the amniotic sac ruptures before labor starts (PROM), especially at or near term, inducing labor is often recommended to reduce the risk of infection (chorioamnionitis) for both the mother and the fetus.
Therefore, PROM is the exception in a list of contraindications.

Option B: Placenta previa is an absolute contraindication for labor induction because the placenta is covering the cervical opening. Uterine contractions can cause placental separation and severe, life-threatening hemorrhage.
Option C: Cephalopelvic disproportion (CPD) is a contraindication because the fetal head is too large to fit through the maternal pelvis. Attempting to induce labor would lead to obstructed labor, which is dangerous for both mother and fetus.
Option D: Cord prolapse is an obstetric emergency and an absolute contraindication for labor induction. The umbilical cord is preceding the fetus, and contractions would compress it, cutting off fetal oxygen supply.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Indications and Contraindications of Labor Induction as background academic context rather than a clinical decision trigger.
A nurse must be able to quickly differentiate between indications and contraindications for labor induction to ensure patient safety.
Recognizing a contraindication like placenta previa or cord prolapse and immediately alerting the physician can prevent catastrophic maternal or fetal outcomes.
The nurse plays a key role in monitoring the patient with PROM for signs of infection (fever, uterine tenderness, foul-smelling discharge) and assessing fetal well-being, which are critical factors in the decision to induce.

How to Approach the Question

First, identify the keyword 'EXCEPT'. This tells you that three of the options are correct statements (they are contraindications) and one is the incorrect statement (it is not a contraindication).
Your goal is to find the option that does not fit with the others.
Evaluate each option based on your knowledge of obstetrics.
Analyze Option A: Premature rupture of membrane. Is this a reason to AVOID induction? No, it's often a reason TO induce labor to prevent infection.
Analyze Option B: Placenta previa. Is this a reason to AVOID induction? Yes, it causes severe bleeding. This is a contraindication.
Analyze Option C: Cephalopelvic disproportion. Is this a reason to AVOID induction? Yes, the baby cannot pass through the pelvis. This is a contraindication.

Concept Tested & Keywords

Concept Tested: Indications and Contraindications of Labor Induction
Stem keywords: contraindications, induction of labor
Lead-in keywords: EXCEPT
Negative lead-in flag: The question asks for the EXCEPTION among a list of contraindications.

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 39-47

E6 Obstetrics Williams p. 78-90