Format Pengkajian Bayi Ok
Format Pengkajian Bayi Ok
Disusun Oleh :
NAMA : …………….........................
NIM : ………………………………..
KEMENTERIAN KESEHATAN RI
POLITEKNIK KESEHATAN KEMENKES MALANG
JURUSAN KEPERAWATAN
PROGRAM STUDI D-IV KEPERAWATAN LAWANG
TAHUN 2017
FORMAT PENGKAJIAN
A. PENGKAJIAN
I. BIODATA
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V. PENGUKURAN ANTROPOMETRI
Berat badan: ..........................................................................................................................
Panjang badan: .......................................................................................................................
Lingkar kepala: ......................................................................................................................
Lingkar dada: ..........................................................................................................................
Lingkar lengan Atas: ............................................................................................................
VI. REFLEKS PRIMITIF
Berkedip: ............................................................................................................................
Rooting : ............................................................................................................................
Menghisap :............................................................................................................................
Menggenggam :........................................................................................................................
Neck righting: ...........................................................................................................................
Moro : .............................................................................................................................
C. Pemeriksaan lainnya
Tanggal Jenis Pemeriksaan Hasil Pemeriksaan
Mengetahui, ...............................,.......................................
Pembimbing klinik
Mahasiswa
(.......................................................) (............................................................)
NIM.
A2. ANALISIS DATA
HARI/TGL : ...............................................................................................
NO KEMUNGKINAN
DATA MASALAH
PENYEBAB
B. DIAGNOSA KEPERAWATAN
DIAGNOSA TANGGAL
NO
KEPERAWATAN
S: S: S:
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O: O: O:
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A: A: A:
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P: P: P:
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....................................................................... ....................................................................... .......................................................................
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..............................,.......................................
Mengetahui,
Pembimbing Klinik Mahasiswa
(.......................................................) (............................................................)
NIM.