Professional Documents
Culture Documents
I. BIODATA
5. Riwayat Psikososial
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d. Thorax / Dada
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e. Pemeriksaan payudara
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f. Abdomen
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- Pemeriksaan Leopold
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- His ………………………………………………………………..
- DJJ ………………………………………………………………..
- Kesimpulan ……………………………………………………….
g. Genetalia dan anus
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h. Punggung
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i. Ekstremitas
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j. Integumen
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f. Pemeriksaan laboratorium
- Urine :
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- Darah
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- Feces :
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LAPORAN PERSALINAN
IV. Kala IV / mulai pengeluaran Uri sampai 2 jam post partum (kontraksi
uteri, TFU, pengeluaran darah pervaginam, observasi tanda-tanda vital/keadaan
umum ibu)
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A. PLASENTA
- Pemeriksaan fisik :
1. Ke p a l a : ……………………………………………………………
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2. M u k a : ……………………………………………………………..
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3. Telinga : ……………………………………………………………..
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4. M u l u t : ……………………………………………………………..
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5. D a d a : ……………………………………………………………….
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6. Abdomen : ……………………………………………………………
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7. Tulang belakang : …………………………………………………….
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8. Geneto urenal : ………………………………………………………..
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9. A n u s : ………………………………………………………………
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10.Ekstremitas : .........................................................................................
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11.Refleks : ................................................................................................
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12.K u l i t : ................................................................................................
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- Pengukuran
1. B . B.……………………………………………………………………
2. P . B……………………………………………………………………
3. Lingkar Kepala ………………………………………………………..
4. Lingkar Dada …………………………………………………………
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