ASUHAN KEBIDANAN PADA BAYI NY. ………. UMUR ……..

DI WILAYAH KERJA PUSKESMAS ……………….. KABUPATEN INDRAMAYU

TAHUN ………….

A. Asuhan Bayi Baru Lahir

Tanggal pengkajian :
Waktu :
Tempat :
Pengkaji :
1. Data Subjektif
a. Biodata

Nama Bayi : :

Umur :

Waktu Lahir :

Nama Ibu : Nama Ayah :

Umur : Umur :
Suku/Bangsa : Suku/Bangsa :
Pendidikan : Pendidikan :
Pekerjaan : Pekerjaan :
Alamat :
 b. Riwayat Persalinan
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………

2. Data objektif
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………

3. Analisa
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………

4. Penatalaksanaan
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
…………………………………………………………………………………………........
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
................................................................................................................................................