ASUHAN KEBIDANAN PADA BAYI BARU LAHIR

Nama Pengkaji :...................................................................................

Tgl Pengkajian :...................................................................................

Jam Pengkajian :...................................................................................

A. Data Subjektif

1. Identitas Pasien

Nama Bayi :...................................................................................

Tanggal Lahir :...................................................................................

Jam Lahir :...................................................................................

Nama Ibu :...................................................................................

Umur Ibu :...................................................................................

Agama :...................................................................................

Pekerjaan :...................................................................................

Pendidikan :...................................................................................

Alamat :...................................................................................

2. Riwayat Persalinan

Usia kehamilan :...................................................................................

Jenis Persalinan :...................................................................................

Ditolong oleh :...................................................................................

Penyulit persalinan :...................................................................................

Warna air ketuban :...................................................................................

B. DATA OBJEKTIF

1. Pemeriksaan Umum

Keadaan Umum :...................................................................................

Segera menangis/ tidak:

APGAR Skor :...................................................................................

2. Tanda Tanda Vital

a. Nadi :...................................................................................

b. Respirasi :...................................................................................

c. Temperatur :...................................................................................
3. Berat badan :...................................................................................

4. Panjang Badan :...................................................................................

5. Pemeriksaan Fisik

a. Kepala : ada/tidak (kelainan)

b. Mata :...................................................................................

c. Hidung :...................................................................................

d. Telinga :...................................................................................

e. Mulut :...................................................................................

f. Dada :...................................................................................

g. Abdomen :...................................................................................

h. Genetalia Eksterna
 Jenis kelamin :...................................................................................
 Anus :...................................................................................

i. Ekstremitas Atas :...................................................................................

j. Ekstermitas Bawah :...................................................................................

k. Punggung :...................................................................................

l. Kulit :...................................................................................

6. Pemeriksaan Antropometri

Ukuran Kepala :...................................................................................

CFO :...................................................................................

CMO :...................................................................................

DFO :...................................................................................

DMO :...................................................................................

7. Pemeriksaan Reflek

Reflek Rooting :...................................................................................

Reflek Moro :...................................................................................

Refleks Sucking :...................................................................................

Refleks Grasping :...................................................................................

Refleks Babinsky :...................................................................................

Refleks Tonik Neck :...................................................................................

 C. ANALISA

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D. PLANNING, IMPELEMENTASI DAN EVALUASI

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