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LAPORAN ASUHAN KEPERAWATAN TUMBUH KEMBANG ANAK

DI PUSKESMAS SRONDOL
Disusun untuk Memenuhi Tugas Profesi Ners Stase Keperawatan Anak
Pembimbing Klinik : Sugiarto, SKM, S.Kp.
Pembimbing Akademik : Ns. Elsa Naviati M. Kep., Sp.Kep.An.

Oleh :

PROGRAM PENDIDIKAN PROFESI NERS XXX


DEPARTEMEN ILMU KEPERAWATAN
FAKULTAS KEDOKTERAN
UNIVERSITAS DIPONEGORO
2017
BAB III
ASUHAN KEPERAWATAN TUMBUH KEMBANG

A. PENGKAJIAN
1. DATA DEMOGRAFI
a. Klien/Pasien
1) Tanggal pengkajian :
2) Nama :
3) Tanggal lahir/ umur :
4) Jenis kelamin :
5) Agama :
6) Suku :
b. Orang tua/ Penanggung Jawab
1) Nama :
2) Hubungan dengan klien :
3) Suku :
4) Agama :
5) Alamat :
6) No. Telepon :

2. RIWAYAT KLIEN
a. Riwayat penyakit klien sebelumnya :
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b. Riwayat kehamilan
1) ANC : .........................................................................................................
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2) Masalah kesehatan selama kehamilan : .....................................................
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3) Lain-lain : ...................................................................................................
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c. Riwayat persalinan
1) Jenis persalinan :
2) Penolong persalinan :
3) APGAR skor :
4) Penyulit persalinan :
5) BBL :
d. Riwayat Imunisasi (Lengkapi)
Hepatitis B I BCG
Hepatitis B II Hepatitis B III
Polio I Polio II
Polio III Polio IV
DPT I DPT II
DPT III Campak
Lainnya, sebutkan……......................................................................................
e. Riwayat alergi :......................................................................................................
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f. Riwayat pemakaian obat-obatan : ..........................................................................
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g. Riwayat kesehatan keluarga
1) Riwayat penyakit dalam keluarga
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2) Genogram

Keterangan gambar :
: laki-laki : klien
: perempuan : meninggal
: tinggal dalam satu rumah

h. Pengkajian tumbuh kembang (Lampirkan format Denver II atau KPSP)


Motorik halus:
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Motorik kasar:
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Bahasa:
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Personal sosial:
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