RNC NIC CERTIFICATION PREPARATION GUIDE
◉ Recommended weight gain: Underweight (BMI < 18.5).
Answer: 28 to 40 lbs
◉ Recommended weight gain: Healthy Weight (BMI 18.5 - 24.9).
Answer: 25 to 35 lbs
◉ Recommended weight gain: Overweight (BMI 25.0 - 29.9).
Answer: 15 to 25 lbs
◉ Recommended weight gain: Obese (BMI ≥ 30.0).
Answer: 11 to 20 lbs
◉ Complications of pre-existing DM I & II in pregnancy.
Answer: Congenital anomalies, macrosomia, preeclampsia, and
miscarriage.
◉ Neonatal risks of Gestational Diabetes Mellitus (GDM).
Answer: Hypoglycemia, Respiratory Distress Syndrome, and
asphyxia.
,◉ Requirement in Type 1 Diabetes (DM I) pregnancy.
Answer: Type 1 diabetes always requires insulin therapy.
◉ GDM Class A1 definition.
Answer: Gestational diabetes controlled by diet alone.
◉ GDM Class A2 definition.
Answer: Gestational diabetes requiring medication due to
inadequate diet control.
◉ Three classic symptoms of diabetes (3 P's).
Answer: Polyuria, polydipsia, and polyphagia.
◉ Risk factors for hyperglycemia in pregnancy.
Answer: Prior GDM, LGA birth, stillbirth, obesity, AMA, family
history, PCOS.
◉ Normal value for the first 1-hour GDM glucola screening.
Answer: Under 140 mg/dL
◉ Diagnostic criteria for the 3-hour GTT in pregnancy.
Answer: Two abnormal values are required for diagnosis.
, ◉ Target maternal glucose level during delivery.
Answer: Less than 120 mg/dL
◉ CDC guideline for HIV testing in pregnancy.
Answer: Routine testing is standard unless the patient specifically
declines ("opt-out").
◉ Use of fetal scalp electrode (FSE) in HIV-positive pregnancy.
Answer: Contraindicated (no FSE) regardless of the maternal viral
load.
◉ Delivery guidelines for HIV-positive pregnancy.
Answer: Scheduled Cesarean delivery at 38 weeks if viral load
>1,000 copies/mL.
◉ Breastfeeding recommendation for HIV-positive mothers in the
US.
Answer: Contraindicated; formula feeding is recommended to
prevent postnatal transmission.
◉ Intrapartum medication for HIV-positive mothers with viral load
>400 copies/mL.
◉ Recommended weight gain: Underweight (BMI < 18.5).
Answer: 28 to 40 lbs
◉ Recommended weight gain: Healthy Weight (BMI 18.5 - 24.9).
Answer: 25 to 35 lbs
◉ Recommended weight gain: Overweight (BMI 25.0 - 29.9).
Answer: 15 to 25 lbs
◉ Recommended weight gain: Obese (BMI ≥ 30.0).
Answer: 11 to 20 lbs
◉ Complications of pre-existing DM I & II in pregnancy.
Answer: Congenital anomalies, macrosomia, preeclampsia, and
miscarriage.
◉ Neonatal risks of Gestational Diabetes Mellitus (GDM).
Answer: Hypoglycemia, Respiratory Distress Syndrome, and
asphyxia.
,◉ Requirement in Type 1 Diabetes (DM I) pregnancy.
Answer: Type 1 diabetes always requires insulin therapy.
◉ GDM Class A1 definition.
Answer: Gestational diabetes controlled by diet alone.
◉ GDM Class A2 definition.
Answer: Gestational diabetes requiring medication due to
inadequate diet control.
◉ Three classic symptoms of diabetes (3 P's).
Answer: Polyuria, polydipsia, and polyphagia.
◉ Risk factors for hyperglycemia in pregnancy.
Answer: Prior GDM, LGA birth, stillbirth, obesity, AMA, family
history, PCOS.
◉ Normal value for the first 1-hour GDM glucola screening.
Answer: Under 140 mg/dL
◉ Diagnostic criteria for the 3-hour GTT in pregnancy.
Answer: Two abnormal values are required for diagnosis.
, ◉ Target maternal glucose level during delivery.
Answer: Less than 120 mg/dL
◉ CDC guideline for HIV testing in pregnancy.
Answer: Routine testing is standard unless the patient specifically
declines ("opt-out").
◉ Use of fetal scalp electrode (FSE) in HIV-positive pregnancy.
Answer: Contraindicated (no FSE) regardless of the maternal viral
load.
◉ Delivery guidelines for HIV-positive pregnancy.
Answer: Scheduled Cesarean delivery at 38 weeks if viral load
>1,000 copies/mL.
◉ Breastfeeding recommendation for HIV-positive mothers in the
US.
Answer: Contraindicated; formula feeding is recommended to
prevent postnatal transmission.
◉ Intrapartum medication for HIV-positive mothers with viral load
>400 copies/mL.
