In addition to the definitions in A.R.S. §
36-751, the following definitions
apply in this Article unless otherwise specified:
1. "Abnormal presentation" means
the fetus is not in a head-down position with the crown of the head being the
leading body part.
2. "Addiction" means a condition
that results when a person ingests a substance that becomes compulsive and
interferes with ordinary life responsibilities, such as work, relationships, or
health.
3.
1. "Amniotic" means the fluid surrounding a fetus
while in the mother's uterus.
4.
2. "Apgar score" means
the number indicating a newborn's physical condition, attained by rating
selected body functions.
5. "Aseptic" means free of
germs.
6.
3. "Breech" means a complete breech, a frank breech,
or an incomplete breech.
7. "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.
8. "Complete breech" means that at
the time of birth the buttocks of a fetus is pointing downward with both legs
folded at the knees and the feet near the buttocks.
9.
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.
10.
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.
11.
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.
12. "Current photograph" means an
image of an individual, taken no more than 60 calendar days before the
submission of the individual's application, in a Department-approved electronic
format capable of producing an image that:
a. Has a resolution of at least
600 x 600 pixels but not more than 1200 x 1200 pixels;
b. Is 2 inches by 2 inches in
size;
c. Is in natural
color;
d. Is a front view of the
individual's full face, without a hat or headgear that obscures the hair or
hairline;
e. Has a plain white or off-white
background; and
f. Has between 1 and 1 3/8 inches
from the bottom of the chin to the top of the head.
13.
10.
"Dilation" means opening of the cervix during the mechanism of labor to allow
for passage of the fetus.
14.
11. "Effacement" means
the gradual thinning of the cervix during the mechanism of labor and indicates
progress in labor.
15.
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.
16.
13. "Emergency medical services provider" has the same
meaning as in A.R.S. §
36-2201.
17.
14.
"Episiotomy" means the cutting of the perineum, at the center, middle, or
midline, in order to enlarge the vaginal opening for delivery.
18.
15.
"Fetus" means a child in utero from conception to birth.
19.
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.
20.
17.
"Gestation" means the length of time from conception to birth, as calculated
from the first day of the last normal menstrual period.
21. "Gravida" means the number of
times the mother has been pregnant, including a current pregnancy, regardless
of whether these pregnancies were carried to term.
22.
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.
23. "Infant" has the same meaning
as in A.R.S. § 36-694 .
24.
19. "Informed consent"
means a document signed by a client, as provided in
R9-16-109, agreeing to the
provision of midwifery services.
25. "Intrapartum" means occurring
from the onset of labor until after the delivery of the
placenta.
26.
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.
27.
21. "Ketones" means certain harmful chemical elements
that, when present in the body in excessive amounts, results in compromised
bodily function.
28. "Local registrar" means a
person appointed by the state's registrar of vital statistics for a
registration district whose duty includes receipt of birth and death
certificates for births and deaths occurring within that district for review,
registration, and transmittal to the state office of vital records according to
A.R.S. Title 36, Chapter 3.
29.
22. "Meconium" means
the first bowel movement of the newborn, which is greenish black in color and
tarry in consistency.
30.
23. "Midwifery
services" means health care, provided by a midwife to a mother, related to
pregnancy, labor, delivery, or postpartum care.
31.
24. "Newborn" has the
same meaning as in A.R.S. §
36-694.
32. "Para" means the number of
births that are greater than 20 weeks of gestation, including viable and
non-viable births, where multiples are counted as one birth.
33. "Parity" means the number of
newborns a woman has delivered.
34.
25. "Perineum" means
the muscular region in the female between the vaginal opening and the
anus.
35.
26. "Physician" means an allopathic, an osteopathic,
or a naturopathic practitioner licensed according to A.R.S. Title 32, Chapter
13, 14, or 17.
36.
27. "Postpartum" means the six-week period following
delivery of a newborn and placenta.
37.
28. "Prenatal" means
the period from conception to the onset of labor and birth.
38. "Prenatal care" means the
on-going risk assessments, clinical examinations, and prenatal, nutritional,
and anticipatory guidance offered to a pregnant woman.
39.
29.
"Prenatal visit" means each clinical examination of a pregnant woman for the
purpose of monitoring the course of gestation and the overall health of the
woman.
40. "Primigravida" means a woman
who is pregnant for the first time.
41. "Primipara" means a woman who
has given birth to her first newborn.
42.
30. "Quickening" means
the first perceptible movement of the fetus in the uterus, occurring usually in
the 16th to the 20th week of gestation.
43.
31. "Rh" means a blood
antigen.
44. "Serious mental illness" means
a condition in an individual who is 18 years of age or older and who exhibits
emotional or behavioral functioning, as a result of a mental disorder as
defined in A.R.S. § 36-501, that:
a. Is severe and persistent,
resulting in a long-term limitation of their functional capacities for primary
activities of daily living such as interpersonal relationships, homemaking,
self-care, employment and recreation; and
b. Impairs or substantially
interferes with the capacity of the individual to remain in the community
without supportive treatment or services of a long-term or indefinite
duration.
45. "Substance abuse" means the
continued use of alcohol or other drugs in spite of negative
consequences.
46. "Shoulder dystocia" means the
shoulders of the fetus are wedged in the mother's pelvis in such a way that the
fetus is unable to be born without emergency action.
47.
32.
"Transfer of care" means that a midwife refers the care of a client or newborn
to an emergency medical services provider, a certified nurse midwife, a
hospital, or a physician who then assumes responsibility for the direct care of
the client or newborn.
48.
33. "Working day"
means a Monday, Tuesday, Wednesday, Thursday, or Friday that is not a state
holiday or a statewide furlough day.
