SEKOLAH TINGGI ILMU KESEHATAN (STIKes) MITRA HUSADA MEDAN

PRODI KEBIDANAN PROGRAM SARJANA

STANDARD OPERASIONAL PROSEDUR

PEMERIKSAAN LABORATORIUM KEBIDANAN
No. Dokumen Halaman Tgl Berlaku Revisi
FM-PM-I.IV.Pd2-05/35-09-1 1 dari 4 18 Oktober 2017 00

Nama Mahasiswa : Hari/ Tanggal :

NPM : Tahun Ajaran :
Ujian : Diagnostik Test Angkatan :

Jawablah sesuai dengan Standar Operasional Prosedur.

1.Pengertian Pemeriksaan Glukosa Urine, Protein Urine dan
Haemoglobin: ...........................................................................................................................................................................
........................ ..........................................................................................................................................................................
.........................
...................................................................................................................................................................................................
...................................................................................................................................................................................................
2. Tujuan Pemeriksaan Glukosa Urine, Protein Urine dan Haemoglobin:
...................................................................................................................................................................................................
...................................................................................................................................................................................................
...................................................................................................................................................................................................
3. Indikasi dan kontra Indikasi Pemeriksaan Glukosa Urine, Protein Urine dan
Haemoglobin: ...........................................................................................................................................................................
...................................................................................................................................................................................................
........................ ..........................................................................................................................................................................
.........................
...................................................................................................................................................................................................
4. Hasil Pemeriksaan Glukosa Urine, Protein Urine dan Haemoglobin:
...................................................................................................................................................................................................
...................................................................................................................................................................................................
...................................................................................................................................................................................................
...................................................................................................................................................................................................
A. Persiapan Alat
- Glukosa Urine
a. ………………………………………… e. …………………………………………
b. ………………………………………… f. …………………………………………
c. ………………………………………… g. …………………………………………
d. ………………………………………… h. …………………………………………
B. Prosedur Pelaksanaan
 Larutan Benedict
1. ……………………………………………………………………………………………………………………........
2. ……………………………………………………………………………………………………………………........
3. ……………………………………………………………………………………………………………………........
 SEKOLAH TINGGI ILMU KESEHATAN (STIKes) MITRA HUSADA MEDAN
PRODI KEBIDANAN PROGRAM SARJANA

STANDARD OPERASIONAL PROSEDUR

PEMERIKSAAN LABORATORIUM KEBIDANAN
No. Dokumen Halaman Tgl Berlaku Revisi
FM-PM-I.IV.Pd2-05/35-09-1 2 dari 4 18 Oktober 2017 00

4. ……………………………………………………………………………………………………………………........
5. ……………………………………………………………………………………………………………………........
6. ……………………………………………………………………………………………………………………........
7. ……………………………………………………………………………………………………………………........
8. ……………………………………………………………………………………………………………………........
9. ……………………………………………………………………………………………………………………........
 Fehling A dan Fehling B
1. ……………………………………………………………………………………………………………………........
2. ……………………………………………………………………………………………………………………........
3. ……………………………………………………………………………………………………………………........
4. ……………………………………………………………………………………………………………………........
5. ……………………………………………………………………………………………………………………........
6. ……………………………………………………………………………………………………………………........
7. ……………………………………………………………………………………………………………………........
8. ……………………………………………………………………………………………………………………........
A. Persiapan Alat
-Protein Urine
a. ………………………………………… f. …………………………………………
b. ………………………………………… g. …………………………………………
c. ………………………………………… h. …………………………………………
d. ………………………………………… i. …………………………………………
e. ………………………………………… j. …………………………………………
B. Prosedur Pelaksanaan
1.……………………………………………………………………………………………………………………........
2.……………………………………………………………………………………………………………………........
3.……………………………………………………………………………………………………………………........
4.……………………………………………………………………………………………………………………........
5.……………………………………………………………………………………………………………………........
6.……………………………………………………………………………………………………………………........
7.……………………………………………………………………………………………………………………......
- Pemeriksaan Kadar Haemoglobin
A. Persiapan Alat
a. ………………………………………… g. …………………………………………
b.………………………………………… h. …………………………………………
c. ………………………………………… i. …………………………………………
d.………………………………………… j. …………………………………………
e. ………………………………………… k. …………………………………………
 SEKOLAH TINGGI ILMU KESEHATAN (STIKes) MITRA HUSADA MEDAN
PRODI KEBIDANAN PROGRAM SARJANA

STANDARD OPERASIONAL PROSEDUR

PEMERIKSAAN LABORATORIUM KEBIDANAN
No. Dokumen Halaman Tgl Berlaku Revisi
FM-PM-I.IV.Pd2-05/35-09-1 3 dari 4 18 Oktober 2017 00

f. …………………………………………

B. Prosedur Pelaksanaan
1. …………………………………………………………………………………………………………………….......
2. …………………………………………………………………………………………………………………….......
3. …………………………………………………………………………………………………………………….......
4. …………………………………………………………………………………………………………………….......
5. …………………………………………………………………………………………………………………….......
6. …………………………………………………………………………………………………………………….......
7. Diketahui,
Ka.Prodi Kebidanan
Program Sarjana

Febriana Sari, SST, M.Keb

…………………………………………………………………………………………………………………….......
8. …………………………………………………………………………………………………………………….......
9. …………………………………………………………………………………………………………………….......
10. …………………………………………………………………………………………………………………….......
11. …………………………………………………………………………………………………………………….......
12. …………………………………………………………………………………………………………………….......
13. …………………………………………………………………………………………………………………….......
 SEKOLAH TINGGI ILMU KESEHATAN (STIKes) MITRA HUSADA MEDAN
PRODI KEBIDANAN PROGRAM SARJANA

STANDARD OPERASIONAL PROSEDUR

PEMERIKSAAN LABORATORIUM KEBIDANAN
No. Dokumen Halaman Tgl Berlaku Revisi
FM-PM-I.IV.Pd2-05/35-09-1 4 dari 4 18 Oktober 2017 00