PENGKAJIAN POSTPARTUM

Nama Mahasiswa :
No.BP :
Tanggal Pengkajian :

A. Identitas Klien
Nama : Nama Suami :
Umur : Umur :
Pendidikan : Pendidikan :
Pekerjaan : Pekerjaan :
Alamat :
No.MR :
Tanggal Masuk :

B. Data Umum Kesehatan

Alasan di rawat di RS
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Faktor Pencetus
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Masalah Keperawatan : _________________________________________

C. Riwayat Kesehatan Sekarang

Keluhan saat ini
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Lamanya keluhan
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Faktor Pencetus
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Masalah Keperawatan : _________________________________________

D. Riwayat Postpartum Sebelumnya
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E. Riwayat Kesehatan Keluarga

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F. Riwayat Menstruasi
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Masalah Keperawatan : _________________________________________

G. Riwayat Perkawinan
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H. Status Obstetri
1. Status Obstetrik :
2. Nifas hari ke :
3. Riwayat persalinan yang sekarang
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4. Komplikasi nifas
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Masalah Keperawatan : _________________________________________

I. Aktivitas/istirahat
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Sirkulasi
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Integritas ego/psikososial
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J. Eliminasi
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K. Makanan dan Cairan

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L. Neurosensori
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M. Nyeri/ketidaknyamanan
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N. Pemeriksaan diagnostik dan hasil

Masalah Keperawatan (I-N) :

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PEMERIKSAAN FISIK

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