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(D) a discharge plan;

(E) the name, dosage, and time of administration of a medication or treatment, the route of administration and site of injection of a medication if other than by oral administration, the client’s or newborn’s response, and the signature of the person who administered the medication or treatment;

(F) documentation that initial bloodspot screening was completed for the newborn;

(G) documentation on admission of the client’s vital signs, including temperature, pulse, respiration, and blood pressure;

(H) documentation of the client’s vital signs at least every four hours during the latent phase of labor;

(I) documentation of any change in vital signs in the presence of risk factors, including rupture of membranes and borderline blood pressure;

(J) documentation on admission of uterine contractions;

(K) documentation of fetal heart tones on admission and periodically during the latent phase of labor;

(L) documentation of fetal heart tones at least every 30 minutes during the active phase of labor;

(M) documentation of fetal heart tones at least every 5 to 15 minutes when pushing is occurring;

(N) documentation of fetal heart tones after rupture of membranes;

(O) documentation of the client’s vital signs within the first hour after delivery;

(P) documentation of the newborn’s vital signs, including tone color, within the first hour after delivery; and

(Q) documentation of at least one additional set of client and newborn vital signs before discharge from the birth center;

(4) treatments, consultations, and laboratory reports;

(5) informed consent forms signed by the client and midwife;

(6) monitoring of progress in labor with ongoing assessment of client and fetal reaction to the process of labor;

(7) the delivery record;

(8) the record of a neonatal physical examination, including Apgar scores, client and