Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 16 - DEPARTMENT OF HEALTH SERVICES - OCCUPATIONAL LICENSING › Article 1 - LICENSING OF MIDWIFERY › Section R9-16-101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									36-751,
				  the following definitions apply in this Article unless otherwise
				  specified:
1. "Amniotic" means the fluid surrounding a fetus
				while in the mother's uterus.
2. "Apgar score" means
				the number indicating a newborn's physical condition, attained by rating
				selected body functions.
3. "Breech" means a complete breech, a frank breech,
				or an incomplete breech.
4.
				"Calendar day" means each day, not including the day of the act, event, or
				default from which a designated period of time begins to run, but including the
				last day of the period unless it is a Saturday, Sunday, statewide furlough day,
				or legal holiday, in which case the period runs until the end of the next day
				that is not a Saturday, Sunday, statewide furlough day, or legal
				holiday.
5. "Certified nurse
				midwife" means an individual who meets the criteria in 4 A.A.C. 19, Article 5,
				and is certified by the Arizona State Board of Nursing.
6.
				"Cervix" means the narrow lower end of the uterus that protrudes into the
				cavity of the vagina.
7. "Client"
				means a pregnant woman accepted by a midwife for the provision of midwifery
				services from the midwife.
8.
				"Complete breech" means that, at the time of birth, the buttocks of a fetus are
				pointing downward with both legs folded at the knees and the feet near the
				buttocks.
9. "Consultation" means communication between a
				midwife and a physician or a midwife and a certified nurse midwife for the
				purpose of receiving a written or verbal recommendation and implementing
				prospective advice regarding the care of a pregnant woman or the woman's fetus
				or newborn.
10.
				"Dilation" means opening of the cervix during the mechanism of labor to allow
				for passage of the fetus.
11. "Effacement" means
				the gradual thinning of the cervix during the mechanism of labor and indicates
				progress in labor.
12. "Emergency care plan" means the arrangements
				established by a midwife for a client's transfer of care in a situation in
				which the health or safety of the client or newborn is determined to be at
				risk.
13. "Emergency medical services provider" has the same
				meaning as in A.R.S. §
									36-2201.
14.
				"Episiotomy" means the cutting of the perineum, at the center, middle, or
				midline, in order to enlarge the vaginal opening for delivery.
15.
				"Fetus" means a child in utero from conception to birth.
16.
				"Frank breech" means that, at the time of birth, the buttocks of a fetus are
				pointing downward with both legs folded flat up against the head.
17.
				"Gestation" means the length of time from conception to birth, as calculated
				from the first day of the last normal menstrual period.
18.
				"Incomplete breech" means that, at the time of birth, the buttocks of a fetus
				are pointing downward with one leg folded at the knee with the foot near the
				buttocks.
19.
				"Informed consent" means a document signed by a client, as provided in
				R9-16-109,
				agreeing to the provision of midwifery services.
20. "Jurisprudence test" means an assessment of an
				individual's knowledge of the:
a. Laws of this
				state concerning the reporting of births, prenatal blood tests, and newborn
				screening; and
b. Rules pertaining
				to the practice of midwifery.