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    Format Askeb Bayi

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    jihan
    1. This document is a report format for newborn babies that includes sections on patient identification, subjective and objective data collection, analysis, and implementation. 2. The patient identification section includes the baby's name, date and time of birth, parents' names, ages, religion, education, occupation, ethnicity, and address. 3. The subjective data section covers the mother's pregnancy history, delivery details, and the baby's daily habits regarding nutrition, elimination, rest, and activity. 4. The objective data section documents the physical exam findings including vital signs, measurements, and assessment of body systems and reflexes. 5. The analysis, implementation, and outcome sections are blank for the

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    Format Askeb Bayi

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    1. This document is a report format for newborn babies that includes sections on patient identification, subjective and objective data collection, analysis, and implementation. 2. The patient identification section includes the baby's name, date and time of birth, parents' names, ages, religion, education, occupation, ethnicity, and address. 3. The subjective data section covers the mother's pregnancy history, delivery details, and the baby's daily habits regarding nutrition, elimination, rest, and activity. 4. The objective data section documents the physical exam findings including vital signs, measurements, and assessment of body systems and reflexes. 5. The analysis, implementation, and outcome sections are blank for the

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    Format ASKEB BBL normal

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    1. This document is a report format for newborn babies that includes sections on patient identification, subjective and objective data collection, analysis, and implementation. 2. The patient identification section includes the baby's name, date and time of birth, parents' names, ages, religion, education, occupation, ethnicity, and address. 3. The subjective data section covers the mother's pregnancy history, delivery details, and the baby's daily habits regarding nutrition, elimination, rest, and activity. 4. The objective data section documents the physical exam findings including vital signs, measurements, and assessment of body systems and reflexes. 5. The analysis, implementation, and outcome sections are blank for the

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    Download as doc, pdf, or txt
    16 views4 pages

    Format Askeb Bayi

    Uploaded by

    jihan
    1. This document is a report format for newborn babies that includes sections on patient identification, subjective and objective data collection, analysis, and implementation. 2. The patient identification section includes the baby's name, date and time of birth, parents' names, ages, religion, education, occupation, ethnicity, and address. 3. The subjective data section covers the mother's pregnancy history, delivery details, and the baby's daily habits regarding nutrition, elimination, rest, and activity. 4. The objective data section documents the physical exam findings including vital signs, measurements, and assessment of body systems and reflexes. 5. The analysis, implementation, and outcome sections are blank for the

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    of 4

    Lampiran 11.

    Format Laporan Bayi Baru Lahir

    ASUHAN KEBIDANAN BAYI BARU LAHIR FISIOLOGIS


    PADA BAYI NY. .............................................
    DI ...................................................

    I. PENGKAJIAN:
    Tanggal :......................................................
    Jam :......................................................
    IDENTITAS PASIEN:
    a. Identitas bayi
    Nama :………………………………………………………………….
    Tanggal/Jam lahir :………………………………………………………………….
    Jenis Kelamin :………………………………………………………………….
    b. Identitas orang tua
    1. Nama : ....................... 1. Nama : .........................
    2. Umur : ....................... 2. Umur : .........................
    3. Agama : ....................... 3. Agama : .........................
    4. Pendidikan : ....................... 4. Pendidikan : .........................
    5. Pekerjaan : ....................... 5. Pekerjaan : .........................
    6. Suku bangsa: ....................... 6. Suku Bangsa: .........................
    7. Alamat : ......................... 7. Alamat : .........................

    I. DATA SUBYEKTIF
    1. Riwayat kehamilan ibu
    a. Umur kehamilan :…………………………………………………………………
    b. Riwayat penyakit dalam hamil :…………………………………………………………………
    c. Kebiasaan selama hamil :…………………………………………………………………
     Merokok, frekuensi : ……………………………………………………
     Konsumsi alcohol, frekuensi ………………………………………………………
     Jamu-jamuan, Frekuensi : …………………………. Jenis : ………………..
     Narkoba, frekuensi :………………………………………………………
     obat-obatan bebas :………………………………………………….…..

    Panduan Praktik Klinik Fisiologis (Bd.Ml.5.13)


    Page 1
    2. Riwayat Natal :
    a. Tanggal lahir : …………………………………..………………………………………….………
    b. Jenis Kelamin : ……………………………………………………………………………………..
    c. Tunggal/ Gemeli :……………………………………………………………………………
    d. Lama kala I : …………………………………………………………………….……..
    e. Lama kala II : ………………………………..………………………………………….
    f. Komplikasi persalinan : ………………………………………………...……………………..….
    3. Pola kebiasaan sehari-hari
    a. Pola Nutrisi : ……………………………………………….……………………….…
    ……………………………………………………………………………………………………..
    b. Pola eliminasi : ……………………………………………………………………..……
    ……………………………………………………………………………………………………..
    c. Pola Istirahat : ……………………………………………………………..…………….
    ………………………………………………………………………………………………………
    d. Pola aktifitas : ………………………………………………………………...…………
    ……………………………………………………………………………………………………...

    II. DATA OBYEKTIF:


    1. PEMERIKSAAN FISIK:
    a. Pemeriksaan Umum:
    1) Keadaan umum : ........... Tensi : ...........
    2) Kesadaran : ........... Nadi : ...........
    3) Suhu /T : ........... RR : ...........
    4) IMT : ...........
    b. Pengukuran antropometri :
    1) BB :………………. cm
    2) PB :……………….cm
    3) Lingkar Kepala :….. …………..cm
    4) Lingkar dada :……………….cm
    5) Lingkar lengan :…………..….. cm
    2. Status Present
    Kepala : ……………………………………………………………………………………..
    Mata : ……………………………………………………………………………………..
    Hidung : ……………………………………………………………………………………..
    Mulut : ……………………………………………………………………………………..
    Telinga : ……………………………………………………………………………………..
    Leher : ……………………………………………………………………………………..
    Dada : ……………………………………………………………………………………..
    Pulmo /jantung : ……………………………………………………………………………………..
    Abdomen : ……………………………………………………………………………………..
    Genetalia : ……………………………………………………………………………………..
    Punggung : ……………………………………………………………………………………..
    Anus : ……………………………………………………………………………………..
    Ekstremitas : ……………………………………………………………………………………..

    Panduan Praktik Klinik Fisiologis (Bd.Ml.5.13) Page 2


    Kulit : ……………………………………………………………………………………..
    Reflek :
     Rooting reflex :………………………………………………………………………….
     Sucking reflek :………………………………………………………………………….
     Grasp reflek :………………………………………………………………………….
     Moro reflek :………………………………………………………………………….
     Tonic neck reflek :
    ………………………………………………………………………….
     Babinski reflek :………………………………………………………………………….

    II. PEMERIKSAAN
    PENUNJANG : ...........................................................................................................................
    ....................................................................................................................................................
    ....................................................................................................................................................
    .........................
    III. ANALISA
    ....................................................................................................................................................
    ....................................................................................................................................................
    ....................................................................................................................................................
    ....................................................................................................................................................
    ………………………………………………………………………………………………………….
    IV. IMPLEMENTASI
    Tanggal ............................................. Jam ..................
    1. ..............................................................................................................................................

    Hasil : ...........................................................................................................................................

    2. ..............................................................................................................................................

    Hasil : ...........................................................................................................................................

    3. ..............................................................................................................................................

    Panduan Praktik Klinik Fisiologis (Bd.Ml.5.13) Page 3


    Hasil : .........................................................................................................................................
    .

    4. .............................................................................................................................................
    .
    Hasil:
    ..............................................................................................................................................

    5. .............................................................................................................................................
    .
    Hasil :
    ..........................................................................................................................................

    ........................, .......................2019

    Pembimbing Klinik Praktikan

    ------------------------------ -------------------------------------

    Mengetahui
    Pembimbing Prodi

    ---------------------------------

    Panduan Praktik Klinik Fisiologis (Bd.Ml.5.13) Page 4

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