This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Kamla Rani, a 20 yrs old female having mitral stenosis class II and Rheumatic hea disease becomes pregnant. Which is not indicated in her management during labor: 
Select and explain. 
A. Give Prophylactic antibiotics, B. Apply Outlet forceps in 2nd stage of labor, C. Give iv furosemide at delivery of placenta, D. Give Methergin at delivery of anterior shoulder
D: Give Methergin at delivery of anterior shoulder
Answer: D: Give Methergin at delivery of anterior shoulder 
Explanation: Use of ergometrine/methergin, with or following delivery, is contraindicated in patients with cardiac disease. Ref: Dewhurst's Textbook of Obstetrics and Gynaecology, 5th edition, Page 224 ; Textbook of Obstetrics By Dutta, 4th Edition, Page 541 and 6th Edition, Page 280