Senin, 25 Juni 2012

Format ASKEB Nifas


 

Nama Mahasiswa            : …………………………………………
Semester                         : …………………………………………
Tanggal Ujian                  : …………………………………………
Penguji                            : 1. ………………………………………
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   I.      PENGKAJIAN
A.  Data Histori Pasien/ Riwayat
1.      Identitas Pasien
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2.      Keluhan Utama
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3.      Riwayat Keluhan Utama (PQRST)
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4.      Riwayat penyakit sekarang
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5.      Riwayat penyakit yang lalu
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6.      Riwayat penyakit keluarga
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7.      Riwayat kehamilan, persalinan, nifas, yang lalu
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8.      Riwayat kehamilan, persalinan sekarang
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9.      Kebutuhan dasar sehari-hari
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10.  Data psikososial
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11.  Pengetahuan dan kemampuan ibu tentang
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B.  Pemeriksaan Fisik
1.         Pemeriksaan keadaan umum
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2.         Kulit
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3.         Muka dan kepala
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4.         Mata
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5.         Hidung
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6.         Mulut dan tenggorokan
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7.         Leher
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8.         Buah dada/ Payudara
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9.         Abdomen (GIT)
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10.     Abdomen (Obstetri)
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11.     Genetalia Eksterna
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12.     Ekstrimitas atas
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13.     Ekstrimitas bawah
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C.  Pemeriksaan Penunjang
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D. Pengobatan / tindakan yang sudah didapat :
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 II.      DIAGNOSA KEBIDANAN
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III.      PERENCANAAN/ INTERVENSI
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IV.      IMPLEMENTASI
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  V.      EVALUASI
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Sidoarjo,……………………………………………….
Penguji I





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Nama Penguji & Tanda Tangan
Pemberi Asuhan





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Nama Mahasiswa  & Tanda Tangan

                   



                                                       




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