(Lamp 5) Format Pengkajian Nicu

PROGRAM STUDI ILMU KEPERAWATAN STIKES WHS FORMAT PENGKAJIAN KEPERAWATAN NEONATUS (NICU)

Nama Nama Mahasi Mahasiswa swa/NI /NIM M : Maia! Maia!ii / P"#$%& P"#$%&' ' Tma! Pa* a*!*

: R+a,- NICU RS.D RS.D.Ka .Ka,+0s0 1a!iwi20w0

Ta,--a3

: ' J+,i 4"&

I. IDENTI IDENTITAS TAS DATA DATA

I.

Nama

: 56. N6.S

Tm Tma! a!/! /!a, a,---a3 a3 3ah 3ahi i

: 5a3i 5a3i* *a aa, a,77 8" mi mi 4$" 4$"& &

Nama A6ah/I2+

:

P*aa, A6ah

: 99999999999999999999999999

P,1i1i*a, A6ah

: 99999999999999999999999999

P*aa, I2+

: 99999999999999999999999999

P,1i1i*a, I2 I2+

: 99 99999999999999999999999999

A3ama!/N0. T30,

:

K+3!+

: 99999999999999999999999999

A-ama

: 99999999999999999999999999

KELUHAN UTAMA 9999999999999999999999999 99999999999999999999999999.99999999999999 9.99999999999999999999999999. 999999999999. 9999999999999999999999999 99999999999999999999999999.9999999999999 9.99999999999999999999999999 9999999999999.. 9999999999999999999999999 99999999999999999999999999.9999999999999 9.99999999999999999999999999 9999999999999.. 9999999999999999999999999 99999999999999999999999999.9999999999999 9.99999999999999999999999999 9999999999999.. 9999999999999999999999999 99999999999999999999999999.9999999999999 9.99999999999999999999999999 9999999999999.. 9999999999999999999999999 99999999999999999999999999.9999999999999 9.99999999999999999999999999 9999999999999.. 9999999999999999999999999 99999999999999999999999999.9999999999999 9.99999999999999999999999999 9999999999999.. 9999999999999999999999999 99999999999999999999999999.9999999999999 9.99999999999999999999999999 9999999999999.. 9999999999999999999999999 99999999999999999999999999.9999999999999 9.99999999999999999999999999 9999999999999..

II.

RIWAAT KE KEHAMILAN DA DAN KE KELAHIRAN III." P,a!a3  J+m3ah *+,+,-a,

5i1a,/D0 D0*! *!  5i1a,/

: 9999999999999999999999999

: 999999 99999999 99999 999999 999999 999999 999999 999999 999..

Format Asuhan Keperawatan Neonatus

 P,*s 6a,- 1i1aa!  .HPHT

: 99999999999999999999999999999999999999999999.

: 9999999999999999999999999999999999999999.

 K,ai*a, 55 a3ama Hami3 : 9999999999999999999999999999999999  K0m3i*asi *hami3a,

: 99999999999999999999



K0m3i*asi O2a!

: 999999999999999999.



O2a!;02a!a, 6a,- 1i1aa!

: 999999999999999999999



Riwa6a! H0si!a3isasi



G030,-a, 1ah i2+



Pmi*saa, *hami3a, / Ma!,a3 s<,i,-

: 99999999999999999 : 999999999999999..

( ) R+233

( ) Ha!i!is

( ) G0

(

( ) CM=

) Hs

( ) HI=

( ) Lai,;3ai,7 s2+!*a, 999999999999999999999.. III.4 Na!a3 

Awa3 Psa3i,a,

: 9999999999999999999999.



Lama Psa3i,a,

: 999999999999999999



K0m3i*asi sa3i,a,

: 99999999999999999999999.



Tai 6a,- 1i2i*a,

: 99999999999999999999999



Caa m3ahi*a, ( ) >a-i,am (

) Casa

(

)Lai,;3ai,7 s2+!*a, 999999..

Tma! m3ahi*a, :



( ) R+mah 2sa3i,

( ) R+mah

( ) R+mah Sa*i!

III.8 P0s!,a!a3 Usaha Na?as



(

) 1,-a, 2a,!+a,

(

) !a,a 2a,!+a, K2+!+ha, s+si!asi

 o

J,is 1a, 3ama,6a 1ai " 1a, ' m,i! 99999999999999999999999999999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999..

o



S*0 A-a

: 99999999999999999999999999999999999999999999999999.

O2a!;02a! 6a,- 1i2i*a, a1a ,0,a!+s 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999


9999999999999999999999999999999999999999999999999999999999999 999999999999999999. I,!a*si 0a,- !+a 1,-a, 2a6i

 o

K+a3i!as : 999999999999999999999999999999999999999999999999

o

Lama,6a : 999999999999999999999999999999999999999999999999.. Ta+ma 3ahi



(

) A1a

(

) Ti1a* a1a

(

) Ti1a* a1a

Na*0sis



(

) A1a

K3+a,6a +i, / 2a2



(

) A1a

(

) Ti1a* a1a

Rs0, ?isi030-is a!a+ i3a*+ 6a,- 2ma*,a



9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999999999. III.

RIWAAT KELUARGA 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999999999999999999999999999999999 G,0-am


I=.

RIWAAT SOSIAL

". Sis!m ,1+*+,- / *3+a-a 6a,- 1aa! 1ih+2+,-i 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999999999999999999

4. Hubungan orang tua dengan bayi I2+

A6ah M,6,!+h Mm3+* 52i
8. Anak yang lain J,is K3ami, A,a*

Riwa6a! sa3i,a,

Riwa6a! Im+,isasi

@. Li,-*+,-a, +mah 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999999999999999999

'. P023m s0sia3 6a,- ,!i,(

) K+a,-,6a sis!m ,1+*+,- s0sia3

(

) P21aa, 2ahasa

(

) Riwa6a! ,6a3ah-+,aa, a! a1i!i? ( 02a!;02a!a, )

(

) Li,-*+,-a, +mah 6a,- *+a,- mma1ai

(

) K+a,-a,

(

) Lai,;3ai,7 s2+!*a,


9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 =.

KEADAAN KESEHATAN SAAT INI ". Dia-,0sa m1is. 9999999999999999999999999999999999999999999999999999999999999 999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 4. Ti,1a*a, 0asi 9999999999999999999999999999999999999999999999999999999999999 999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 8. S!a!+s N+!isi 9999999999999999999999999999999999999999999999999999999999999 999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 @. S!a!+s Caia, 9999999999999999999999999999999999999999999999999999999999999 999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999

'. O2a!;02a!a, 9999999999999999999999999999999999999999999999999999999999999 999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 Format Asuhan Keperawatan Neonatus

%. A*!i>i!as 9999999999999999999999999999999999999999999999999999999999999 999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 #. Ti,1a*a, Kawa!a, 6a,- !3ah 1i3a*+*a, 9999999999999999999999999999999999999999999999999999999999999 999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 &. Hasi3 La20a!0i+m 9999999999999999999999999999999999999999999999999999999999999 999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999

B. Pmi*saa, P,+,a,9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999999999999999999999999999999999999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 "$. Lai,;3ai, 9999999999999999999999999999999999999999999999999999999999999 999999. Format Asuhan Keperawatan Neonatus

9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999 =I.

PEMERIKSAAN FISIK Ka1aa, Um+m: Ti,-*a! *sa1aa, : 999999999999999999 Ta,1a >i!a3 Na1i : 999999999 S+h+ : 999999999 RR : 999999999TD : 999999999 Saa! 3ahi

Saa! i,i

". 5a!a 5a1a, 4. Pa,a,- 5a1a, 8. Li,-*a Ka3a 5i !a,1a ( <* ) a1a is!i3ah 6a,- !a! 1ai 1a!a;1a!a 1i2awah i,i. Gam2a*a, sm+a !m+a, a2,0ma3 s
". R?3* M00 (

4.

8. a.

) M00

(

) M,-hisa

a. (

) A*!i?

(

) !,a,-

2. (

) M,a,-is *as

(

(

) Lmah

) (

L!a-i

(

) M3,-*i,-

) Ka,( ) S+3i! m,a,-is

Ka3a / 3h F0,!a,3 A,!i0

2.

) L+,a*

(

) T-as

( ) Da!a

( ) M,0,03 ( ) C*+,-

S+!+a sa-i!a3is (

<.

) Ta!

(

) Tisah

( ) m,a+h

Gam2aa, waah (

1.

) Sim!is

(

) Asim!is

M031i,(

@.

'.

) Ca+! S+<<1a,+m

(

) Cha30hma!0ma

Ma!a (

) 5sih

(

) S*si

99999999999999999999999999999999999.

THT T3i,-a (

2.

(

T0,+s / a*!i>i!as

(

a.

) M,--,--am

) N0ma3

(

) A2,0ma3

Hi1+,(

) 5i3a!a3

(


) O2s!+*si

(

)

C+i,- Hi1+,-

<.

Pa3a!+m (

%.

) N0ma3

(

) A2,0ma3

A210m,

#.

a.

(

) L+,a*

(

2.

Li,-*a +!

<.

Li> : (

) T-as

:

(

) Da!a

(

)

Km2+,-

) *+a,- 1ai 4
(

) L2ih 1ai 4
Th0a*s a. (

&.

) Sim!is

(

) Asim!is

2. R!a*si

: (

) 1aa! "

<. K3a>i*+3a

: (

) N0ma3

(

) 1aa! 4 (

(

) 1aa! 8

) A2,0ma3

Pa+;a+ a. S+aa ,a?as : ( ( 2.

) 5sih

(

) Ti1a* sama *a,a, *ii

) R0,
(

) Ra3s

(

) s*!

5+,6i ,a?as (

) !1,-a, 1i sm+a 3aa,- a+

<.

B.

) Sama *a,a, *ii (

(

) !i1a* !1,-a (

) m,++,

Rsiasi (

) S0,!a,

7 +m3ah

: 999../m,i!

(

) S+,-*+/20ha17 +m3ah

(

) =,!i3asi assis!1 CPAP

: 9999/m,i!

Ja,!+,a. (

) 5+,6i N0ma3 Si,+s R6!m ( NSR ) 7 +m3ah : 9999../m,i!

(

) M+;m+

2.

(

) Lai,;3ai,7 s2+!*a,99999999999999.

Wa*!+ ,-isia, *ai37 5a!a,- !+2+h : 999999999999999 E*!imi!as

<.

: 999999999999999.

Na1i i? 5a!

Lmah

5a
"$.

E*s!imi!as a. (

) Sm+a *s!imi!as -a*

2. E*s!imi!as a!as 1a, 2awah

"".

Um2i3i*+s

:

(

) N0ma3

"4.

G,i!a3

:

(

) N0ma3


(

(

) ROM !2a!as (

) !i1a* 1aa! 1i*ai

(

) Sim!is

) Asim!is

) A2,0ma3 ( (

) A2,0ma3

(

) I,?3amasi ( (

) Am2i>a3,

) Dai,a-

Ti1a* a1a

"8.

A,+s

"@.

Si,a

"'.

K+3i!

:

( : (

a. Wa,a

"%. a.

) Pa!, ) N0ma3

: (

) Pi,*

(

) Im?0a!a

(

) A2,0ma3

(

) P+
2. (

) Rash / *maha,

<. (

) !a,1a 3ahi

(

) Ja+,1i<

S+h+ Li,-*+,-a,

b.

(

) P,-ha,-a! a1ia,

(

) I,*+2a!0

(

(

) P,-a!+a, s+h+

) S+h+ +a,-

(

) 50*s !2+*a

S+h+ *+3i! : 99999999999999999999999999 KOMENTAR : 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999.

=II.

".

PEMERIKSAAN TINGKAT PERKEM5ANGAN Kma,1iia, 1a, 2-a+3 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. Format Asuhan Keperawatan Neonatus

9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999

4.

M0!0i* ha3+s 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999

8.

K0-,i!i? 1a, 2ahasa 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999

@.

M0!0i* *asa 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999 KESIMPULAN PERKEM5ANGAN

(

(

) M,a,-is 2i3a !i1a* ,6ama,

(

) Mm2+a! s+aa !,--00* 6a,- 3a,

(

) Mma,1a,- waah 1,-a, s+,--+h;s+,--+h

(

) M,-3+a*a, s+aa

(

) 5s0, s
(

) Daa! !s,6+m

(

) M,--a**a, *1+a 3,-a, 1a, !+,-*ai sama m+1ah,6a *!i*a !3,!a,-

) Mm2i*a, a*si 1,-a, m3iha! * aah s+m2

=III.

(

) M,-0<h 1a, mm2i*a, a*si !ha1a s+aa

(

) Mm2a3as s,6+ma,

INFORMASI LAIN 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 999999999999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999

I.

RINGKASAN RIWAAT KEPERAWATAN 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 Format Asuhan Keperawatan Neonatus

9999999999999999999999999999999999999999999999999999999999999 99999999999999999999999999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999.. 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999 9999999999999999999999999999999999999999999999999999999999999 9999999999999999999999999999999999999999999999999999999999999 99999999999999


(Lamp 5) Format Pengkajian Nicu

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