ASUHAN KEPERAWATAN PADA NEONATUS

Hari/Tanggal Pengkajian :
Identitas Pengkaji :
A. Data Demografi
1. Klien/Pasien
a. Nama : …….................................................................................................
b. Tanggal lahir/umur: ……................................................................................................
c. Jenis kelamin : …….................................................................................................
d. Kewarganegaraan : …….................................................................................................
e. Diagnosa medis : …….................................................................................................
f. Tanggal masuk RS: …….................................................................................................
2. Orang tua/Penanggung Jawab
a. Nama : …….................................................................................................
b. Hubungan dengan klien: …….........................................................................................
c. Alamat : …….................................................................................................
d. No.Telepon : …….................................................................................................

B. Riwayat Klien
1. Riwayat Kehamilan
ANC : …….................................................................................................
…….....................................................................................……...........................................
.....................................……...................................................................................................
Riwayat penggunaan obat-obatan :
Lain-lain :