RESUME ASUHAN KEPERAWATAN MATERNITAS (ANC)

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PENGKAJIAN
I. ANAMNESA
1. BIODATA
a. Nama/Nama panggilan : ……………………………………………………………………

b. Tempat tgl lahir/usia : ……………………………………………………………………

c. Jenis kelamin : ……………………………………………………………………

d. A g a m a : ……………………………………………………………………

e. Pendidikan : ……………………………………………………………………

f. Alamat : ……………………………………………………………………

g. Tgl pengkajian : ……………………………………………………………………

h. Diagnosa medik : ……………………………………………………………………

i. Rencana terapi : ……………………………………………………………………

2. KELUHAN UTAMA
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3. RIWAYAT KESEHATAN
a. Riwayat Penyakit Saat Ini
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b. Riwayat Kesehatan Masa Lalu
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c. Riwayat Kesehatan Keluarga
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DATA FOKUS
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ANALISA DATA
No Tanggal/ Data Penunjang MASALAH PENYEBAB
jam
 EVALUASI
NO S O A P I E
DX