tag:blogger.com,1999:blog-18249183364449087922024-02-06T20:09:27.930-08:00Putri CeriwisCerdas, inovatif , dan inspiratifputri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.comBlogger59125tag:blogger.com,1999:blog-1824918336444908792.post-69526124869321984522012-10-03T21:14:00.000-07:002012-10-03T21:14:43.757-07:00ASUHAN KEBIDANAN PADA IBU NIFAS Ny “N” P10001 SPONTAN BELAKANG KEPALA HARI KE-1 DI POSYANDU KEC. BARENG JOMBANG <link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml" rel="File-List"></link><link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_themedata.thmx" rel="themeData"></link><link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_colorschememapping.xml" rel="colorSchemeMapping"></link><!--[if gte mso 9]><xml>
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<![endif]-->
<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-GB">BAB I<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-GB">PENDAHULUAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="EN-GB"><span>1.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="EN-GB">Latar Belakang<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;">
<span lang="EN-GB">Angka kematian ibu dan perinatal
merupakan ukuran penting dalam menilai keberhasilan pelayanan kesehatan dan
keluarga berencana suatu Negara. Angka kematian ibu di Indonesia masih tinggi
yaitu 390 / 100.000 persalinan hidup. Angka tersebut mencakup masa kehamilan,
persalinan dan nifas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;">
<span lang="EN-GB">Masa nifas sendiri merupakan kejadian
yang fisiologis dimana dalam masa nifas alat-alat genetalia interna maupun
eksterna akan berangsur-angsur pulih kembali seperti keadaan sebelum hamil.
Disamping involusi ini terjadi juga perubahan-perubahan penting lain yakni
hemokonsentrasi dan tumbulnya laktasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;">
<span lang="EN-GB">Factor penyebab kematian maternal dalam
masa nifas antara lain : perdarahan. Infeksi dan keracunan (pre eklamsi serta
eklamsi). Kematian karena eklamsi meningkat dengan tajam dibangingkan pada
tingkat pre-eklamsi berat. Oleh karena itu, menegakkan diagnosis dan
pre-eklamsi dan mencegah agar jangan berlanjut menjadi eklamsi merupakan tujuan
pengobatan.</span></div>
<div class="MsoNormal" style="margin-left: 0.25in; text-align: justify; text-indent: 0.5in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="EN-GB"><span>1.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="EN-GB">Tujuan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><b><span lang="EN-GB"><span>1.2.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="EN-GB">Tujuan Umum<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="EN-GB">Mahasiswa mampu menrapkan manajemen varney sesuai dengan
kasus pada ibu dengan P<sub>10001</sub> post partum spontan belakang kepala
hari 1 melalui pendekatan management kebidanan.</span></div>
<div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><b><span lang="EN-GB"><span>1.2.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="EN-GB">Tujuan Khusus<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="EN-GB">Diharapkan mahasiswa mampu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Memahami teori tentang nifas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Mengkaji data yang menunjang
asuhan kebidanan pada ibu dengan P<sub>10001</sub> post partum spontan belakang
kepala hari 1.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Menginterpresikan data dasar
untuk mengidentifikasi masalah dan diagnosa berdasarkan data subyektif dan
obyektif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Mengidentifikasi masalah dan
diagnosa potensial.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Mengidentifikasi kebutuhan dan
tindakan segera.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Mengembangkan intervensi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>7.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Melakukan implementasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>8.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Mengevaluasi tindakan yang dilakukan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>9.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Mendokumentasikan asuhan yang
dilakukan dengan benar, tepat dan aman.</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-GB">BAB II<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="EN-GB">TINJAUAN PUSTAKA<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="EN-GB"><span>2.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="EN-GB">Teori Nifas<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><b><span lang="EN-GB"><span>2.1.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="EN-GB">Definisi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="EN-GB">Nifas atau peurperium adalah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Masa pulih kembali, mulai dari
persalinan selesai sampat alat-alat kendungan kembali seperti prahamil. Lama
masa nifas ini yaitu 6-8 minggu. (Sinopsis Obstetri : 115).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Periode waktu atau masa dimana
organ-organ reproduksi kembali kepada keadaan tidak hamil. Masa ini membutuhkan
waktu sekitar 6 minggu. (Hellen F. 2001 : 225).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Masa yang dimulai setelah
kelahiran placenta dan berakhir ketika alat-alat kadungan kembali seperti
keadaan sebelum hamil. Masa nifas berlangsung selama kira-kira 6-8 minggu (42
hari). (Maternal dan Neonatal : 122).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="EN-GB">Nifas dibagi dalam 3 periode, yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="EN-GB">Puerperium Dini</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;">
<span lang="EN-GB">Yaitu kepulihan dimana ibu telah diperbolehkan dan
berjalan-jalan. Dalam agama islam,</span><span lang="EN-GB"> </span><span lang="IN">dianggap telah bersih
dan boleh bekerja setelah 40 hari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="EN-GB"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Puerperium
intermedial</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;">
<span lang="IN">Yaitu kepulihan </span><span lang="EN-GB">menyeluruh</span><span lang="IN">
alat-alat genetalia yang lamanya 6-8 minggu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Remote puerperium<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;">
<span lang="IN">Yaitu waktu yang diperlukan
untuk pulih dan sehat sepermurna terutama bila selama hamil atau waktu
persalinan mempunyai komplikasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><b><span lang="IN"><span>2.1.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="EN-GB">Involusi</span></b><b><span lang="IN"> Alat-Alat Kandungan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>F<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Uterus secara berangsur-angsur menjadi
kecil (involusi) sehingga akhirnya kembali seperti sebelum hamil.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>F<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Tinggi fundus uteri dan berat uterus
menurut masa involusi.<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 77.4pt; width: 474px;">
<tbody>
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<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 73.5pt;" width="98">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">INVOLUSI<o:p></o:p></span></b></div>
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<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 187.5pt;" width="250">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">TINGGI FUNDUS UTERI<o:p></o:p></span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 94.5pt;" width="126">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BERAT UTERI<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Bayi lahir<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Uri lahir<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">1 Minggu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">2 Minggu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">6 Minggu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">8 Minggu<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 187.5pt;" valign="top" width="250">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Setinggi pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">2 jari bawah pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Pertengahan pusat simpisis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Tidak terabat atas simpisis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Bertambah kecil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Sebenar normal<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 94.5pt;" valign="top" width="126">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">1000 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">700 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">500 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">350 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">50 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">30 gr<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com3tag:blogger.com,1999:blog-1824918336444908792.post-71908976259956837042012-10-03T20:38:00.001-07:002012-10-03T20:38:20.822-07:00Ketika Rindu ini..<br />
<br />
<br />
Kangen kamu . . .<br />
<br />
<br />putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com1tag:blogger.com,1999:blog-1824918336444908792.post-39798887644786825312012-06-30T16:11:00.001-07:002012-06-30T16:11:59.614-07:00ASUHAN KEBIDANAN PADA BAYI Ny. “S” UMUR 1 HARI DENGAN ASFIKSI SEDANG DI PAVILYUN ANGGREK RSUD SWADANA JOMBANG<link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml" rel="File-List"></link><link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_editdata.mso" rel="Edit-Time-Data"></link><!--[if !mso]>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>BAB I<o:p></o:p></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>PENDAHULUAN<o:p></o:p></b></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30pt; text-align: justify; text-indent: -30pt;">
<!--[if !supportLists]--><b><span>1.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b>Latar
Belakang <o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.05pt; text-align: justify; text-indent: 42.55pt;">
<span lang="FI">Pada saat
ini angka kematian perinatal di Indonesia masih tinggi menurut survey demografi
dan kesehatan di Indonesia tahun<span> </span>1997
angka kematian perinatal 25/100.000 kelahiran hidup.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.05pt; text-align: justify; text-indent: 42.55pt;">
<span lang="FI">Trias
klasik yang menyebabkan kematian perinatal adalah asphixia, infeksi dan
hipotermi. </span><span lang="SV">Angka kejadian
asphixia yang dialami oleh BBLR tidak bisa disepelekan begitu saja karena
bahaya yang akan datang mengancam jiwa BBL.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.05pt; text-align: justify; text-indent: 42.55pt;">
<span lang="FI">Penyebab
dari asphixia terdiri dari beberapa faktor antara lain faktor ibu (hipoxia,
usia ibu, multigravida, gizi buruk, gangguan his, penyakit menahun), faktor
janin (prematur, IUGR, gemeli, tali pusat menumbung, perdarahan intra cranial,
kelainan kongenital), faktor placenta (solisio placenta, placenta previa,
kelainan bentuk), faktor persalinan (partus lama dan partus dengan tindakan).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.05pt; text-align: justify; text-indent: 42.55pt;">
<span lang="FI">Maka dari
itu penanganan yang tepat dan cepat sewaktu melahirkan dan sesudah melahirkan
adalah penting. Tidak kalah pentingnya memperhatikan kondisi ibu dan janin
selama kehamilan. Hal ini dapat dicegah atau dikurangi dengan melakukan
pemeliharaan antenatal yang sempurna sehingga perbaikan sedini mungkin dapat
diusahakan.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 30.05pt; text-align: justify; text-indent: 42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30pt; text-align: justify; text-indent: -30pt;">
<!--[if !supportLists]--><b><span>1.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b>Tujuan <o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="FI"><span>1.2.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Tujuan
Umum <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="FI">Mahasiswa dapat menerapkan
pola pikir ilmiah kedalam proses Asuhan Kebidanan Komprehensif menurut Helen
Varney.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="FI"><span>1.2.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Tujuan
Khusus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="FI">Tujuan khusus dari penulisan
laporan ini dapat ditunjukkan setelah melakukan asuhan kebidanan sehingga dapat
:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Melakukan pengkajian pada bayi dengan
asfiksi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Mengidentifikasi masalah atau diagnosa
pada bayi dengan asfiksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Mengidentifikasi masalah potensial <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Mengidentifikasi kebutuhan segera pada
bayi dengan asfiksi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Merencanakan tindakan yang dilakukan pada
bayi dengan asfiksi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Melaksanakan tindakan dari rencana yang
telah dibuat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>7.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Mengevaluasi pelaksanaan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30pt; text-align: justify; text-indent: -30pt;">
<!--[if !supportLists]--><b><span>1.3<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b>Metode
Pengumpulan Data <o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="FI"><span>1.3.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Wawancara
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="FI">Pengambilan data melalui tanya
jawab langsung dengan keluarga.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="FI"><span>1.3.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Observasi
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="SV">Pengambilan data dengan
melihat, memantau perkembangan keadaan Pasien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="FI"><span>1.3.3<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Dokumentasi
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="SV">Pengambilan data dengan
melihat buku status Pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="FI"><span>1.3.4<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Studi
Kepustakaan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="SV">Pengambilan data dari
buku-buku litaratur.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="SV">BAB II<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="SV">LANDASAN TEORI </span></b><span lang="SV"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30pt; text-align: justify; text-indent: -30pt;">
<!--[if !supportLists]--><b><span lang="SV"><span>2.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="SV">Teori Asphixi <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Definisi
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="SV">Asphixia neonatorum adalah
keadaan dimana bayi tidak dapat bernafas secara spontan dan teratur segera
setelah lahir. Hal ini disebabkan karena hipoksia janin dalam uterus dan
hipoksia ini berhubungan dengan faktor-faktor yang timbul dalam kehamilan,
persalinan atau segera setelah bayi lahir. (Prawiroharjo Sarwono, 1999 : 709).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Etiologi
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Faktor Ibu <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Hipoksia
ibu <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Usia
ibu (< 20 th / > 35 th)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Multigravida
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Gizi
ibu yang buruk<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Gangguan
his misalnya hipertensi / tetanus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Penyakit
menahun seperti anemia, hipertensi, jantung, dll<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Faktor Janin <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Prematur
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">IUGR<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Gemeli
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Tali
pusat menumbung <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Perdarahan
intrakranial <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Kelainan
kongenital seperti hernia, diafragmatika, atresia esofagus, hipoplasia,
paru-paru, dll<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Faktor Placenta <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Solusio
placenta <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Placenta
previa <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Kelainan
bentuk placenta (placenta membranosa, placenta suksenturiata, placenta efuria,
placenta bilabus / trilobus, dll)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Faktor Persalinan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Partus
lama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Partus
dengan tindakan (vakum ekstraksi, forcep)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.3<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Tanda
dan Gejala <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Pernafasan cuping hidung <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Pernafasan cepat > 60 x/mnt<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Nadi cepat 100 x/mnt<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Sianosis / pucat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">AS < 6<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.4<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Patogenesis
<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<!--[if gte vml 1]><v:polyline id="_x0000_s1026" style='position:absolute;
left:0;text-align:left;z-index:251655680;mso-position-horizontal:absolute;
mso-position-horizontal-relative:text;mso-position-vertical:absolute;
mso-position-vertical-relative:text' points="4in,6.4pt,348pt,6.4pt,348pt,33.4pt"
coordsize="1200,540" o:allowincell="f" filled="f">
<v:stroke endarrow="block"/>
<v:path arrowok="t"/>
</v:polyline><![endif]--><!--[if !vml]--><span style="height: 39px; left: 0px; margin-left: 383px; margin-top: 8px; position: absolute; width: 87px; z-index: 251655680;"><img height="39" src="file:///C:/Users/ALVIAK%7E1/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" v:shapes="_x0000_s1026" width="87" /></span><!--[endif]--><!--[if gte vml 1]><v:polyline id="_x0000_s1027"
style='position:absolute;left:0;text-align:left;z-index:251656704;
mso-position-horizontal:absolute;mso-position-horizontal-relative:text;
mso-position-vertical:absolute;mso-position-vertical-relative:text' points="174pt,7.1pt,114pt,7.1pt,114pt,34.1pt"
coordsize="1200,540" o:allowincell="f" filled="f">
<v:stroke endarrow="block"/>
<v:path arrowok="t"/>
</v:polyline><![endif]--><!--[if !vml]--><span style="height: 39px; left: 0px; margin-left: 146px; margin-top: 8px; position: absolute; width: 87px; z-index: 251656704;"><img height="39" src="file:///C:/Users/ALVIAK%7E1/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" v:shapes="_x0000_s1027" width="87" /></span><!--[endif]--><span lang="SV">Janin kekurangan O<sub>2</sub> <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<!--[if gte vml 1]><v:shapetype id="_x0000_t202" coordsize="21600,21600"
o:spt="202" path="m,l,21600r21600,l21600,xe">
<v:stroke joinstyle="miter"/>
<v:path gradientshapeok="t" o:connecttype="rect"/>
</v:shapetype><v:shape id="_x0000_s1028" type="#_x0000_t202" style='position:absolute;
left:0;text-align:left;margin-left:60pt;margin-top:18.9pt;width:2in;height:252pt;
z-index:251657728' o:allowincell="f" filled="f" stroked="f"/><v:shape id="_x0000_s1029"
type="#_x0000_t202" style='position:absolute;left:0;text-align:left;
margin-left:270pt;margin-top:18.9pt;width:2in;height:270pt;z-index:251658752'
o:allowincell="f" filled="f" stroked="f"/><![endif]--><!--[if !vml]--><span>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="25" width="80"></td>
<td width="196"></td>
<td width="84"></td>
<td width="196"></td>
</tr>
<tr>
<td height="340"></td>
<td height="340" style="vertical-align: top;" width="196"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; position: absolute; z-index: 251657728;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 3.6pt 7.2pt;" v:shape="_x0000_s1028">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Kadar CO<sub>2</sub> meningkat <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Timbul rangsangan terhadap aesofagus <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Detak jantung lemah <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Kurang O<sub>2</sub> terus berlangsung <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Timbul rangsangan hilus simpatikus <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Detak jantung cepat irreguler <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Detak jantung menghilang <o:p></o:p></span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
<td></td>
<td height="364" rowspan="2" style="vertical-align: top;" width="196"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; position: absolute; z-index: 251658752;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td><!--[endif]-->
<div class="shape" style="padding: 3.6pt 7.2pt;" v:shape="_x0000_s1029">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Merangsang usus <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Meconium keluar<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Meconium ada dalam cairan ketuban <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Janin melakukan pernafasan intrauterin<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Paru-paru banyak mengandung meconium<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Bronkus tersumbat <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Atelektasis <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="SV">Janin lahir alveoli tidak berkembang <o:p></o:p></span></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
<tr>
<td height="24"></td>
</tr>
</tbody></table>
</span><!--[endif]--><span lang="SV"><o:p> </o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: center;">
<br /></div>
<br clear="all" />
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.5<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Gambaran
Klinis <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="SV">Ada 2 macam <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Asphixia Livida (biru)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Asphixia palida (putih)<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="SV">Perbedaan <o:p></o:p></span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="SV">Asphixia Livida <o:p></o:p></span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 105.8pt;" valign="top" width="141">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="SV">Asphixia Palida<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Warna kulit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Tonus otot <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Reaksi rangsangan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Prognosis <o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Kebiru-biruan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Masih baik <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Masih teratur <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Lebih baik<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 105.8pt;" valign="top" width="141">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Pucat <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Kurang <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Tidak teratur <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI">Jelek <o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="FI">Tanda-tanda asphixia <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Detak
jantung > 160 x/mnt atau 120 x/mnt, irreguler <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Adanya
pengeluaran mekonium <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.6<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Diagnosa
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Intra Utero<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV" style="letter-spacing: -0.2pt;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV" style="letter-spacing: -0.2pt;">Detak jantung irreguler frekwensi > 160 x/mnt atau 120
x/mnt<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Terdapat
meconium dalam air ketuban <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Amnioscopi
pemeriksaan ph adalah janin <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Ultra
sonografi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Extra utero <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Bayi
pucat dan kebiruan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Tidak
bernafas (apnoe)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Bila
ada perdarahan otak,<span> </span>timbul gejala
neurologi seperti kejang histakmus kurang atau tidak menangis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.7<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Prognosis
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="SV">Tergantung pada kurangnya O<sub>2</sub>
luasnya perdarahan intrakranial secara geris besar, perubahan yang terjadi pada
asphixia adalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Menurunnya
tekanan O<sub>2</sub> srterial <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Meningkatnya
tekanan O<sub>2</sub><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Turun
Ph darah yaitu < 7,2<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV" style="letter-spacing: -0.2pt;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV" style="letter-spacing: -0.2pt;">Dipakainya simpanan glikogen tubuh untuk metabolisme
anaerobik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Terjadinya
perubahan fungsi sistem kardio vaskuler yang disebabkan oleh<span> </span>:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV" style="font-family: Wingdings;"><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Kerja jantung terganggu akibat dipakainya
simpanan glikogen dalam jaringan jantung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV" style="font-family: Wingdings; letter-spacing: -0.2pt;"><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV" style="letter-spacing: -0.2pt;">Asidosis metabolisme
yang mengganggu fungsi sel-sel jantung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV" style="font-family: Wingdings;"><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Gangguan peredaran darah ke paru karena
tetap tinggalnya palmoryt vaskuler resistence<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Bila
bayi dapat pulih kemungkinan menderita cacat mental seperti epilepsi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.8<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Penatalaksanaan
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Hindari forcep, versi dan ekstraksi pada
panggul sempit dan pemberian pituitarin dosis tinggi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Perbaiki keadaan umum ibu yang anemis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Hindari pemberian obat bius dan jangan
menunggu lama pada saat kala II.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="SV"><span>2.1.9<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Profilaksis
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Membersihkan jalan nafas dengan
penghisapan lendir dan pengusapan muka menggunakan kasa steril<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Potong tali pusat dengan teknik septik
aseptik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Bila bayi tidak menangis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Lakukan rangsangan taktil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Bila tidak berhasil lakukan PTV (Ventilasi
Tekanan Poitif)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Pertahankan suhu tubuh normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Agar apgar skor pada menit ke – 5 sudah
baik (7-10) lakukan perawatan selanjutnya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Pertahankan
suhu tubuh bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Perawatan
tali pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Pemberian
ASI sedini mungkin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Melaksanakan
antropometri dan pengkajian kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Memasang
pakaian bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Memasang
tanda pengenal dan gelang bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Mengajarkan pada orang tua cara untuk :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Membersihkan
jalan nafas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Meneteki
dengan baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Perawatan
tali pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Memandikan
bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Mengopservasi
keadaan pernafasan bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>7.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Menjelaskan akan pentingnya :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pemberian
ASI sedini mungkin sampai umur 6 bulan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Makanan
bergizi pada ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Makanan
tambahan bayi diatas 4 bulan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Mengikuti
A - S pada menit ke 5 belum mencapai normal (7-10) rujuk ke RS<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify;">
<span lang="FI">Penilaian Apgar Skor<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 77.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 98.1pt;" valign="top" width="131">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="FI">Penilaian<o:p></o:p></span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 60.2pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="FI">0<o:p></o:p></span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.4pt;" valign="top" width="111">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="FI">1<o:p></o:p></span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 82.3pt;" valign="top" width="110">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="FI">2<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 98.1pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI" style="letter-spacing: -0.2pt;">Apperance / warna
kulit<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.2pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 130%; margin: 0in -2.85pt 0.0001pt; text-align: center;">
<span lang="FI">Biru pucat<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Tubuh kemerahan extremitas biru<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 82.3pt;" valign="top" width="110">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Seluruh tubuh kemerahan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 98.1pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Pulse / denyut nadi<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.2pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 130%; margin: 0in -2.85pt 0.0001pt; text-align: center;">
<span lang="FI">Tidak ada<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">< 100 x/mnt<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 82.3pt;" valign="top" width="110">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">> 100 /mnt<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 98.1pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Grimace / reaksi terhadap rangsangan<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.2pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 130%; margin: 0in -2.85pt 0.0001pt; text-align: center;">
<span lang="FI">Tidak ada<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Menyeringai<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 82.3pt;" valign="top" width="110">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Bersin/batuk<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 98.1pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Activity/tonus otot<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.2pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 130%; margin: 0in -2.85pt 0.0001pt; text-align: center;">
<span lang="FI">Tidak ada<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Ekstrimitas sedikit fleksi<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 82.3pt;" valign="top" width="110">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Gerakan aktif<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 98.1pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Respiration/pernafasan<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.2pt;" valign="top" width="80">
<div align="center" class="MsoNormal" style="line-height: 130%; margin: 0in -2.85pt 0.0001pt; text-align: center;">
<span lang="FI">Tidak ada<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Lemah/tidak teratur<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 82.3pt;" valign="top" width="110">
<div class="MsoNormal" style="line-height: 130%; margin-right: -2.85pt;">
<span lang="FI">Menangis kuat<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;">
<span lang="FI">Klasifikasi klinik asphixia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Nilai Apgar 7-10 </span><span lang="FI" style="font-family: Wingdings;"><span>à</span></span><span lang="FI"> bayi normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Nilai Apgar 4-6 </span><span lang="FI" style="font-family: Wingdings;"><span>à</span></span><span lang="FI"> asphixia sedang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Nilai Apgar 0-3 </span><span lang="FI" style="font-family: Wingdings;"><span>à</span></span><span lang="FI"> Asphixia berat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 1in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;">
<span lang="FI">Kategori penilaian<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pernafasan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify;">
<span lang="FI">Asphixia sedang </span><span lang="FI" style="font-family: Wingdings;"><span>à</span></span><span lang="FI"> > 60 x/mnt<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify;">
<span lang="FI">Asphixia berat </span><span lang="FI" style="font-family: Wingdings;"><span>à</span></span><span lang="FI"> 0 (apnu) - < 40 x/mnt<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Biru
/ sianosis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify;">
<span lang="SV">Asphixia sedang </span><span lang="FI" style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> biru disekitar mulut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify;">
<span lang="SV">Asphixia berat </span><span lang="FI" style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> biru sentral (lidah biru)<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 147%; margin-left: 30pt; text-align: justify; text-indent: -30pt;">
<!--[if !supportLists]--><b><span lang="SV"><span>2.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="SV">Askeb Teori<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 61.6pt; text-indent: -31.6pt;">
<!--[if !supportLists]--><span>2.2.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Pengkajian</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 79.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Data Subyektif</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt; text-indent: -18.1pt;">
<!--[if !supportLists]--><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Biodata</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt;">
<span lang="FI">Nama, umur, no reg, nama orang tua,
pekerjaan, pendidikan, agama, alamat.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt; text-indent: -18.1pt;">
<!--[if !supportLists]--><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Keluhan Utama</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt;">
Keadaan
bayi saat pengkajian (BB < 2500 gram) hipotermi, lemah, sesak.</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt; text-indent: -18.1pt;">
<!--[if !supportLists]--><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Riwayat Penyakit Sekarang</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt;">
Dilahirkan
usia kehamilan < 37 minggu, kehamilan tunggal atau kembar, penyakit yang
berhubungan langsung dengan kehamilan misalnya DM, PEB, Perdarahan PP, Nefritis
Akut.</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt; text-indent: -18.1pt;">
<!--[if !supportLists]--><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Riwayat Penyakit Keluarga</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt;">
Penyakit
menahun atau menular seperti TBC, DM, Hipertensi.</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 98pt; text-indent: -18.1pt;">
<!--[if !supportLists]--><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Riwayat Neonatal</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 163.7pt; text-indent: -65.7pt;">
Pre natal<span> </span>:<span> </span>Keadaan bayi ketika
dalam kandungan, keadaan ibu saat hamil, keluhan selama hamil, pemeriksaan yang
dilakukan.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 163.7pt; text-indent: -65.7pt;">
<st1:city w:st="on"><st1:place w:st="on">Natal</st1:place></st1:city><span> </span>:<span> </span>Riwayat
persalinan, umur kehamilan, keadaan saat lahir, yang menolong, berapa APGAR scorenya.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 163.7pt; text-indent: -65.7pt;">
Post natal<span> </span>:<span> </span>Keadaan bayi setelah lahir, bagaimana tumbuh
kembangnya.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 98pt; text-indent: -18.1pt;">
<!--[if !supportLists]--><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Riwayat Imunisasi</div>
<div class="MsoBodyTextIndent3" style="margin-left: 115.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI" style="letter-spacing: -0.3pt;">Apakah bayi sudah diimunisasi, jika sudah jenisnya apa
saja</span><span lang="FI">.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="margin-left: 115.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Bayi
belum boleh diimunisasi sampai BB bayi mencapai 2500 gram dan kondisi bayi
stabil.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="margin-left: 98pt; text-indent: -18.1pt;">
<!--[if !supportLists]--><span>g.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Pola kebiasaan Sehari-hari</div>
<div class="MsoBodyTextIndent3" style="margin-left: 284.15pt; text-indent: -183.55pt;">
<span lang="FI">Bagaimana
kebutuhan nutrisinya<span> </span></span><span style="font-family: Symbol;"><span>®</span></span><span lang="FI"><span>
</span>(ASI dan PASI)<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="margin-left: 284.15pt; text-indent: -183.55pt;">
<span lang="FI">Pola istirahat<span> </span></span><span style="font-family: Symbol;"><span>®</span></span><span lang="FI"><span>
</span>Lebih banyak tidur.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="margin-left: 284.15pt; text-indent: -183.55pt;">
<span lang="FI">Pola eliminasi<span> </span></span><span style="font-family: Symbol;"><span>®</span></span><span lang="FI"> BAB bagaimana, BAK bagaimana.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="margin-left: 79.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Data Obyektif</div>
<div class="MsoBodyTextIndent3" style="margin-left: 97.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Kesadaran<span> </span>:<span> </span>Composmentis, apatis, samnolen.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 97.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Keadaan umum<span> </span>:<span> </span>Baik / tidak.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 201.3pt; text-indent: -121.4pt;">
<!--[if !supportLists]--><span lang="SV"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Tanda-tanda Vital<span> </span>:<span> </span>Nadi, suhu, pernafasan
(Suhu < 37 </span><span style="font-family: Symbol;"><span>°</span></span><span lang="SV">C pernafasan
belum teratur)<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="margin-left: 97.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Pemeriksaan Fisik<span> </span>:</div>
<div class="MsoBodyTextIndent3" style="margin-left: 97.9pt;">
Dilakukan
dari ujung kepala sampai kaki, hasil pemeriksaan dicatat, data yang menunjang
adalah : Lemak subcutan, lanugo banyak terutama pada dahi / pelipis.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 97.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Pertumbuhan dan Perkembangan</div>
<div class="MsoBodyTextIndent3" style="margin-left: 97.9pt;">
<span lang="SV">Bagaimana reflek bayi dan indera bayi
(reflek masih lemah / tidak).<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="margin-left: 115.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Fisik <span> </span>:<span> </span>Kecil dan lemah.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 115.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Motorik<span> </span>:<span> </span>Pergerakan kurang aktif.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 115.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Vokalisasi <span> </span>:<span> </span>Menangis lemah.</div>
<div class="MsoBodyTextIndent3">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 61.6pt; text-indent: -31.6pt;">
<!--[if !supportLists]--><span>2.2.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Identifikasi Diagnosa / Masalah</div>
<div class="MsoBodyTextIndent3" style="margin-left: 61.9pt;">
Pada langkah ini
dilakukan identifikasi yang benar terhadap diagnosa / masalah dan kebutuhan
klien berdasarkan interprestasi yang benar atas data yang telah dikumpulkan.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 79.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Gangguan keseimbangan suhu tubuh.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 79.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Resiko terjadinya infeksi.</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 61.6pt; text-indent: -31.6pt;">
<!--[if !supportLists]--><span>2.2.3<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Antisipasi Masalah Potensial</div>
<div class="MsoBodyTextIndent3" style="margin-left: 79.9pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Potensial terjadi infeksi neonatus yang ditandai dengan
ketuban mikonial.</div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 61.6pt; text-indent: -31.6pt;">
<!--[if !supportLists]--><span>2.2.4<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Identifikasi Kebutuhan Segera</div>
<div class="MsoBodyTextIndent3" style="margin-left: 78pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Kolaborasi
dengan tim medis dalam pemberian terapi.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="margin-left: 78pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Perawatan
tali pusat<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 61.6pt; text-indent: -31.6pt;">
<!--[if !supportLists]--><span>2.2.5<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Intervensi</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 132pt; text-align: justify; text-indent: -70.4pt;">
<span lang="SV">Diagnosa<span> </span>:<span> </span>By Ny. “S” umur 1 hari dengan NCB SC BBLR
asfiksia sedang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 132pt; text-align: justify; text-indent: -70.4pt;">
<span lang="SV">Tujuan<span> </span>:<span> </span>Setelah dilakukan asuhan kebidanan selama 1 x
30 detik sesak bisa berkurang dengan kriteria hasil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Tidak sesak</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->RR 40-60 x<span lang="SV">/mnt<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Cyanosis
(-)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 150pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Hypersalivasi
(-)<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 114.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 144%; margin-left: 128.8pt; text-indent: -92.8pt;">
<span lang="SV">Intervensi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Lakukan pendekatan pada keluarga pasien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -24pt;">
<span lang="SV">R/<span> </span>Dengan pendekatan dengan
keluarga akan terjalin kerjasama yang baik antara keluarga dan petugas
kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Posisikan bayi ekstensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -24pt;">
<span lang="SV">R/<span> </span>Untuk melancarkan jalan nafas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Bersihkan jalan nafas yang terdapat lendir<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -24pt;">
<span lang="SV">R/<span> </span>Untuk melancarkan jalan nafas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Berikan lampu pemanas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -24pt;">
<span lang="SV">R/<span> </span>Mencegah terjadinya hipotermi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Lanjutkan kolaborasi dengan tim medis
dalam pemberian terapi dan O<sub>2</sub><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -24pt;">
<span lang="SV">R/<span> </span><span style="letter-spacing: -0.3pt;">Pemberian terapi yang tepat dapat mempercepat proses penyembuhan</span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Observasi pernafasan tiap 4 jam sekali<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -24pt;">
<span lang="SV">R/<span> </span>Untuk mengetahui perkembangan
bayi<o:p></o:p></span></div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 61.6pt; text-indent: -31.6pt;">
<!--[if !supportLists]--><span>2.2.6<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Implementasi</div>
<div class="MsoBodyTextIndent3" style="margin-left: 61.9pt;">
Implementasi yang
komprehensif merupakan pemngeluaran dan perwujudan dari rencana yang telah
disusun pada tahap-tahap perencanaan dapat terealisasi dengan baik apabila
berdasarkan hakekat masalah, jenis tindakan atau pelaksanaan bisa dikerjakan
oleh bidan itu sendiri, kolaborasi sesama tim / kesehatan lain dan rujukan dari
profesi lain.</div>
<div class="MsoBodyTextIndent3" style="line-height: normal; margin-left: 25.9pt;">
<br /></div>
<div class="MsoBodyTextIndent3" style="line-height: 147%; margin-left: 61.6pt; text-indent: -31.6pt;">
<!--[if !supportLists]--><span>2.2.7<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Evaluasi</div>
<div class="MsoBodyTextIndent3" style="margin-left: 61.9pt;">
Evaluasi adalah tindakan
yang berhubungan dengan pelaksanaan serta didasarkan atas tujuan dan kriteria,
guna mengevaluasi untuk menyusun langkah baru asuhan kebidanan, menunjang
tanggung jawab dan tanggung gugat dalam asuhan kebidanan, dalam hal ini
menggunakan SOAP yaitu :</div>
<div class="MsoBodyTextIndent3" style="margin-left: 88.2pt; text-indent: -0.35in;">
S<span> </span>:<span> </span>Data yang diperoleh dari hasil wawancara
langsung dengan pasien.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 88.2pt; text-indent: -0.35in;">
O<span> </span>:<span> </span>Data yang diperoleh dari observasi dan
pemeriksaan kita.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 88.2pt; text-indent: -0.35in;">
A<span> </span>:<span> </span>Pemeriksaan yang terdiri dari data S + O.</div>
<div class="MsoBodyTextIndent3" style="margin-left: 88.2pt; text-indent: -0.35in;">
<span lang="SV">P <span> </span>:<span> </span>Perencanaan
yang ditentukan sesuai dengan masalah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
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<b><span lang="SV">BAB III<o:p></o:p></span></b></div>
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<b><span lang="SV">TINJAUAN KASUS</span></b><span lang="SV"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="SV"><span>3.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="SV">Pengkajian<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV">MRS 7 November 2005 <span> </span>Jam 06.00<o:p></o:p></span></div>
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<span lang="SV">Nama <span> </span>:<span> </span>By. Ny. “S”<span> </span>Nama
orang tua<span> </span>:<span> </span>Ny. ”S”<o:p></o:p></span></div>
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<span lang="SV">Umur<span> </span>:<span> </span>1 hari<span> </span>Umur<span> </span>:<span> </span>18 tahun<o:p></o:p></span></div>
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<span lang="SV">Alamat<span> </span>:<span> </span>Mojoanyar Bareng<span> </span>Pekerjaan<span> </span>:<span> </span>IRT<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span><span> </span>Pendidi</span><span lang="FI">kan<span> </span>:<span> </span>SMP<o:p></o:p></span></div>
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<span lang="FI"><span> </span>Agama<span> </span>:<span> </span>Islam<o:p></o:p></span></div>
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<span lang="FI"><span> </span>Alamat<span> </span>:<span> </span>Mojoanyar
Bareng<o:p></o:p></span></div>
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<span lang="FI">Tanggal pengkajian : 07 November 2005<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="FI"><span>3.1.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Anamnase<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Keluhan
utama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify;">
<span lang="SV">Sesak dengan RR 52x/mnt, tangis lemah,
hypersalivasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Riwayat
kesehatan sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify;">
<span style="letter-spacing: -0.1pt;">Bayi
lahir Sc dengan Placenta previa totalis ketuban jernih AS 6-7<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Riwayat
kehamilan<o:p></o:p></span></div>
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<span lang="FI">G<sub>I</sub>P<sub>00000</sub>, ANC 7x, umur ibu waktu hamil (18 tahun,
usia kehamilan 38 minggu / 9 bulan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Riwayat
persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.1pt;">
<span lang="FI">P<sub>10001</sub> hamil (38 minggu / 9
bulan, lahir sc dengan placenta previa totalis, ketuban jernih pada tanggal 6
November 05 jenis kelamin perempuan, AS 1 mnt pertama 6, 5 menit kedua 7<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Riwayat
penyakit keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt;">
<span lang="FI">Ibu mengatakan dalam keluarganya maupun
suaminya tidak ada yang pernah menderita penyakit menular dan menahun sperti
paru-paru, hepatitis, DM, darah tinggi, jantung dll, juga tidak ada keturunan
kembar.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Riwayat
neonatal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -81pt;">
<!--[if !supportLists]--><span lang="FI"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Prenatal<span> </span>:<span> </span>Ini merupakan kehamilan pertama dengan usia
kehamilan 38 minggu/9 bulan, ANC 7x di bidan mendapatkan tablet Fe, vit C dan
kalk.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -81pt;">
<!--[if !supportLists]--><span lang="FI"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Natal<span> </span>:<span> </span>Bayi perempuan lahir secara sc karena
placenta previa totalis ditolong dokter, ketuban jernih, sesak (+), lemah, BB :
2340 gram, BB<span> </span>46 cm, LD : 32 cm, LK = MO
; 35 cm, SOB : 31 cm.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-indent: -81pt;">
<!--[if !supportLists]--><span lang="FI"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Post Natal<span> </span>:<span> </span>Bayi lahir sc, tidak menangis, ketuban
jernih, sesak (+) hypersalivaasi (+) AS 6-7<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Riwayat
imunisasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt;">
<span lang="FI">Belum mendapatkan imunisasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pola
kebiasaan sehari-hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pola
nutrisi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="FI">Bayi masih puasa<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pola
aktivitas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="FI">Bayi bergerak kurang aktif, graps reflek
masih lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pola
istirahat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="FI">Bayi tidur </span><span lang="FI" style="font-family: Symbol;"><span>±</span></span><span lang="FI"> 19-20 jam/hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pola
eliminasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt; text-align: justify;">
<span lang="FI">Sejak lahir sampai hari ini bayi sudah BAB 5x
warna hitam kehijauan konsistensi lembek, BAK 7x warna kuning jernih<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-indent: -0.5in;">
<!--[if !supportLists]--><span lang="FI"><span>3.1.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pemeriksaan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Kesadaran : composmentis<span> </span></div>
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Keadaan
umum : lemah sekali</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">TTV<span> </span>N
<span> </span>: 124 x/mnt<span> </span>BB : 2340 g<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in;">
<span lang="SV"><span> </span></span>RR<span> </span>: 62 x/mnt<span> </span>TB
: 46 cm</div>
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<span> </span>S<span> </span>: 36,8 <sup>0</sup>C</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Pemeriksaan fisik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -69pt;">
<span lang="SV">Kepala<span> </span>:<span> </span>Bentuk bulat, rambut hitam, tidak ada lesi,
tidak ada caput sucsadenium, tidak ada cepal hematum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Hidung<span> </span>:<span> </span>Simetris, tidak ada sekret, terpasang 0<sub>2</sub>
2l, terpasang sonde<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Mata<span> </span>:<span> </span>Simetris, konjungtiva tidak pucat, skelra putih<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Telinga<span> </span>:<span> </span>Simetris, bersih<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Mulut&gigi<span> </span>:<span> </span>Mukosa bibir lembab, reflek menghisap lemah, mulut
bersih<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Leher<span> </span>:<span> </span>Tidak ada pembesaran kelenjar tyroid, tidak ada
pembendungan vena jugularis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Dada<span> </span>:<span> </span>Simetris, pernafasan belum teratur tidak ada
wheezing dan ronchi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Abdomen<span> </span>:<span> </span>Tidak kembung, tali pusat belum kering, tidak
ada luka<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Punggung<span> </span>:<span> </span>Simetris, tidak ada kelainan bentuk<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Genetalia<span> </span>:<span> </span>Bersih, labia mayor belum menutup labra minor<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Eks. Atas<span> </span>:<span> </span>Simetris, gerak masih lemah, tidak oedem, jari
lengkap, reflek menggenggam (+) lemah, akral dingin, jari lengkap<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Eks. Bawah<span> </span>:<span> </span>Simetris, gerak masih lemah, tidak oedem, jari
lengkap, reflek babinsky baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 145%; margin-left: 150pt; text-align: justify; text-indent: -68.9pt;">
<span lang="SV">Integumen /<span> </span>:<span> </span>Kulit merah, tipis, tidak ada lanuga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -69pt;">
<span lang="SV">kulit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Pertumbuhan dan perkembangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Pertumbuhan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="SV">BB<span> </span>:<span> </span>2340 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="SV">PB<span> </span>:<span> </span>46 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="SV">LD<span> </span>:<span> </span>32 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="SV">LK <span> </span>:<span> </span>-<span> </span>MO<span> </span>: 35<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="SV"><span> </span><span> </span>-<span> </span>FO<span> </span>: 32 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 96pt;">
<span lang="SV"><span> </span><span> </span>-<span> </span>SOB<span> </span>: 31 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="SV">Perkembangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Indra
penglihatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt;">
<span lang="SV">Mata berkedip bila ada rangsangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Indra
pendengaran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt;">
<span lang="SV">Telinga bayi bisa mendengar suara keras<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Indra
peraba<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt;">
<span lang="SV">Saat kulit bayi disentuh bayi bereaksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="SV"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="SV">Reflek
bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt;">
Babinski
(+)</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt;">
Rooting
(+)</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt;">
Suckling
(+) lemah</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt;">
Swallowing
(+) lemah</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 114pt;">
Leher
(+)</div>
<div class="MsoNormal" style="margin-left: 114pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="SV"><span>3.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="SV">Identifikasi Diagnosa dan Masalah<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify;">
<span lang="SV" style="letter-spacing: -0.2pt;">Diagnosa</span><span lang="SV"><span> </span>:
By Ny. ”S” umur 1 hari dengan NCB SC BBLR Asfiksi sedang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV">Ds<span> </span>:
-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV">DO<span> </span>:<span> </span>-<span> </span>Bayi
sesak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span>-<span> </span>Terpasang O<sub>2</sub> pada hidung 2 l<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span>-
<span> </span>BB : 2340 gram<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span>-<span> </span>TTV<span> </span>S<span> </span>: 36,8<sup>0</sup> C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span>N<span> </span>: 124 x/mnt<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span></span>RR
: 62 x/mnt</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span> </span><span lang="SV">-<span> </span>Cyanocis
(-)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span>-<span> </span>Moro reflek (+)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span>-<span> </span>Reflek menggenggam (+)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="SV"><span> </span></span>-<span> </span>Rooting reflek lemah</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span> </span>-<span> </span>Reflek menelan lemah</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span> </span>-<span> </span>Reflek menghisap lemah</div>
<div class="MsoNormal" style="margin-left: 27pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="SV"><span>3.3<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="SV">Antisipasi Masalah Potensial<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Hipotermi</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Resiko infeksi</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-indent: -0.25in;">
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</span></span><!--[endif]-->RDS</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Nutrisi </div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com1tag:blogger.com,1999:blog-1824918336444908792.post-55087175337693021692012-06-30T05:13:00.000-07:002012-06-30T05:13:51.728-07:00ASUHAN KEBIDANAN (ASKEB) ENDROMETRITIS<link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml" rel="File-List"></link><link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_editdata.mso" rel="Edit-Time-Data"></link><!--[if !mso]>
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<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt; text-align: center;">
<b><span>ASUHAN KEBIDANAN PADA
NY “S”<span> </span>P10001<o:p></o:p></span></b></div>
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<b><span>POST PAARTUM HARI KE-3
DENGAN ENDOMETRITIS<o:p></o:p></span></b></div>
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<b><span>Di BIDAN PRAKTEK
MANDIRI NY SUPRIH Amd.Keb<o:p></o:p></span></b></div>
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<b><span>JOMBANG<o:p></o:p></span></b></div>
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<b><span><span> </span>Untuk
memenuhi tugas Askeb IV <o:p></o:p></span></b></div>
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<b><span><span> </span>Dosen
Pembimbing : SUNARTI<span> </span>SST<o:p></o:p></span></b></div>
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<br /></div>
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<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">Disusun oleh :</span></b><b><span style="font-size: 14pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span style="font-size: 14pt; line-height: 150%;">Nur Alfi Abidah</span></div>
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<span style="font-size: 14pt; line-height: 150%;"><o:p>7209010</o:p></span></div>
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<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">PROGRAM STUDI D III KEBIDANAN<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">FAKULTAS ILMU KESEHATAN<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">UNIVERSITAS PESANTREN TINGGI DARUL<span>
</span>‘ULUM<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">JOMBANG</span></b><b><span style="font-size: 14pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">2011<o:p></o:p></span></b></div>
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<br /></div>
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<b><span><span> </span>TINJAUAN
TEORI<o:p></o:p></span></b></div>
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<b><span><span> </span><o:p></o:p></span></b></div>
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<b><span lang="EN-GB"><span> </span>ENDOMETRITIS<o:p></o:p></span></b></div>
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<span lang="EN-GB">A. PENGERTIAN</span></div>
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<span lang="EN-GB">- Endometritis adalah suatu peradangan endometrium yang biasanya
disebabkan oleh infeksi bakteri pada jaringan. (Taber, B., 1994).</span></div>
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<span lang="EN-GB">Endometritis adalah infeksi pada endometrium (lapisan dalam dari
rahim). (Manuaba, I.B. G., 1998).- Endometritis adalah suatu infeksi yag
terjadi di endometrium, merupakan komplikasi pascapartum, biasanya terjadi
48 sampai 72 jam setelah melahirkan.</span></div>
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<span lang="EN-GB">B. ETIOLOGI</span></div>
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<span lang="EN-GB">Endometritis sering ditemukan pada wanita setelah seksio sesarea
terutama bila sebelumnya adariwayat koriomnionitis, partus lama, pecah ketuban
yang lama. Penyebab lainnya dariendometritis adalah adanya tanda jaringan
plasenta yang tertahan setelah abortus dan melahirkan.(Taber, B. 1994).Menurut
Varney, H. (2001), hal-hal yang dapat menyebabkan infeksi pada wanita adalah:-
Waktu persalinan lama, terutama disertai pecahnya ketuban.- Pecahnya ketuban
berlangsung lama.- Adanya pemeriksaan vagina selama persalinan dan disertai
pecahnya ketuban.- Teknik aseptik tidak dipatuhi.- Manipulasi intrauterus
(pengangkatan plasenta secara manual).- Trauma jaringan yang luas/luka
terbuka.- Kelahiran secara bedah.- Retensi fragmen plasenta/membran amnion</span></div>
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<span lang="EN-GB">C. KLASIFIKASI</span></div>
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<span lang="EN-GB">Menurut Wiknjosastro (2002),-</span></div>
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<!--[if !supportLists]--><span style="line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="letter-spacing: -0.95pt; line-height: 150%;">Endometritis
akuta</span><span style="line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB"> Terutama terjadi pada masa post partum / post abortum.Pada
endometritis post partum regenerasi endometrium selesai pada hari ke-9,
sehinggaendometritis post partum pada umumnya terjadi sebelum hari ke-9.
Endometritis post abortumterutama terjadi pada abortus provokatus.Pada
endometritis akuta, endometrium mengalami edema dan hiperemi, dan pada
pemeriksaanmikroskopik terdapat hiperemi, edema dan infiltrasi leukosit berinti
polimorf yang banyak, serta perdarahan-perdarahan interstisial. Sebab yang
paling penting ialah infeksi gonorea dan infeksi pada abortus dan
partus.Infeksi gonorea mulai sebagai servisitis akut, dan radang menjalar ke
atas dan menyebabkanendometritis akut. Infeksi gonorea akan dibahas secara
khusus.Pada abortus septik dan sepsis puerperalis infeksi cepat meluas ke
miometrium dan melalui pembuluh-pembuluh darah limfe dapat menjalar ke
parametrium, ketuban dan ovarium, dan ke peritoneum sekitarnya.
Gejala-gejala endometritis akut dalam hal ini diselubungi oleh gejala-gejala
penyakit dalam keseluruhannya. Penderita panas tinggi, kelihatan sakit keras,
keluar leukorea yang bernanah, dan uterus serta daerah sekitarnya nyeri
pada perabaan.Sebab lain endometritis akut ialah tindakan yang dilakukan dalam
uterus di luar partus atauabortus, seperti kerokan, memasukan radium ke dalam
uterus, memasukan IUD (intra uterinedevice) ke dalam uterus, dan
sebagainya.Tergantung dari virulensi kuman yang dimasukkan dalam uterus, apakah
endometritis akut tetap berbatas pada endometrium, atau menjalar ke jaringan
di sekitarnya.Endometritis akut yang disebabkan oleh kuman-kuman yang tidak
seberapa patogen padaumumnya dapat diatasi atas kekuatan jaringan sendiri,
dibantu dengan pelepasan lapisanfungsional dari endometrium pada waktu haid.
Dalam pengobatan endometritis akuta yang paling penting adalah berusaha
mencegah, agar infeksi tidak menjalar.Gejalanya :</span></div>
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<span lang="EN-GB">-Demam</span></div>
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<span lang="EN-GB">-Lochea berbau : pada endometritis post abortum kadang-kadang keluar
flour yang purulent</span></div>
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<span lang="EN-GB">-Lochea lama berdarah malahan terjadi metrorrhagi.</span></div>
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<span lang="EN-GB">-Kalau radang tidak menjalar ke parametrium atau parametrium tidak
nyeri</span></div>
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<span lang="EN-GB"> </span></div>
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<span lang="EN-GB">Terapi :</span></div>
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<span lang="EN-GB">-Uterotonika.</span></div>
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<span lang="EN-GB">-Istirahat, letak fowler.</span></div>
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<span lang="EN-GB">-Antibiotika.</span></div>
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<span lang="EN-GB">-Endometritis senilis perlu dikuret untuk menyampingkan corpus
carsinoma. Dapat diberiestrogen.-</span></div>
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<!--[if !supportLists]--><span style="line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="letter-spacing: -0.95pt; line-height: 150%;">Endometritis
kronika</span><span style="line-height: 150%;"><o:p></o:p></span></div>
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<span lang="EN-GB"> Endometritis kronika tidak seberapa sering terdapat, oleh
karena itu infeksi yang tidak dalammasuknya pada miometrium, tidak dapat
mempertahankan diri, karena pelepasan lapisanfungsional darn endometrium pada
waktu haid. Pada pemeriksaan mikroskopik ditemukan banyak sel-sel plasma
dan limfosit. Penemuan limfosit saja tidak besar artinya karena sel itu
jugaditemukan dalam keadaan normal dalam endometrium.Gejala-gejala klinis
endometritis kronika adalah leukorea dan menorargia.Pengobatan tergantung dari
penyebabnya.Endometritis kronis ditemukan:</span></div>
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<!--[if !supportLists]--><span style="line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="line-height: 150%;">Pada tuberkulosis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="line-height: 150%;">Jika tertinggal sisa-sisa
abortus atau partus.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="line-height: 150%;">Jika terdapat korpus alineum
di kavum uteri<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="line-height: 150%;">Pada polip uterus dengan
infeksi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="line-height: 150%;"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="line-height: 150%;">Pada tumor ganas uterus.<o:p></o:p></span></div>
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<span lang="EN-GB">Pada salpingo ± oofaritis dan selulitis pelvik.Endometritis
tuberkulosa terdapat pada hampir setengah kasus-kasus TB genital.
Pada pemeriksaan mikroskopik ditemukan tuberkel pada tengah-tengah
endometrium yang meradangmenahun.Pada abortus inkomplitus dengan sisa-sisa tertinggal
dalam uterus terdapat desidua dan vilikorealis di tengah-tengah radang menahun
endometrium.Pada partus dengan sisa plasenta masih tertinggal dalam uterus,
terdapat peradangan danorganisasi dari jaringan tersebut disertai gumpalan
darah, dan terbentuklah apa yang dinamakan polip plasenta.Endometritis
kronika yang lain umumnya akibat ineksi terus-menerus karena adanya benda
asingatau polip/tumor dengan infeksi di dalam kavum uteri.</span></div>
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<span lang="EN-GB"> </span></div>
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<span lang="EN-GB">Gejalanya :</span></div>
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<span lang="EN-GB">-Flour albus yang keluar dari ostium.</span></div>
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<span lang="EN-GB">-Kelainan haid seperti metrorrhagi dan menorrhagi.Terapi :</span></div>
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<span lang="EN-GB">-Perlu dilakukan kuretase.</span></div>
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<br /></div>
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<span lang="EN-GB">D. GAMBARAN KLINIS</span></div>
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<span lang="EN-GB">Gambaran klinis dari endometritis tergantung pada jenis dan
virulensi kuman, daya tahan penderita dan derajat trauma pada jalan lahir.
Kadang-kadang lokhea tertahan oleh darah, sisa-sisa plasenta dan selaput
ketuban. Keadaan ini dinamakan lokiometra dan dapat menyebabkankenaikan suhu
yang segera hilang setelah rintangan dibatasi. Uterus pada endometrium
agak membesar, serta nyeri pada perabaan, dan lembek. Pada endometritis
yang tidak meluas penderita pada hari-hari pertama merasa kurang sehat dan
perut nyeri, mulai hari ke 3 suhumeningkat, nadi menjadi cepat, akan tetapi
dalam beberapa hari suhu dan nadi menurun, dandalam kurang lebih satu minggu
keadaan sudah normal kembali, lokhea pada endometritis, biasanya bertambah
dan kadang-kadang berbau. Hal yang terakhir ini tidak boleh menimbulkananggapan
bahwa infeksinya berat. Malahan infeksi berat kadang-kadang disertai oleh
lokheayang sedikit dan tidak berbau.Gambaran klinik dari endometritis:</span></div>
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<span lang="EN-GB"> -nyeri abdomen bagian bawah.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB"> -Mengeluarkan keputihan (leukorea).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB"> -Kadang terjadi pendarahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">Dapat terjadi penyebaran.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Miometritis (pada otot rahim).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Parametritis (sekitar rahim).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Salpingitis (saluran otot).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Ooforitis (indung telur).</span></div>
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<span lang="EN-GB">- Pembentukan penahanan sehingga terjadi abses.(Manuaba, I. B. G.,
1998)</span></div>
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<br /></div>
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<span lang="EN-GB">Menurut Varney, H (2001), tanda dan gejala endometritis meliputi:</span></div>
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<span lang="EN-GB">- Takikardi 100-140 bpm.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Suhu 30 ± 40 derajat celcius.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB" style="letter-spacing: -0.95pt;">- Menggigil.</span><span lang="EN-GB">-</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Nyeri tekan uterus yang meluas secara lateral.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Peningkatan nyeri setelah melahirkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Sub involusi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Distensi abdomen.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">-Lokea sedikit dan tidak berbau/banyak, berbau busuk, mengandung
darah seropurulen.</span></div>
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<span lang="EN-GB">- Awitan 3-5 hari pasca partum, kecuali jika disertai infeksi
streptococcus.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Jumlah sel darah putih meningkat.</span></div>
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<br /></div>
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<span lang="EN-GB">E. PATOFISIOLOGI</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">Kuman-kuman masuk endometrium, biasanya pada luka bekas insersio
plasenta, dan waktusingkat mengikut sertakan seluruh endometrium. Pada infeksi
dengan kuman yang tidak seberapa patogen, radang terbatas pada
endometrium. Jaringan desidua bersama-sama dengan bekuandarah menjadi nekrosis
serta cairan. Pada batas antara daerah yang meradang dan daerah sehatterdapat
lapisan terdiri atas lekosit-lekosit. Pada infeksi yang lebih berat batas
endometriumdapat dilampaui dan terjadilah penjalaran</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">F. KOMPLIKASI</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Wound infection- Peritonitis- Adnexal infection.- Parametrial
phlegmon<span style="letter-spacing: -0.95pt;">- Abses pelvis</span>- Septic
pelvic thrombophlebitis.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">G. PENATALAKSANAAN</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-GB">- Antibiotika ditambah drainase yang memadai merupakan pojok sasaran
terpi. Evaluasiklinis daan organisme yang terlihat pada pewarnaan gram, seperti
juga pengetahuan bakteri yangdiisolasi dari infeksi serupa sebelumnya,
memberikan petunjuk untuk terapi antibiotik.- Cairan intravena dan elektrolit
merupakan terapi pengganti untuk dehidrasi ditambahterapi pemeliharaan untuk
pasien-pasien yang tidak mampu mentoleransi makanan lewat mulut.Secepat mungkin
pasien diberikan diit per oral untuk memberikan nutrisi yang memadai.-
Pengganti darah dapat diindikasikan untuk anemia berat dengan post abortus atau
post partum.- Tirah baring dan analgesia merupakan terapi pendukung yang
banyak manfaatnya.- Tindakan bedah: endometritis post partum sering disertai
dengan jaringan plasenta yangtertahan atau obstruksi serviks. Drainase lokia
yang memadai sangat penting. Jaringan plasentayang tertinggal dikeluarkan
dengan kuretase perlahan-lahan dan hati-hati. Histerektomi dansalpingo ±
oofaringektomi bilateral mungkin ditemukan bila klostridia teah meluas
melampauiendometrium dan ditemukan bukti adanya sepsis sistemik klostridia
(syok, hemolisis, gagal<span style="letter-spacing: -0.95pt;">ginjal)</span></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt; text-align: center;">
<b><span>ASUHAN KEBIDANAN PADA
NY “S”<span> </span>P10001<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt; text-align: center;">
<b><span>POST PAARTUM HARI KE-3
DENGAN ENDOMETRITIS<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt; text-align: center;">
<b><span>Di BIDAN PRAKTEK
MANDIRI NY SUPRIH Amd.Keb<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt; text-align: center;">
<b><span>JOMBANG<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt;">
<span lang="IN">I.Pengkajian<span> </span>Data<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt;">
<span lang="IN">A. Data Subyektif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt;">
<span lang="IN">Tanggal Pengkajian<span> </span>:</span><span>01 Januari</span><span lang="IN"> 201</span><span>2<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10pt;">
<span lang="IN">Jam<span> </span>:06.30 WIB<o:p></o:p></span></div>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10pt;"><span lang="IN">Biodata/Identitas<o:p></o:p></span></li>
</ol>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Nama<span> </span>:Ny ”S”<span> </span>Nama Suami<span> </span>:Tn
“W”<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Umur<span> </span>:20 tahun<span> </span>Umur<span> </span>:29
tahun<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Suku/Bangsa<span> </span>:Jawa/Indonesia<span> </span>Suku/Bangsa<span> </span>:Jawa/Indonesia<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Agama<span> </span>:Islam<span> </span>Agama<span> </span><span> </span>:Islam<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Pendidikan<span> </span>:SMA<span> </span>Pendidikan<span> </span>:SMP<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Pekerjaan<span> </span>:Tidak Bekerja<span> </span>Pekerjaan<span> </span>:Wiraswasta<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Alamat<span> </span>:G.Malang 1<span> </span>Alamat<span> </span>:G.Malang1<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<br /></div>
<ol start="2" style="margin-top: 0in;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10pt;"><span lang="IN">Status<span>
</span>Perkawinan<o:p></o:p></span></li>
</ol>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Istri<span> </span>Suami<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Perkawinan ke<span> </span>:<span> </span>1<span> </span>1<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Umur Kawin<span> </span>:<span> </span>19
tahun<span> </span>22tahun<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Lama Kawin<span> </span>:<span> </span>1tahun<span> </span>1tahun<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<br /></div>
<ol start="3" style="margin-top: 0in;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10pt;"><span lang="IN">Keluhan Utama<o:p></o:p></span></li>
</ol>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="EN-GB">Ibu
mengatakan <span> </span>menegeluarkan darah banyak
dan berbau sejak dua hari yg lalu 30 Des 2012.</span><span lang="IN"><o:p></o:p></span></div>
<ol start="4" style="margin-top: 0in;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10pt;"><span lang="IN">Riwayat Kebidanan<o:p></o:p></span></li>
</ol>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.75in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Riwayat Menstruasi<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 1.25in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Menarche<span> </span>:12
tahun<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 1.25in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Lamanya<span> </span>:7 hari<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 1.25in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Banyaknya<span> </span>:1-3
hari=1 kotex penuh, 4-7hari=1/2 kotex<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 1.25in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Siklus<span> </span>:28hari<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 1.25in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Warna<span> </span>:merah
tua<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 1.25in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Bau<span> </span>:Anyir<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 1.25in;">
<br /></div>
<ol start="5" style="margin-top: 0in;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10pt;"><span lang="IN">Riwayat<span>
</span>persalinan</span><span> dan Nifas</span><span> </span><span lang="IN"><o:p></o:p></span></li>
</ol>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="EN-GB">Pada
tanggal 29Desember 2012 jam 01.55 wib telah melahirkan bayi perempuan, lahir
normal di tolong oleh bidan, bayi langsung menangis keras, dengan berat badan
2700gram dan panjang badan 48 cm.<br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--></span><span><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="EN-GB">•
Nifas<br />
Ibu mengatakan setelah persalinan darahnya semakin banyak dan berbau.<br />
• ASI<br />
Diberikan sejak lahir.</span><span><o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Riwayat kesehatan yang lalu<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 0.5in;">
<span lang="IN">Ibu mengatakan tidak pernah menderita penyakit
yang menular seperti penyakit kuning, HIV/AIDS, penyakit menahun seperti
jantung, tekanan darah tinggi, dan penyakit menurun seperti kencing manis,
sesak nafas. Serta tidak mempunyai riwayat kembar baik dari pihak ayah maupun
ibu.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>7.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Riwayat Kesehatan Keluarga<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin: 0in 0in 10pt 0.5in;">
<span lang="IN">Ibu mengatakan dalam keluarganya tidak ada
yang menderita penyakit yang menular seperti penyakit kuning, HIV/AIDS,
penyakit menahun seperti jantung, tekanan darah tinggi, dan penyakit menurun
seperti kencing manis, sesak nafas. Serta tidak mempunyai riwayat kembar baik
dari pihak ayah maupun ibu.<o:p></o:p></span></div>
<ol start="8" style="margin-top: 0in;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10pt;"><span lang="IN">Riwayat K</span><span>B</span><span lang="IN"><o:p></o:p></span></li>
</ol>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-left: 0.5in;">
<span lang="IN">Ibu mengatakan
tidak pernah menggunakan alat Kontrasepsi</span><span><o:p></o:p></span></div>
<ol start="9" style="margin-top: 0in;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%;"><span lang="EN-GB">Pola Kebiasaan Sehari-hari<br />
- Eliminasi<br />
Ibu mengatakan 1X BAB dari melahirkan sampai sekarang. Konsistensi lunak
warna kuning.<br />
BAK 3-4x sehari dengan warna kekuningan, bau khas.<br />
- Nutrisi<br />
Makan 3x sehari dengan komposisi 1 porsi nasi dan tempe.<br />
Minum 4-5 gelas perhari.<br />
- Personal Hygiene<br />
Ibu mengatakan mandi 2X sehari.<br />
- Mobilisasi<br />
Ibu mengatakan setelah melahirkan sampai sekarang hanya terlentang
setengah duduk di tenpat tidur.<br />
• Riwayat budaya<br />
Ibu mengatakan setelah proses persalinan sampai sekarang selalu
menggunakan stagen dan melakukan budaya tarak.<br />
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<!--[endif]--></span><span><o:p></o:p></span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN"><span>A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span lang="IN">Data Obyektif<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 63pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Pemeriksaan umum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt;">
<span lang="IN">KU<span> </span>:<span> </span></span><span>Lemas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt;">
<span lang="IN">Kesadaran<span> </span>:<span> </span>composmentis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt;">
<span lang="IN">Keadaan emosional<span> </span>:<span> </span>stabil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt;">
<span lang="IN">TD<span> </span>:<span> </span></span><span>90/60</span><span lang="IN"> mmHg</span><span><span> </span></span><span lang="IN">S<span> </span>:<span> </span>3</span><span>9</span><span lang="IN">,5<sup><span>
</span>0</sup>C</span><span><span> </span></span><span lang="IN">N:</span><span>110</span><span lang="IN">x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt;">
<span lang="IN">TB<span> </span>:<span> </span>153,5 cm<span> </span>RR<span> </span>:<span> </span></span><span>28</span><span lang="IN"> x/menit</span><span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt;">
<span>Lochea : Purulenta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 63pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Pemeriksaan khusus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>a)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Inspeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 81pt;">
<span lang="EN-GB">-
Mata : Skela tidak ikterus, sklera tidak anemis.<br />
- Leher : Tidak ada pembesaran kelenjar limfe, kelenjar tiroid dan vena
jugularis<br />
- Payudara : ASI sudah keluar, tidak ada bendungan yang abnormal, puting susu
bersih dan menonjol.<br />
- Genetalia : Vulva tidak varises, tidak nampak odema terdapat pengeluaran
darah yang berbau.<br />
- Anus : Tidak hemoroid.<br />
- Ekstremitas : Simetris, tidak ada odema<br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--></span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>b)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Palpasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 81pt;">
<span lang="EN-GB">-
Leher : Tidak ada pembesaran kelenjar limfe, kelenjar tiroid dan vena jugularis<br />
- Payudara : Tidak ada benjolan, dan tidak ada nyeri tekan<br />
- Abdomen : Terdapat nyeri tekan pada abdomen, Uterus membesar, nyeri dan
lembek.<br />
- Ekstermitas : Tidak ada odem.<br />
<!--[if !supportLineBreakNewLine]--><br />
<!--[endif]--></span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>c)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Auskultasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt;">
<span lang="IN">Dada<span> </span>:tidak
terdengar wheezing maupun ronchi<span> </span></span><span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt;">
<span>Perut<span> </span>:
Bising usus 16x permenit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 81pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>d)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Perkusi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt;">
<span lang="IN">Reflek patella (+)/(+)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 27pt; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>II.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">INTERPRETASI DATA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span lang="IN">Diagnosa<span> </span>:<span> </span>Ny
“S” </span><span lang="EN-GB">P1001 Post Partum hari ke 3 dengan endometritis</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span lang="IN">Ds<span> </span>:<span> </span></span><span>ibu mengatakan mengeluarkan darah banyak dan
berbau</span><span lang="IN"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span lang="IN">Do<span> </span>:<span> </span>KU<span> </span>:<span> </span></span><span>Lemas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span><span> </span>Kes<span> </span>: Composmentis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span><span> </span>TTV<span> </span>: TD: 90/60 mmHG<span> </span>Lochea:Purulenta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span><span> </span>S<span> </span>:39,5 C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span><span> </span>N
: 110 x/m<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span><span> </span>RR:28x/m<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span><span> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span lang="IN">Masalah<span> </span>:<span> </span></span><span>Ibu
merasa cemas dengan keadaan seperti ini<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span lang="IN">Kebutuhan<span> </span>:<span> </span>-<span> </span>Penjelasan
tentang keadaan saat ini<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.5in; text-indent: -0.25in;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Kolaborasi
dg dr Obgyn<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.5in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 27pt; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>III.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span lang="IN">IDENTIFIKASI DIAGNOSA DAN MASALAH<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span>Endometritis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 27pt; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>IV.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span lang="IN">IDENTIFIKASI KEBUTUHAN SEGERA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 27pt;">
<span>-Kolaborasi dg Sp Obgyn<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 27pt;">
<span>-Rujuk</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 27pt; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>V.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">INTERVENSI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span lang="IN">Diagnosa<span> </span>:<span> </span> Ny
“S” </span><span lang="EN-GB">P1001Post Partum hari ke 3 dengan endometritis</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span lang="IN">Tujuan<span> </span>:<span> </span>Setelah
dilakukan ashan kebidanan</span><span> selama
1x24 jam</span><span lang="IN"> diharapkan</span><span> keadaan ibu lebih baik, dan cepat mendapatkan
penanganan yang lebih optimal .</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-indent: -63pt;">
<span lang="IN">Kriteria<span> </span>:<span> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Keadaan
umum<span> </span>:<span> </span>Baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Kesadaran<span> </span>:<span> </span>Composmentis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">TTV
normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<span lang="IN">T<span> </span>:<span> </span>110/70 – 120/80 mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<span lang="IN">N<span> </span>:<span> </span>80 – 100 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<span lang="IN">RR<span> </span>:<span> </span>16 – 20 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<span lang="IN">S<span> </span>:<span> </span>36,5 – 37,5 <sup>0</sup>C</span><span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<span>Intervensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt;">
<span>1.Jelaskan kepada Ibu tentang keadaannya saat
ini</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt;">
<span>R:<span> </span>Agar Ibu tahu tentang keadaan yang terjadi
pada dirinya saat ini<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt;">
<span>2.Anjurkan
Ibu untuk menjaga kebersihan diri dan alat vitalnya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt;">
<span>R:
Mencegah penyebaran kuman lebih lanjut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt;">
<span>3.Observasi
TTV <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt;">
<span>R:Deteksi
dini terjadinya komplikasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt;">
<span>4.Beri
Analgesik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt;">
<span>R:Mengurangi
rasa nyeri pada ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 2.75in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt 53.85pt; text-indent: -25.5pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>VI.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">IMPLEMENTASI <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<span lang="IN">Tanggal : </span><span>1 Januari 2012</span><span lang="IN"><span> </span>Jam
: 07.00 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="TableGrid1" style="border-collapse: collapse; border: medium none; margin-left: 29.4pt; width: 559px;">
<tbody>
<tr>
<td style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; border: 1pt solid windowtext; padding: 0in 5.4pt; width: 117.5pt;" width="157">
<div class="MsoNormal" style="line-height: 150%;">
<span>Hari/Tgl/Jam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>1 Januari 2012<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>07.00 WIB<o:p></o:p></span></div>
</td>
<td style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 260.5pt;" width="347">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>1.Menjelaskan kepada Ibu tentang keadaannya
saat ini , Ibu mengalami infeksi endometrium<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>2.Menganjurkan kepada Ibu untuk menjaga
kebersihan alat vitalnya , membasuhnya dari depan kebelakang setelah BAB atau
BAB.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>3.Melakukan Pemeriksaan TTV ulang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>TD:90/60 mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>S:39,5 C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>N:100x/m<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>RR:26 x/m<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>4.Memberi obat analgesik dan antibiotik
sementara sebelum dirujuk ke RS<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>Antalgin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>Paracetamol<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>Amoxilin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="-moz-background-clip: -moz-initial; -moz-background-inline-policy: -moz-initial; -moz-background-origin: -moz-initial; background: white none repeat scroll 0% 0%; border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 41.5pt;" width="55">
<div class="MsoNormal" style="line-height: 150%;">
<b><span lang="IN">TTD<o:p></o:p></span></b></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 15pt 51.05pt; text-indent: -51.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 15pt 51.05pt; text-indent: -51.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 15pt 53.85pt; text-indent: -25.5pt;">
<!--[if !supportLists]--><b><span><span>VII.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>EVALUASI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 15pt 53.85pt;">
<span>Tanggal
1 Januari 2012<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 15pt 53.85pt;">
<span>Jam
: 08.00 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0in 0in 15pt 51.05pt; text-indent: -51.05pt;">
<span><span> </span>S<span> </span>: Ibu mengatakan masih merasa nyeri dan mengeluarkan darah yang
banyak serta berbau<o:p></o:p></span></div>
<div class="MsoNormal" style="margin: 0in 0in 15pt 51.05pt; text-indent: -51.05pt;">
<span><span> </span>O<span> </span>: Ibu mampu menjawab pertanyaan yang diberikan oleh petugas<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: 10pt;">
<span><span> </span>A<span> </span>:</span><span> </span><span lang="IN">Ny “S” </span><span lang="EN-GB">P1001Post Partum hari ke 3 dengan
endometritis</span><span><o:p></o:p></span></div>
<div class="MsoNormal">
<span><span> </span>P<span> </span>:</span><span> - Persiapan Rujukan
ke RS<o:p></o:p></span></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-58570140256091942622012-06-28T16:38:00.000-07:002012-06-28T16:38:21.611-07:00ASUHAN KEBIDANAN PADA IBU BERSALIN NY “W” G׀׀P׀000׀UK 40 MINGGU Dengan ANEMIA SEDANG DI PONEK RSUD JOMBANG<link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml" rel="File-List"></link><link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_editdata.mso" rel="Edit-Time-Data"></link><!--[if !mso]>
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<b><span style="font-size: 14pt; line-height: 150%;">ASUHAN
KEBIDANAN<o:p></o:p></span></b></div>
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<b><span style="font-size: 14pt; line-height: 150%;">PADA
IBU BERSALIN NY “W” G</span></b><b><span dir="rtl" lang="HE" style="font-size: 14pt; line-height: 150%;">׀׀</span></b><b><span style="font-size: 14pt; line-height: 150%;">P</span></b><b><span dir="rtl" lang="HE" style="font-size: 14pt; line-height: 150%;">׀</span></b><span dir="ltr"></span><b><span style="font-size: 14pt; line-height: 150%;"><span dir="ltr"></span>000</span></b><b><span dir="rtl" lang="HE" style="font-size: 14pt; line-height: 150%;">׀</span></b><b><span style="font-size: 14pt; line-height: 150%;">UK 40 MINGGU<o:p></o:p></span></b></div>
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<b><span style="font-size: 14pt; line-height: 150%;">Dengan ANEMIA SEDANG<o:p></o:p></span></b></div>
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<b><span style="font-size: 14pt; line-height: 150%;">DI PONEK RSUD JOMBANG<o:p></o:p></span></b></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
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<br /></div>
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<br /></div>
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<span style="font-family: Algerian; font-size: 14pt; line-height: 150%;">PRODI D III KEBIDANAN <o:p></o:p></span></div>
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<span lang="NL" style="font-family: Algerian; font-size: 14pt; line-height: 150%;">FAKULTAS ILMU
KESEHATAN <o:p></o:p></span></div>
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<span lang="NL" style="font-family: Algerian; font-size: 14pt; line-height: 150%;">UNIVERSITAS
PESANTREN TINGGI DARUL ‘ULUM <o:p></o:p></span></div>
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<span lang="NL" style="font-family: Algerian; font-size: 14pt; line-height: 150%;">JOMBANG<o:p></o:p></span></div>
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<span lang="NL" style="font-family: Algerian; font-size: 14pt; line-height: 150%;">2011<o:p></o:p></span></div>
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<b><span lang="NL" style="font-size: 14pt; line-height: 150%;">KATA
PENGANTAR</span></b><span lang="NL"><o:p></o:p></span></div>
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<i><span lang="NL">Assalamu’alaikum Wr. Wb.<o:p></o:p></span></i></div>
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<span lang="NL">Puji syukur kita panjatkan kepada Allah
SWT, yang mana berkat rahmat taufik serta hidanyah-nyalah, sampai akhirnya
asuhan kebidanan ini dapat disusun dan terselesaikan.<o:p></o:p></span></div>
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<span lang="NL">Sholawat serta salam tak lupa kita panjatkan
kepada junjungan kita nabi besar Muhammad SAW, yang telah membawa kita dari
zaman kegelapan menuju zaman yang terang benderang yakni addinul islam wal
iman.<o:p></o:p></span></div>
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<span lang="NL">Pada penyusunan asuhan kebidanan ini dapat
terselesaikan tak jauh dari berbagai pihak yang telah memberikan dukungan baik
secara langsung maupun tidak langsung pada penulis. Pada akhirnya pada tempat
kiranya penulis menyampaikan penghargaan yang setinggi-tingginya dan terima
kasih sebesar-besarnya kepada : <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NL"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Prof. Dr. H. Ahmad Zahro,MA, selaku Rektor
Universitas Pesantren Tinggi Darul ‘Ulum Jombang.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NL"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Dr. H. M. Zulfikar As’ad Umar, MMR selaku
Dekan Fakultas Ilmu Kesehatan Universitas Pesantren Tinggi Darul ‘Ulum Jombang <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NL"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Ibu Hj. Sabrina Dwi Prihartini, SKM selaku
Direktur Prodi D-III Kebidanan FIK Universitas Pesanren Tinggi Darul ‘Ulum
Jombang.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NL"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Muzayyaroh, SST selaku pembimbing akademik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NL"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">D.Sustina, Amd.Keb selaku pembimbing
ruangan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NL"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Semua teman-teman mahasiswa D-III
Kebidanan yang telah membantu saya baik secara langsung maupun tidak langsung.<o:p></o:p></span></div>
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<span lang="NL">Penulis menyadari sepenuhnya bahwa asuhan
kebidanan ini masih jauh dari kesempurnaan, sehingga kritik dan saran dari
pembaca sekalian kami harapkan. Semoga asuhan kebidanan ini dapat bermanfaat
bagi pembaca sekalian.<o:p></o:p></span></div>
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<i><span lang="NL">Wassalamu’alaikum Wr. Wb.<o:p></o:p></span></i></div>
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Jombang,<span> </span><span> </span>November 2011</div>
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<span> </span><b>Penulis <o:p></o:p></b></div>
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<b><span style="font-size: 14pt; line-height: 150%;">BAB I<o:p></o:p></span></b></div>
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<b><span style="font-size: 14pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span>1.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Latar Belakang<o:p></o:p></b></div>
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Persalinan normal adalah terjadinya
kelahiran bayi aterm dengan proses pervaginam alami tanpa komplikasi.Telah
terbukti bahwa persalinan pervaginam lebih aman daripada persalinan per
abdominan.Aspek penting dalam persalinan normal adalah kasih
sayang,keamanan,dan kepuasan pasien.</div>
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Menurut Survey Demografi Dan Kesehatan
Indonesia (SDKI) Tahun 2002-2003,Angka Kematian Ibu (AKI) di Indonesia masih
tinggi yaitu 307 per 100.000 kelahiran hidup,sedangkan Angka Kematian Bayi Baru
Lahir sebesar 25 per 1000 kelahiran hidup.</div>
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3 sebab pokok angka kematian Ibu
tersebut adalah:</div>
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<!--[if !supportLists]--><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Masih kurangnya pengetahuan mengenai sebab dan
penaggulangan komplikasi-komplikasi penting dalam kehamilan,persalinan serta
nifas.</div>
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<!--[if !supportLists]--><span lang="NL"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="NL">Kurangnya
pengertian dan pengetahuan kesehatan reproduksi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Kurang meratanya pelayanan kebidanan yang baik
diantaranya adalah:</div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Infeksi 39 %</div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Perlukaan jalan lahir 11 %</div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Lain-lain 5 %</div>
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Adapun solusi yang perlu dilakukan
untuk mengurangi Angka Kematian Ibu adalah :</div>
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<!--[if !supportLists]--><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Kemajuan dalam ilmu dan praktek medis seperti:penemuan
obat-obatan baru,lebih sempurnanya tekhnik pembedahan,dan lebih banyaknya
digunakan transfusi darah.</div>
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<!--[if !supportLists]--><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Lebih sempurna dan meluasnya fasilitas-fasilitas untuk
memberi pelayanan kebidanan yang baik.</div>
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<!--[if !supportLists]--><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Lebih baik serta bermutunya SDM tenaga kesehatan yang
memberi pelayanan kebidanan.</div>
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<!--[if !supportLists]--><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Faktor-faktor sosial lebih sempurna kesehatan dan lebih
baiknya makanan rakyat ada umumnya .</div>
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Dengan program diatas maka AKI dapat
dicegah serta ditekan sehingga dapat mengurangi Angka Kematian Ibu (AKI).</div>
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KPP adalah suatu keadaan dimana selaput
ketuban pada kehamilan yang telah variable 6 jam, setelah itu tidak diikuti
tanda-tanda persalinan. Penyebab KPP bermacam-macam, diantaranya adalah servik
inkompeten, ketegangan rahim berlebihan ( kehamilan ganda dan hidramnion ), dan
kelainan letak janin dalam rahim. Sedangkan komplikasi KPP adalah infeksi
peritonisis, rupture uteri, kematian janin, persalinan premature serta
penekanan tali pusat. Dengan berbagai komplikasi tersebut, KPP merupakan salah
satu penyebab kematian maternal . </div>
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Berhubungan dengan itu maka penulis
tertarik untuk memahami lebih seksama tentang persalinan dengan riwayat KPP
serta mengaplikasikan secara langsung di lapangan sehingga nantinya penulis
mampu menjadi tenaga kesehatan yang profesional.</div>
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<!--[if !supportLists]--><b><span>1.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Tujuan<o:p></o:p></b></div>
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<!--[if !supportLists]--><b><span>1.2.1<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Umum<o:p></o:p></b></div>
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Memahami secara seksama tentang
persalinan dengan riwaya KPP secara komprehensif sesuai dengan teori yang ada
dan mengaplikasikan secaralangsung dilapangan.</div>
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<!--[if !supportLists]--><b><span>1.2.2<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b><span> </span>Khusus<o:p></o:p></b></div>
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Setelah dilakukan Asuhan Kebidanan pada
Ibu bersalin Ny “M” diharapkan mahasiswa dapat memahami tentang: </div>
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<!--[if !supportLists]--><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Memahami teori KPP</div>
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<!--[if !supportLists]--><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Mengkaji data yang menunjang asuhan kebidanan pada ibu
bersalin</div>
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<!--[if !supportLists]--><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Menginterpretasikan data dasar untuk mengidentifikasi
diagnose dan masalah</div>
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<!--[if !supportLists]--><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Mengidentifikasi diagnose dan masalah potensial </div>
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<!--[if !supportLists]--><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Mengidentifikasi kebutuhan dan tindakan segera</div>
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<!--[if !supportLists]--><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Membuat rencana asuhan sesuai dengan kondisi</div>
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<!--[if !supportLists]--><span>g.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Melaksanakan implementasi</div>
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<!--[if !supportLists]--><span>h.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Mengevaluasi pelaksanaan asuhan kebidanan</div>
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<!--[if !supportLists]--><b><span>1.3<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Batasan Masalah<o:p></o:p></b></div>
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Bagaimana Asuhan Kebidanan pada Ibu bersalin PADA Ny “M”
G<sub>11 </sub>P<sub>1001<o:p></o:p></sub></div>
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<sub><span> </span></sub>UK
39-40 minggu, Tunggal, Hidup, Intra Uterin, Let.Kep, Kesan Jalan Lahir Normal
Kala1 Fase Laten dengan Riwayat KPP</div>
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<!--[if !supportLists]--><b><span>1.4<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Metode Penulisan<o:p></o:p></b></div>
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Dalam penyusunan Asuhan Kebidanan ini penulis menggunakan 2 metode
penulisan, yaitu:<i><o:p></o:p></i></div>
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<!--[if !supportLists]--><i><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></i><!--[endif]--><i>Pengkajian<o:p></o:p></i></div>
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Yaitu pengkajian langsung terhadap pasien yang ada di
lapangan.</div>
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<!--[if !supportLists]--><i><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></i><!--[endif]--><i>Teknik Wawancara <o:p></o:p></i></div>
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<span lang="SV">Menanyakan hal yang berhubungan
dengan masalah yang dihadapi oleh pasien<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></i><!--[endif]--><i>Observasi<o:p></o:p></i></div>
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<span lang="SV">Mengamati perilaku dan keadaan
klien untuk memperoleh data tentang <span> </span>kesehatan
dan perawatan klien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></i><!--[endif]--><i>Pemeriksaan Fisik<o:p></o:p></i></div>
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<span lang="SV">Memperoleh data obyektif dari
pemeriksaan secara inspeksi, palpasi, perkusi dan auskultasi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></i><!--[endif]--><i>Dokumentasi<o:p></o:p></i></div>
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<span lang="SV">Yaitu
suatu cara untuk memperoleh data dengan melihat data yang sudah ada dalam
status klien catatan medik dan penunjang lainnya. <o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></i><!--[endif]--><i>Studi Pustaka<o:p></o:p></i></div>
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<span lang="SV">Yaitu
mengumpulkan data dengan melihat konsep teori pada buku-buku yang berhubungan dengan
persalinan.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span>1.5<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Waktu Penulisan<o:p></o:p></b></div>
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<span lang="SV">Penulisan asuhan kebidanan ini dilakukan
saat Praktek Klinik Kebidanan 1II pada tanggal 28 Maret 2009 di IRD VK Bersalin
Lt.II RSUD Dr. Soetomo Surabaya<o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
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<b><span style="font-size: 14pt; line-height: 150%;">BAB II<o:p></o:p></span></b></div>
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<b><span style="font-size: 14pt; line-height: 150%;">LANDASAN TEORI<o:p></o:p></span></b></div>
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<b>2.1 LANDASAN TEORI PERSALINAN FISIOLOGIS<o:p></o:p></b></div>
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<b>2.1.1 Pengertian<o:p></o:p></b></div>
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Persalinan
adalah suatu proses pengeluaran hasil konsepsi yang dapat didunia luar dari
rahim<span> </span>mulai jalan lahir atau jalan lain.</div>
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<span> </span>(Sinopsis
Obstetric,1998.Hal:91)</div>
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<b>2.1.2 Istilah
Yang Berhubungan Dengan Persalinan <o:p></o:p></b></div>
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<b>2.1.2.1 Menurut
Cara Persalinan <o:p></o:p></b></div>
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<!--[if !supportLists]--><i><span>1.</span></i><!--[endif]--><i>Persalinan Spontan (Normal/Eutacia) <o:p></o:p></i></div>
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Adalah Proses lahirnya bayi pada letak belakang kepala
dengan dan tenaga ibu sendiri tanpa bantuan alat..</div>
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<!--[if !supportLists]--><i><span>2.</span></i><!--[endif]--><i>Persalinan buatan (Abnormal / Dystocia) <o:p></o:p></i></div>
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Adalah Persalinan pervaginam dengan bantuan alat [tenaga
dari luar]atau melalui dinding perut atau secara SC (sextio caesaria].</div>
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<!--[if !supportLists]--><i><span>3.</span></i><!--[endif]--><i>Persalinan Anjuran<o:p></o:p></i></div>
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Adalah apabila kekuatan untuk persalinan ditimbulkan
dari luar dengan jalan rangsangan obat-obatan.</div>
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<b>2.1.2.2 Menurut
Usia Kehamilan <o:p></o:p></b></div>
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<!--[if !supportLists]--><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Abortus (keguguran)</div>
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Adalah berhentinya kehamilan<span>
</span>sebelum janin hidup diluar kandungan,usia kehamilan < 22 minggu dengan
berat janin<span> </span><500gr.</div>
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<!--[if !supportLists]--><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Persalinan Imatur</div>
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Adalah berhentinya kehamilan<span>
</span>seelum janin hidup diluar kandungan,usia kehamilan antara 22 minggu s/d
28 minggu dengan<span> </span>berat janin antara 500
s/d 1000 gr.</div>
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<!--[if !supportLists]--><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Persalinan Prematuritas </div>
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Adalah pengeluaran hasil konsepsi pada usia kehamilan 28 minggu s/d 36
minggu dengan berat janin <2500gr.</div>
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<!--[if !supportLists]--><span>4)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Persalinan Maturus (aterm atau cukup bulan) </div>
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Adalah Pengeluaran hasil konsepsi pada usia kehamilan >37 minggu s/d
42 minggu<span> </span>dengan berat janin >2500gr.
</div>
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<!--[if !supportLists]--><span>5)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Persalinan Post Maturus /serotinous/ lebih bulan </div>
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Adalah Pengeluaran hasil konsepsi<span>
</span>pada usia kehamilan >42 minggu dengan berat janin >4000gr dan ada
tanda<span> </span>postmaturus. </div>
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<b>2.1.3 Istilah-
Istilah Dalam Kehamilan Dan Persalinan<span> </span><o:p></o:p></b></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i>Gravida</i></b> yaitu<span> </span>seorang wanita sedang<span> </span>hamil .</div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i>Primigravida</i></b> yaitu seorang wanita
yang hamil untuk pertama kalinya .<b><o:p></o:p></b></div>
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<!--[if !supportLists]--><span lang="NL" style="font-family: Wingdings;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><b><i><span lang="NL">Multigravida</span></i></b><span lang="NL"> yaitu seorang wanita yang pernah<span> </span>melahirkan<span>
</span>dan dapat hidup diluar kandungan .<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i>Primipara</i> </b>yaitu seorang wanita yang
pernah melahirkan bayi hidup untuk pertama kalinya. </div>
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<!--[if !supportLists]--><span lang="NL" style="font-family: Wingdings;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><b><i><span lang="NL">Multipara</span></i></b><span lang="NL"> yaitu seorang wanita yang telah melahirkan<span> </span>anak hidup yang ke-2 dengan ke-5 kalinya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i>Grandemultipara</i></b> yaitu <span> </span>seorang wanita yang pernah melahirkan
bayi<span> </span>yang hidup dan mati >5. </div>
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<b>2.1.4 Etiologi <o:p></o:p></b></div>
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Beberapa sebab timbulnya persalinan adalah:</div>
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<!--[if !supportLists]--><b><i><span>1.</span></i></b><!--[endif]--><b><i>Teori Penurunan Hormon <o:p></o:p></i></b></div>
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<span> </span>Yaitu terjadinya<span> </span>penurunan hormone Estrogen dan
pregesteran<span> </span>yang<span> </span>mengkibatkan terjadinya peningkatan Hormon
Oksitosin,yang pada akhirnya<span> </span>hormon
oksitosin<span> </span>tersebut<span> </span>merangsang otot rahim untuk<span> </span>berkotraksi<span>
</span></div>
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<!--[if !supportLists]--><span lang="NL" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Penurunan hormon estrogen<span> </span>dan Progesteron<span> </span>terjadi akibat<span> </span>penimbunan jaringan ikat dan penyempitan
pembuluh darah. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Terjadi 1-2 minggu sebelum partus.</div>
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<!--[if !supportLists]--><b><i><span>2.</span></i></b><!--[endif]--><b><i>Teori Oksitosin Internal<span> </span><o:p></o:p></i></b></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Oksitosin dikeluarkan oleh kelenjar hipofise posterior,perdarahan
keseimbangan hormone estrogen dan progesterone mengubah sensitifitas otot rahim
sehingga <span> </span>terjadi<span> </span>kontraksi Broxton Hick .</div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Menurunnya hormon progesteron dapat
meningkatkan<span> </span>produksi hormon oksitosin<span> </span>yang dapat meningkatkan produksi hormone
oksitosin yang dapat meningkatkan <span> </span>aktifitas otot rahim<span> </span>sehinga<span>
</span>terjadi<span> </span>kontraksi .</div>
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<!--[if !supportLists]--><b><span>3.</span></b><!--[endif]--><b><i>Teori<span> </span>Plasenta menjadi Tua </i></b></div>
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Proses penuaan<span>
</span>plasenta<span> </span>terjadi<span> </span>secara normal<span>
</span>pada usia<span> </span>kehamilan 28
minggu,terjadi penimbungan<span> </span>jaringan ikat<span> </span>dan penyempitan pembuluh<span> </span>darah<span>
</span>sehingga<span> </span>produksi<span> </span>hormon oksitosin<span> </span>yang akan merangsang otot<span> </span>rahim<span>
</span>berkontruksi .</div>
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<!--[if !supportLists]--><b><span>4.</span></b><!--[endif]--><b><i>Teori
Distensi Rahim</i></b>.</div>
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Pembesaran<span> </span>dan
peregangan<span> </span>dinding<span> </span>rahim dapat<span>
</span>menyebabkan ischemia<span> </span>otot-otot
rahim<span> </span>sehingga<span> </span>sirkulasi<span>
</span>darah pada<span> </span>uterus ke
plecenta<span> </span>terganggu.</div>
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<!--[if !supportLists]--><b><i><span>5.</span></i></b><!--[endif]--><b><i>Teori Prostaglandin <o:p></o:p></i></b></div>
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Konsentrasi<span>
</span>prostaglandin<span> </span>meningkat
sejak<span> </span>usia kehamilan<span> </span>15 minggu<span>
</span>dikeluarkan oleh<span> </span>desidua,peningkatan
yang semakin<span> </span>besar dapat<span> </span>menimbulkan kontraksi<span> </span>otot rahim </div>
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<!--[if !supportLists]--><b><i><span>6.</span></i></b><!--[endif]--><b><i>Teori Iritasi Mekanik <o:p></o:p></i></b></div>
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Dibelakang servik<span>
</span>terletak<span> </span>ganglion<span> </span>servikalis ( fleksus<span> </span>frankenhauser), bila ganglion<span> </span>ini ditekan<span>
</span>misalnya oleh kepala janin maka akan timbul kontraksi<span> </span>uterus<span>
</span></div>
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<!--[if !supportLists]--><b><i><span>7.</span></i></b><!--[endif]--><b><i>Teori Induksi Persalinan <o:p></o:p></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
yaitu<span> </span>kontraksi<span> </span>rahim<span>
</span>yang dengan<span> </span>sengaja<span> </span>di timbulkan. </div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Kontraksi<span>
</span>tersebut<span> </span>dapat ditimbulkan<span> </span>dengan berbagai cara diantaranya adalah
dengan: <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -1.75in;">
<!--[if !supportLists]--><span lang="NL"><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Gagang Laminaria<span> </span>yaitu<span>
</span>memasukan larvinavia kedalam<span>
</span>kanolis<span> </span>carvikatus dengan tujuan
merangsang <span> </span>fleksus frakenhauser <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -1.75in;">
<!--[if !supportLists]--><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Amniotomi yaitu pemecahan ketuban dengan alat. </div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -1.75in;">
<!--[if !supportLists]--><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Oksitosin Drips yaitu pemberian<span> </span>oksitosin<span>
</span>menurut tetesan perinfus.</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 9pt;">
<b><span lang="NL">2.1.5 Permulaan<span>
</span>Terjadinya<span> </span>Pesalinan<o:p></o:p></span></b></div>
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<span lang="NL">Dengan adanya
kontraksi<span> </span>uterus dapat<span> </span>menyebabkan: <o:p></o:p></span></div>
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<!--[if !supportLists]--><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Turunnya kepala atau<span>
</span>bagian<span> </span>terendah janin<span> </span>masuk<span>
</span>pintu atas panggul [PAP][Lightening].</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Sering kencing<span>
</span>karena kandung kemih<span> </span>terdesak
oleh penurunan<span> </span>bagian terendah janin .</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Perut melebar<span> </span>karena fundus uteri<span> </span>menurun<span>
</span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Rasa sakit dipinggang<span> </span>karena tertekannya fleksus frankenhauser<span> </span>yang terletak<span>
</span>disekitar<span> </span>serviks.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Terjadi pembukaan servik<span> </span>karena kontraksi uterus.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Terjadi pengeluaran lendir dan basah. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<b>2.1.6
Faktor-Faktor Penting Dalam Persalinan </b><span lang="NL"><o:p></o:p></span></div>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><i>Power (kekuatan)<o:p></o:p></i></b></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
yang terdiri dari:</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->His (kontraksi otot rahim),ada 3 yaitu: </div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 117pt; text-align: justify; text-indent: -63pt;">
<!--[if !supportLists]--><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->His Pembukaan</div>
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<!--[if !supportLists]--><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->His Pengeluaran janin</div>
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<!--[if !supportLists]--><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->His pelepasan dan pengeluaran placenta </div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Kontraksi otot dinding perut atau oto-otot rahim</div>
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<span lang="SV">Yang
dominan di daerah fundus uteri dan semakin berkurang ke arah serviks diikuti
dengan meningkatnya jaringan ikat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span lang="NL" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Kontraksi diafragma pelvis atau kekuatan
mengejan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 27pt;">
<span lang="NO-BOK">Timbul akibat perangsangan fleksus
frakenhouser (fleksus ini terletak di sekitar serviks uteri). Terjadi kontraksi
pada diafragma, pelvis yang berguna untuk mempercepat pembukaan serviks dan
melebarkan bagian bawah vagina pada saat mengejan anus tampak terbuka.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span lang="NL" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Ketegangan dan kontraksi ligamentum
retundum.<o:p></o:p></span></div>
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<b><i><span lang="NL">Ligamentum
rotundum</span></i></b><span lang="NL"> (Ligamentum
uteri) adalah jaringan otot yang pada saat hamil mengalami hipertropi dan
hiperflasi. </span>Fungsinya adalah untuk menahan uterus agar tetap berada
dalam posisi antefleksi.</div>
<ol start="2" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><i>Passanger<o:p></o:p></i></b></li>
</ol>
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<!--[if !supportLists]--><span lang="SV" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="NL">Merupakan
janin dan placenta, terdiri dari janin dengan ukuran dan</span><span lang="SV"> Moulage, sikap fetus, letak janin, presentasi
fetus dan posisi fetus<o:p></o:p></span></div>
<ol start="3" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><i>Passage<o:p></o:p></i></b></li>
</ol>
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Jalan
lahir yang paling penting dalam menentukan proses persalinan adalah pelvis
minor, yang terdiri dari susunan tulang yang kokoh dihubungkan oleh persendian
dan jaringan ikat yang kuat. Pelvis minor (panggul kecil) ini terdiri atas :</div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 111pt; text-align: justify; text-indent: -75pt;">
<!--[if !supportLists]--><b><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Pintu atas panggul<o:p></o:p></b></div>
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Batas atas panggul kecil dibentuk oleh promontorium,
sayap sakrum, linea inominata, ramus superior os pubis dan sympisis pubis</div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 111pt; text-align: justify; text-indent: -75pt;">
<!--[if !supportLists]--><b><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Bidang terluas panggul<o:p></o:p></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify;">
Merupakan bidang terluas dalam ruangan panggul
kecil, bidang ini membentang dari pertengahan sympisis, pertengahan asetabulum
dan pertemuan sakral II dan III, ukuran depan belakang 12,75 cm dan ukuran
melintangnya 12,5 cm</div>
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<br /></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify;">
<br /></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 111pt; text-align: justify; text-indent: -75pt;">
<!--[if !supportLists]--><b><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Bidang sempit panggul<o:p></o:p></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify;">
Bidang ini membentang melalui tepi bawah sympisis
menuju ke spina isciadika dan memotong ujung atas sacrum</div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 111pt; text-align: justify; text-indent: -75pt;">
<!--[if !supportLists]--><b><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Pintu bawah panggul<o:p></o:p></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify;">
<span lang="SV">Terdiri
dari dua segitiga dengan dasar garis pembatas tuber isciadikum dengan jarak
10,5 cm. Tinggi segitiga belakang 7,5 cm. Segitiga depan dibatasi oleh askus
pubis ukuran depan belakang pintu bawah panggul 11,5 cm.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="SV"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="SV">Untuk menilai penurunan bagian terendah
janin, ditentukan dengan bidang Hodge, yaitu :<o:p></o:p></span></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 175pt; text-align: justify; text-indent: -121pt;">
<span lang="SV">Hodge I<span> </span>:<span> </span>sejajar dengan pintu atas panggul.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 175pt; text-align: justify; text-indent: -121pt;">
<span lang="SV">Hodge II<span> </span>:<span> </span>sejajar dengan Hodge I, melalui tepi bawah
sympisis.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 175pt; text-align: justify; text-indent: -121pt;">
<span lang="SV">Hodge III<span> </span>:<span> </span>sejajar dengan Hodge II, melalui spina iscyadica.<o:p></o:p></span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 175pt; text-align: justify; text-indent: -121pt;">
<span lang="SV">Hodge IV<span> </span>:<span> </span>sejajar dengan Hodge III, melalui ujung os
cocygis.</span></div>
<ol start="4" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Penolong persalinan</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Psikis</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Posisi</li>
</ol>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
Ganti
posisi secara teratur kala II persalinan karena dapat mempercepat kemajuan
persalinan. Bantu ibu memperoleh posisi yang paling nyaman sesuai dengan
keinginannya <b><i>(APN, 2004)<o:p></o:p></i></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 111pt; text-align: justify; text-indent: -75pt;">
<!--[if !supportLists]--><b><i><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i>Posisi ½ duduk<o:p></o:p></i></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 135pt; text-align: justify; text-indent: -81pt;">
Keuntungan<span> </span>:Lebih
mudah bagi bidan untuk membimbing kelahiran kepala bayi dan lebih mudah dalam
mensupport perineum</div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 111pt; text-align: justify; text-indent: -75pt;">
<!--[if !supportLists]--><b><i><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i>Posisi merangkap<o:p></o:p></i></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 135pt; text-align: justify; text-indent: -81pt;">
<span lang="SV">Keuntungan<span> </span>:Baik untuk
persalinan bagi klien dengan punggung yang sakit dan peregangan minimal pada
perineum<o:p></o:p></span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 111pt; text-align: justify; text-indent: -75pt;">
<!--[if !supportLists]--><b><i><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i>Posisi jongkok atau berdiri<o:p></o:p></i></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 135pt; text-align: justify; text-indent: -81pt;">
Keuntungan<span> </span>:Membantu
penurunan kepala janin dan membesar dorongan untuk meneran</div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 111pt; text-align: justify; text-indent: -75pt;">
<!--[if !supportLists]--><b><i><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i>Berbaring miring ke kiri<o:p></o:p></i></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin: 0in 0in 0.0001pt 135pt; text-align: justify; text-indent: -81pt;">
Keuntungan<span> </span>:Memberi rasa santai bagi ibu, memberi oksigenasi yang <span> </span>baik dan membantu mencegah terjadinya laserasi</div>
<ol start="7" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Tempat<b><o:p></o:p></b></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<br /></div>
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<b>2.1.7 Tanda-Tanda
Inpartu<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">His yang adekuat (kontraksi uterus semakin
kuat dan teratur serta berjarak semakin pendek).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span>2.</span><!--[endif]-->Terjadi pengeluaran lendir atau
lendir bercampur darah (Bloody Show).</div>
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<!--[if !supportLists]--><span>3.</span><!--[endif]-->Dapat disertai pecahnya ketuban.</div>
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<!--[if !supportLists]--><span lang="NL"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Pada pemeriksaan dalam didapatkan servik
lunak,terjadi pendataran,dan pembukaan servik.<o:p></o:p></span></div>
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<b><span lang="NL">2.1.8 Pembagian Tahap Persalinan<o:p></o:p></span></b></div>
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<span lang="NL">Tahap-tahap
persalinan terdiri dari 4 kala,yaitu :<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i>Kala I<span>
</span>(Kala Pembukaan)<o:p></o:p></i></b></div>
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Yaitu dimulai sejak terjadinya
kontraksi uterus yang teratur dan meningkat (frekuensi dan kekuatan) hingga
servik membuka lengkap (10 cm).</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.5in; text-align: justify; text-indent: -0.75in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Kala I persalinan terdiri dari 2 fase ,yaitu :</div>
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<!--[if !supportLists]--><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Fase laten</div>
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<!--[if !supportLists]--><span lang="NL"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Dimulai sejak awal berkontraksi yang
menyebabkan penipisan dan pembukaan servik secara bertahap.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Berlangsung hingga serviks membuka < 4 cm.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span lang="NL"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Pada umumnya fase laten berlangsung hampir
atau hingga 8 jam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Kontraksi mulai teratur tetapi lamanya masih
diantaranya 20-30 detik.</div>
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<!--[if !supportLists]--><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Fase Aktif </div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Frekuensi dan lama kontraksi uterus akan menigkat
secara bertahap (kontraksi dianggap adekuat / memadai jika terjadi tiga kali
atau lebih 10 dalam menit, dan berlangsung selama 40 detik atau lebih)</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Dari pembukaan 4 cm hingga mencapai pembukaan lengkap
atau 10 cm, akan terjadi dengan kecepatan rata-rata 1 cm perjam (nulipara atau
primigravida) atau lebih dari 1cm-2 cm (multipara).</div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Terjadinya penurunan bagian terbawah janin.</div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Pada umumnya berlangsung ± 6 jam.</div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Dibagi menjadi 3 subfase,yaitu :</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 4in; text-align: justify; text-indent: -3in;">
<!--[if !supportLists]--><span lang="NL"><span>(1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Periode akselerasi→ berlangsung 2
jam,pembukaan menjadi 4 cm..<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 279pt; text-align: justify; text-indent: -207pt;">
<!--[if !supportLists]--><span>(2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Periode dilatasi maksimal (steady)→selama 2 jam
pembukaan berlangsung cepat menjadi 9 cm.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.75in; text-align: justify; text-indent: -1.75in;">
<!--[if !supportLists]--><span lang="NL"><span>(3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Periode deselerasi→berlangsung
lambat,dalam waktu 2 jam pembukaan menjadi 10 cm.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><i><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i>Kala II ( <span> </span>Kala Pengeluaran Janin)<o:p></o:p></i></b></div>
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Yaitu dimulai ketika pembukaan
cervik sudah lengkap (10 cm) dan berakhir dengan lahirnya bayi.</div>
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<!--[if !supportLists]--><span lang="NL" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Gejala dan tanda Kala II adalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span lang="NL"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Ibu merasakan ingin meneran bersamaan
dengan terjadinya kontraksi,akibat turunnya kepala janin turun masuk ruang
panggul sehingga terjadilah tekanan pada otot-otot dasar panggul yang secara
reflektoris menimbulkan rasa meneran.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span lang="NL"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Ibu merasakan adanya peningkatan tekanan
pada rectum dan vagina.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Perineum menonjol.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Vulva/vagina dan sfingter ani membuka,terjadi karena
tekanan pada anus,ibu merasa seperti ingin buang air besar sehingga sfinter ani
membuka.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Meningkatnya pengeluaran lendir bercanpur darah, </div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span> </span>Tanda
pasti kala II ditentukan melalui periksa dalam (informasi obyektif) yang
hasilnya adalah :</div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->His terkoordinir,kuat,cepat,dan lebih lama
kira-kira 2-3 menit sekali.Dengan his meneran yang terpimpin akan lahirlah
kepala,dan diikuti oleh seluruh badan janin.</div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Lamanya kala II pada primigravida 1</div>
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<!--[if !supportLists]--><b><i><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i>Kala III ( Kala Uri )<o:p></o:p></i></b></div>
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Yaitu dimulai setelah lahirnya bayi
dan berakhir dengan lahirnya placenta dan selaput ketuban.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Setelah bayi lahir kontraksi berhenti 5 s/d 10
menit,dengan lahirnya bayi,mulai pelepasan placenta pada lapisan <i>nitabusch </i>karena sifat retraksi otot
rahim.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Setelah beberapa menit his berhenti uterus
teraba keras dengan fundus uteri setinggi pusat,dan berisi placenta yang
menjadi 2 x tebal sebelumnya.beberapa saat kemudian timbul his pelepasan dan
pengeluaran uri dalam waktu 5-10 menit seluruh plecenta terlepas,terdorong ke
vagina dan akan lahir spontan atau dengan sedikit dorongan dari atau dengan
sedikit dorongan dari ats shimpisis atau fundus uteri.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Seluruh proses biasanya berlangsung 5-30 menit
setelah bayi lahir.</div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Lepasnya placenta dapat diperkirakan dengan
adanya tanda-tanda dibawah ini,yaitu:</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Perubahan bentuk dan tinggi fundus uteri.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Tali pusat memanjang.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify;">
Tali pusat terlihat menjulur keluar malalui vulva <b><i>(Tanda
Ahfeld)</i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Semburan darah mendadak dan singkat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: 27pt;">
<span lang="NL">Darah yang
berkumpul dibelakang placenta akan membantu mendorong placenta keluar dan
dibantu oleh gaya gravitasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: 27pt;">
<span lang="NL">Apabila
kumpulan darah (retroplacental Pooling) dalam ruang diantara dinding uterus dan
permukaan dalam placenta melebihi kapasitas tampungnya maka darah tersembur
keluar dari tepi placenta yang terlepas.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: 27pt;">
Semburan darah kira-kira 100-200 cc.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><b><i><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></i></b><!--[endif]--><b><i>Kala IV (Kala Observasi )<o:p></o:p></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
Yaitu dimulai setelah lahirnya placenta dan berakhir 2
jam setelah itu.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Kala IV dimaksudkan untuk melakukan observasi
karena perdarahan post partum paling sering terjadi pada 2 jam pertama.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Observasi yang dilakukan diantaranya adalah :</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span lang="NL"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Tingkat kesadaran dan keadaan umum klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><span lang="NL"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Pemeriksaan TTV yang meliputi: Tekanan
darah,suhu,nadi,dan pernafasan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Kontraksi uterus.</div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Perdarahan </div>
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<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Kandung kemih.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Perdarahan dianggap masih normal bila jumlahnya
tidak melebihi 400-500 cc.</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -9pt;">
<b>2.1.9
Lamanya Persalinan Pada Primigravida dan Multigravida<o:p></o:p></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 135pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>Tahap Persalinan<o:p></o:p></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>Primigravida<o:p></o:p></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168">
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<b>Multigravida<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 135pt;" valign="top" width="180">
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<b>Kala I<o:p></o:p></b></div>
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<b>Kala II<o:p></o:p></b></div>
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<b>Kala III<o:p></o:p></b></div>
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<b>Kala IV<o:p></o:p></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156">
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10 – 12 jam</div>
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1 – 1,5 jam</div>
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1 – 10 menit</div>
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10 menit</div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168">
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6 – 8 jam</div>
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1,5 – 1 jam</div>
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10 menit</div>
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2 jam</div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 135pt;" valign="top" width="180">
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Jumlah
(tanpa memasukkan Kala IV yang bersifat obseravasi)</div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156">
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10 – 12 jam</div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168">
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8 – 10 jam</div>
</td>
</tr>
</tbody></table>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -9pt;">
<b>2.1.10
<st1:place w:st="on"><st1:city w:st="on">Lima</st1:city></st1:place> Benang
Merah Dalam Persalianan<o:p></o:p></b></div>
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<st1:place w:st="on"><st1:city w:st="on">Lima</st1:city></st1:place> benang merah merupakan aspek dasar yang
penting dan saling terkait dalam asuhan persalinan yang bersih dan
aman.Berbagai aspek tersebut melekat pada setiap persalinan,baik normal maupun
pathologis.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 27pt;">
<st1:place w:st="on"><st1:city w:st="on">Lima</st1:city></st1:place>
benang merah ini akan selalu ber laku dalam persalinan,mulai dari kala I sampai
kala IV termasuk penatalaksanaan BBL.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><st1:place w:st="on"><st1:city w:st="on">Lima</st1:city></st1:place>
benang merah tersebut adalah :</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -45pt;">
<!--[if !supportLists]--><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Membuat Keputusan Klinik</div>
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Membuat keputusan klinik merupakan proses yang
menentukan untuk menyelesaikan masalah dan menentukan asuhanyang diperlukan
oleh klien.Keputusan ini harus akurat,komprehensif,dan aman,baik bagi klien dan
keluarganya maupun petugas yang memberikan pertolongan.</div>
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Membuat keputusan klinik tersebut dihasilkan melalui
serangkaian proses dan metode yang sistematik menggunakan informasi dan hasil
dari kognitif dan intuitif serta dipadukan dengan kajian teoritis dan
intervensi berdasarkan bukti (evidence-based),ketrampilan dan pengalaman yang
dikembangkan melalui berbagai tahapan yang logis dan diperlukan dalam upaya
untuk menyelesaikan masalah dan terfokus pada pasien.(<b>Varney,1997</b>)</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -45pt;">
<!--[if !supportLists]--><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Asuhan Sayang Ibu</div>
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Adalah asuhan yang menghargai budaya,kepercayaan dan
keinginan sang ibu.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 27pt;">
Salah satu prinsip dasar asuhan saying ibu adalah
dengan mengikutsertakan suami dan keluarga selama proses persalinan dan
kelahiran bayi serta mengetahui dengan baik mengenai proses persalianan dan
asuhan yang akan mereka terima, mereka akan mendapat rasa aman dan keluaran
yang lebih baik.(<b>Enkin,et al,2000</b>)</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -45pt;">
<!--[if !supportLists]--><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Pencegahan Infeksi</div>
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Adalah bagian esensial dari semua asuhan yang
diberikan pada ibu dan BBL dan harus dilaksanakan secara rutin pada saat
menolong persalinan dan kelahiran bayi.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Prinsip-prinsip PI,yaitu :</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Setiap orang (Ibu,BBL,penolong persalinan) harus
dianggap dapat menularkan penyakit karena infeksi dapat bersifat asimtomatik
(tanpa gejala).</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Setiap orang harus dianggap berisiko
terkena infeksi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Permukaan benda disekitar kita,peralatan
dan benda-benda lain yang akan dan telah bersentuhan dengan permukaan kulit
yang tak utuh ,lecet selaput mukosa,atau darah harus dianggap terkontaminasi
hingga setelah digunakan harus diproses dengan benar.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>4)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Jika tidak diketahui apakh
permukaan,peralatan,atau benda lainnya telah diproses dengan benar maka semua
itu harus dianggap masih terkontaminasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>5)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Resiko infeksi tidak bisa dihilangkan
secara total,tapi dapat dikurangi hingga sekecil mungkin dengan menerapkan
tindakan-tindakan PI secara benar dan konsisten.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Yang termasuk tindakan PI adalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Cuci tangan</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Memakai handscoon dan pelindung lainnya </div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Menggunakan tekhnik aseptic</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Memproses alat bekas pakai</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Menangani peralatan tajam dengan aman</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="NL">Menjaga
kebersihan dan sanitasi lingkungan (termasuk pengelolaan sampah secara benar)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -45pt;">
<!--[if !supportLists]--><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Pencatatan (Dokumentasi)</div>
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Pencatatan adalah bagian penting dari proses membuat
keputusan klinik karena memungkinkan penolong persalinan dan kelahiran bayi.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 27pt;">
Partograf adalah bagian terpenting dari proses
pencatatan selama persalinan.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Aspek - aspek penting dalam pencatatan adalah :</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 117pt; text-align: justify; text-indent: -63pt;">
<!--[if !supportLists]--><span lang="NL"><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="NL">Tanggal
dan waktu asuhan tersebut diberikan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 117pt; text-align: justify; text-indent: -63pt;">
<!--[if !supportLists]--><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Identifikasi penolong persalinan.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Paraf atau tanda tangan (dari penolong persalinan) pada
semua catatan.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><span lang="NL"><span>4)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="NL">Mencakup
informasi yang berkaitan secara tepat,dicatat dengan jelas,dan dapat dibaca.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><span>5)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Suatu system untuk memelihara catatan pasien sehingga
selalu siap tersedia.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><span>6)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Kerahasiaan dokumen-dokumen medis.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -45pt;">
<!--[if !supportLists]--><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Rujukan</div>
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Rujukan dalam kondisi optimal dan tepat waktu ke
fasilitas rujukan atau fasilitas yang memiliki sarana lebih lengkap,diharapkan
mampu menyelamatkan jiwa para ibu dan bayi baru lahir.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 27pt;">
Sangat sulit untuk menduga kapan penyulit akan terjadi
sehingga kesiapan untuk merujuk ibu dan atau bayinya ke fasilitas kesehatan
secara optimal dan tepat waktu (jika penyullit terjadi) menjadi syarat bagi
keberhasilan upaya penyelamatan. </div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="NL" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Aspek-aspek penting daalam mempersiapkan
rujukan adalah :<o:p></o:p></span></div>
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<b>B<span> </span>:<span> </span></b>Bidan</div>
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<b>A<span> </span>:<span> </span></b>Alat</div>
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<b>K<span> </span>:<span> </span></b>Keluarga</div>
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<b><span lang="NL">S<span> </span>:<span> </span></span></b><span lang="NL">Surat<o:p></o:p></span></div>
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<b><span lang="NL">O<span> </span>:<span> </span></span></b><span lang="NL">Obat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify;">
<b><span lang="NL">K<span> </span>:<span> </span></span></b><span lang="NL">Kendaraan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify;">
<b><span lang="NL">U<span> </span>:<span> </span></span></b><span lang="NL">Uang<o:p></o:p></span></div>
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<br /></div>
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<b><span>2.1.11
Asuhan<span> </span>Selama Persalinan<o:p></o:p></span></b></div>
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<span>Asuhan yang diberikan selama persalinan
dilakukan sesuai dengan pembagian dalam masa persalianan,yaitu mulai kala I s/d
kala IV.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i></b><!--[endif]--><b><i><span>Kala I<o:p></o:p></span></i></b></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Bantulah
ibu dalam persalinan jika ia tampak gelisah, ketakutan, dan kesakitan<span><o:p></o:p></span></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Berilah
dukungan dan yakinkan dia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Berikan
informasi mengenai proses dan kemajuan persalinannnya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Dengarkan
keluhannya dan cobalah untuk lebih sensitif terhadap perasaannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Jika Ibu
tersebut tampak kesakitan, dukungan/asuhan yang dapat diberikan:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Lakukan
perubahan posisi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Posisi
sesuai dengan keinginan ibu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Sarankan
ia untuk berjalan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Ajaklah
orang yang menemaninya (suami atau ibunya) untuk memijat atau menggosok
punggungnya atau membasuh mukanya diantara kontraksi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Ibu
diperbolehkan melakukan aktivitas sesuai dengan kesanggupannya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Ajarkan
kepadanya teknik bernafas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Penolong
tetap menjaga hak privasi ibu dalam persalinan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Menjelaskan
kemajuan persalinan dan perubahan yang terjadi serta prosedur yang akan
dilaksanakan dan hasil-hasil pemeriksaan</span><span style="font-family: "Arial Rounded MT Bold","sans-serif";">. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Membolehkan
ibu untuk mandi dan membasuh sekitar kemalangannya setelah buang air
kacil/besar<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>lbu
bersalin biasanya merasa pamas dan banyak keringat, atasi dengan<span> </span>cara:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Gunakan
kipas angin atau AC dalam kamar<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Menggunakan
kipas biasa<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Menganjurkan
ibu untuk mandi sebelumnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Untuk
memenuhi kebutuhan energi dan mencegah dehidrasi, berikan cukup minum.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Sarankan
ibu untuk berkemih sesering mungkin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 10pt;">
<!--[if !supportLists]--><b><i><span><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i></b><!--[endif]--><b><i><span>Kala II<o:p></o:p></span></i></b></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Memberikan
dukungan terus menerus kepada ibu dengan :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Mendampingi
ibu agar merasa nyaman.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Menawarkan
minuman, mengipasi dan memijat ibu. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Menjaga
kebersihan diri<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Mengipasi
dan masase untuk menambah kenyamanan bagi ibu <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Memberikan
dukungan mental untuk mengurangi kecemasan dan ketakutan ibu, dengan cara<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Menjaga
privasi ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Penjelasan
tentang proses dan kemajuan persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Penjelasan
tentang prosedur yang akan dilakukan dan keterlibatan ibu <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Mengatur
posisi ibu dalam membimbing meneran dapat dipilih posisi berikut<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Jongkok<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Menungging<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Tidur
miring<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Setengah
duduk.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Posisi
tegak ada kaitannya dengan berkurangnya rasa nyeri, mudah mengedan, kurangnya
trauma vagina dan perineum dan infeksi. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Menjaga
kandung kemih tetap kosong, ibu dianjiirkan berkemilan sesering mungkin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Memberikan
cukup minum : memberi tenaga, dan mencegah dehidrasi<i>.<o:p></o:p></i></span></div>
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<!--[if !supportLists]--><b><i><span><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i></b><!--[endif]--><b><i><span>Kala III<o:p></o:p></span></i></b></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Memberikan
oksitosin untuk merangsang uterus berkontraksi yang juga mempercepat pelepasan
plasenta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Oksitosin
dapat diberikan dalam 2 menit setelah kelahiran bayi<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Jika
oksitosin tidak tersedia, rangsang putting payudara ibu atau susukan bayi guna
menghasilkan oksitosin alamiah atau memberikan ergometrin 0,2 mg 1 m<o:p></o:p></span></div>
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<span>Contoh : jangan berikan eruometrin
kepada ibu dengan preeklompsia. eklampsia atau dengan tekanan darah tinggi,
karena hal ini akan meningkatkan resiko terjadinya penyakit serebro-vaskular.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Lakukan
penegangan tali pusat terkendali atau PTT<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>PTT
dilakukan<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Hanya
selama uterus kontraksi.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Begitu
plasenta terasa lepas, keluarkan dengan menggerakkan tangan atau klem pada tali
pusat mendekati plasenta, keluarkan plasenta dengan gerakan ke bawah dan ke
atas sesuai dengan jalan lahir. Kedua tangan dapat memegang plasenta dan
perlahan memutar plasenta searah jarum jam untuk mengeluarkan selaput ketuban <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Segera
setelah plasenta dan selaputnya dikeluarkan, masase fundus agar menimbulkan
kontraksi hal ini dapat mengurangi darah dan mencegah perdarahan pasca
persalinan.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Jika
menggunakan manajemen aktif dan plasenta belum juga lahir dalam waktu 30 menit<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Periksa
kandung kemih dan lakukan kateterisasi jika kandung kemih penuh<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Periksa
adanya tanda-tanda pelepasan plasenta.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Berikan
oksitosin 10 unit 1 M dosis ketiga, dalam jarak waktu 15 menit dari pemberian
oksitosin dosis pertama<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Siapkan
rujukan jika tidak ada tanda-tanda pelepasan plasenta<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Periksa
wanita tcrsebut secara seksama dan jahit semua robekan pada serviks atau vagina
atau perbaiki episiotomi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><i><span><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i></b><!--[endif]--><b><i><span>Kala IV<o:p></o:p></span></i></b></div>
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</span></span></span><!--[endif]--><span>Periksa
fundus setiap 15 menit pada, jam pertama dun setiap 20-30 menit selama jam
kedua. Jika kontraksi tidak kuat, masase uterus sampai menjadi keras.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Periksa
tekanan darah, nadi, kantong kemih dan perdarahan setiap 15 menit pada jam
pertama dan setiap 30 menit selama jam kedua. <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Anjurkan
ibu untuk minum demi mencegah dehidrasi. <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Bersihkan
perineum ibu dan kenakan pakaian ibu yang bersih dan kemih<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Biarkan
ibu beristirahat ia telah bekrja keras, melahirkan bayinya.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Biarkan
bayi berada pada ibu untuk meningkatkan hubungan ibu dan bayi, sebagai
permulaan dengan menyusui bayinya.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Bayi
sangat siap segera setelah lahir. Hal ini sangat tepat untuk memulai memberikan
ASI. Menyusui juga membantu uterus berkontraksi.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Jika ibu
perlu kekamar mandi, ibu boleh bangun, pastikan ibu dibantu karena masih dalam
keadaan lemah atau pusing setelah Persalinan. Pastikan ibu sudah buang air
kecil dalam 3 jam pasca persalinan. <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Ajarilah
ibu atau anggota keluarga tentang<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Bagaimana
memeriksa fundus dan menimbulkan kontraksi<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Tanda-tanda
bahaya bagi ibu dan bayi<o:p></o:p></span></div>
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<br /></div>
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<b><span lang="IN">2.1.12 Pengawasan Persalinan Dengan Partograf<o:p></o:p></span></b></div>
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</span></span></span><!--[endif]--><b><span>Pencatatan
selama fase aktif persalinan<o:p></o:p></span></b></div>
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<span>Halaman depan
partograf mencantumkan bahwa observasi simulai pada fase aktif Persalinan dan
menyediakan lajur dan kolom untuk mencatat hasil-hasil pemeriksaan selama fase
aktif Persalinan termasuk. <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Informasi tentang ibu<o:p></o:p></span></b></div>
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<span>Nama, umur,
gravida, para, abortus (keguguran), nomor catatan medis/nomor puskesmas,
tanggal dan waktu mulai dirawat (atau jika dirumah, tanggal dan waktu penolong
persalinan mulai merawat ibu), waktu pecahnya selamat ketuban.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Kondisi janin<o:p></o:p></span></b></div>
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</span></span></span><!--[endif]--><span>DJJ<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Warna dan
adanya air ketuban<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Penyusupan
(molase) kepala janin<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Kemajuan persalinan<o:p></o:p></span></b></div>
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</span></span></span><!--[endif]--><span>Pembukaan
servik<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Penurunan
bagian terbawah janin atau preseniasi janin <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Garis
waspada dan garis bertindak<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Jam dan waktu<o:p></o:p></span></b></div>
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</span></span></span><!--[endif]--><span>Waktu
mulainya fase aktif persalinan<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Waktu
aktual saat pemeriksaan atau penilaian<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Kontraksi uterus<o:p></o:p></span></b></div>
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</span></span></span><!--[endif]--><span>Frekuensi
dan lamanya<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Obat-obatan dan cairan yang diberikan<o:p></o:p></span></b></div>
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</span></span></span><!--[endif]--><span>Oksitosin<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span>Obat-obatan
lainnya dan cairan IV yang diberikan <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>7.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Kondisi Ibu<o:p></o:p></span></b></div>
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</span></span></span><!--[endif]--><span>Nadi,
tekanan darah dan temperatur tubuh <o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Urin
(volume, aseton atau protein)<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>8.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span>Asuhan,
pengamatan dan keputusan klinik lainnya (dicatat dalam kolom yang tersedia
disisi partograf atau dicatat kemajuan persalinan)</span></b><span><o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><span><span> </span>Pencatatan pada lembar belakang partograf<o:p></o:p></span></b></div>
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<span>Halaman belakang
partograf merupakan bagian untuk mencatat hal-hal yang terjadi selama proses
persalinan dan kelahiran, serta tindakan-tindakan yang dilakukan sejak
persalinan kala satu hingga kala empat (termasuk bayi baru lahir). Itulah
sebabmya bagian ini disebut sebagai catatan persalinan. Nilai dan catatan
asuhan yang diberikan pada ibu dalam masa nifas terutama selama persalinan ke
empat untuk memungkinkan penolong persalinan mencegah terjadinya penyulit dan
membuat keputusan klinik yang sesuai. Dokumentasi ini sangat penting untuk
membuat keputusan klinik. terutama pada pemantauan-pemantauan kala IV (mencegah
terjadinya perdarahan pasca persalinan). Selain itu catatan persalinan (yang
sudah diisi dengan lengkap dan tepat) dapat pula digunakan untuk
menilai/memantau sejauh mana telah dilakukan pelaksanaan asuhan persalinan yang
bersih dan aman.<b><o:p></o:p></b></span></div>
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<b><span>2.1 13 Standart Pertolongan
Persalinan<o:p></o:p></span></b></div>
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<span>Terdapat empat
standart dalam standart pertolongan seperti berikut ini :<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>a.</span></span></b><!--[endif]--><b><span>Standart 9<span> </span>:
Asuhan<span> </span>Persalinan Kala I<o:p></o:p></span></b></div>
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<span>Pernyataan standart :<o:p></o:p></span></div>
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<span>Bidan menilai secara tepat bahwa persalinan sudah mulai,kemudian
memberikan asuhan dan pemantauan yang memadai,dengan memperhatikan kebutuhan
klien,selama proses persalinan berlangsung. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><b><span><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Standart 10 <span> </span>:
Persalinan Kala II yang Aman<o:p></o:p></span></b></div>
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<span>Pernyataan Standart :<o:p></o:p></span></div>
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<span>Bidan melakukan pertolongan persalinan yang aman,dengan sikap sopan dan
penghargaan terhadap klien serta memperhatikan tradisi setempat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><b><span><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Standart 11<span> </span>:
Penatalaksanaan Aktif Persalinan Kala III<o:p></o:p></span></b></div>
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<span>Pernyataan standart :<o:p></o:p></span></div>
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<span>Bidan melakukan penegangan tali pusat dengan benar untuk membantu
pengeluaran plasenta dan selaput ketuban secara lengkap.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span>Standart 12<span> </span>:
Penanganan Kala II dengan Gawat Janin melalui <span> </span><span> </span>Episiotomi<o:p></o:p></span></b></div>
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<span>Pernyataan Standart :<o:p></o:p></span></div>
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<span>Bidan mengenali secara tepat tanda-tanda gawat janin pada kala II yang
lama,dan segera melakukan episiotomi dengan aman untuk memperlancar
persalinan,diikuti dengan penjahitan perineum.<o:p></o:p></span></div>
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<b><span lang="FI">KONSEP DASAR ASUHAN KEBIDANAN PADA IBU
BERSALIN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><b><span lang="FI">Pengertian<o:p></o:p></span></b></div>
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<span lang="FI">Asuhan Kebidanan adalah aktifitas atau Intervensi yang dilakukan oleh bidan
yang mempunyai kebutuhan atau permasalahan dalam KIA/KB. (DepKes RI , 1993)<o:p></o:p></span></div>
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<span lang="FI">Dalam
memberikan asuhan kebidanan pada klien , bidan menggunakan metode pendekatan
pemecahan masalah yang difokuskan pada suatu proses yang sistematik dan
analisis.<o:p></o:p></span></div>
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<span lang="FI">Asuhan persalian adalah Asuhan yang diberikan pada ibu selama persalinan
mulai kala I sampai dengan Kala IV.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><b><span lang="FI">Tujuan<o:p></o:p></span></b></div>
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<span lang="FI">Tujuan inti
dari pemberian Asuhan persalinan adalah Untuk memberikan asuhan yang adekuat,
terdasar ,dan terstandart pada ibu bersalin dengan memperhatikan riwayat
kehamilan, persalinan dan nifas yang lalu, serta penyakit dahulu sehingga ibu
dapat melewati proses persalinannya dengan aman..<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><b><span lang="FI">Tujuh Langkah Manajemen Kebidanan Menurut Varney<o:p></o:p></span></b></div>
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<span lang="FI">Dalam
memberikan Asuhan Kebidanan kita menggunakan Tujuh Langkah Manajemen Kebidanan
menurut ”<b><i>Hallen Varney”</i></b>,yaitu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="FI"><span>I.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Pengkajian Data<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="FI"><span>II.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Identifikasi Diagnosa, Masalah, dan
Kebutuhan<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="FI"><span>III.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Identifikasi Diagnosa Potensial dan
Masalah Potensial <o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="FI"><span>IV.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Identifikasi Kebutuhan Segera<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="FI"><span>V.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Intervensi / Pengembangan Rencana<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="FI"><span>VI.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Implementasi<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="FI"><span>VII.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Evaluasi<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="FI"><span>I.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">PENGKAJIAN<o:p></o:p></span></b></div>
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<span lang="FI">Yaitu tahap
awal dari proses kebidanan dan merupakan suatu proses yang sistimatis dalam
pengumpulan data dari berbagai sumber data untuk mengevaluasi dan
mengidentifikasi status kesehahatan klien.(Iyer et al,1996)<o:p></o:p></span></div>
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<b><span lang="FI">Pengkajian dilakukan oleh petugas kesehatan dengan cara :<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><i><span lang="FI">Wawancara,dan<o:p></o:p></span></i></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><i><span lang="FI">Pemeriksaan langsung pada pasien.<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify;">
<span lang="FI">Tetapi bila pasien dalam
keadaan koma, maka wawancara dilakukan pada keluarga, pengantar, atau pandamping
pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="FI"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Data Subyektif<o:p></o:p></span></b></div>
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<span lang="FI">Data
subyektif adalah data yang didapat dari hasil/wawancara (anamnesa) langsung
kepada klien dan keluarga serta tim kesehatan lainnya. <o:p></o:p></span></div>
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<span lang="FI">Data
subyektif ini mencakup semua keluhan-keluhan dari klien terhadap masalah
kesehatan yang lain.<o:p></o:p></span></div>
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<!--[if !supportLists]--><i><span lang="FI"><span>(1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Biodata/Identitas pasien<o:p></o:p></span></i></div>
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<span lang="FI">Pengkajian pada pasien untuk
mengetahui nama, suami, umur, agama, pendidikan,pekerjaan,alamat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><i><span lang="FI"><span>(2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Keluhan utama<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify;">
<span lang="FI">Keluhan yang dirasakan
klien/pasien saat ini yang menyebabkan pasien MRS.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><i><span lang="FI"><span>(3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Riwayat Kebidanan<o:p></o:p></span></i></div>
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<span lang="FI">Riwayat menstruasi untuk
mengetahui menarche,siklusnya,banyak darah yang keluar,lamanya haid,flour
albus,HPHT,TP,nyeri atau tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><i><span lang="FI"><span>(4)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Riwayat Kehamilan,Persalinan,dan Nifas
Yang Lalu <o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Kehamilan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify;">
<span lang="FI">Untuk mengetahui apakah itu
sebenarnya pernah hamil beberapa kali saat persalinan ada resiko dan penyakit
kehamilan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify;">
<span lang="FI">Meliputi janis
persalinan,ditolong siapa,dimana,dan bagaimana keadaan (BB/PB) waktu lahir atau
tidak ada penyulit persalinan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Nifas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify;">
<span lang="FI">Meliputi ada tidaknya
penyulit/gangguan selama masa nifas atau tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><i><span lang="FI"><span>(5)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Riwayat Kehamilan Sekarang<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify;">
<span lang="FI">Untuk mengetahui apakah itu
pernah menderita penyakit yang dapat mempengaruhi kehamilannya untuk mengetahui
selama kehamilan ini,periksa dimana,sudah berapa kali,mendapat apa saja saat
periksa hamil,mendapat TT berapa kali<i>.<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><i><span lang="FI"><span>(6)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Riwayat Kesehatan Keluarga <o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify;">
<span lang="FI">Untuk mengetahui apakah
keluarga pernah menderita penyakit menahun atau menular seperti
TBC,jantung,hipertensi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><i><span lang="FI"><span>(7)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Riwayat KB<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify;">
<span lang="FI">Untuk mengetahui KB apakah
yang pernah digunakan sebelum hamil/keluhan saat KB dan rancana KB setelah
persalinan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>(8)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><i><span lang="FI">Pola
Kebiasaan Sehari-hari</span></i><span lang="FI"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify;">
<span lang="FI">Untuk mengetahui pola
kebiasaan ibu saat hamil atau sebelum hamil.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 67.5pt; text-align: justify; text-indent: -22.5pt;">
<!--[if !supportLists]--><i><span lang="FI"><span>(9)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Pola Psikososial<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Keadaan Psikologi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify;">
<span lang="FI">Bagaimana perasaan ibu, suami,
dan keluarga dalam menerima kehamilan ini.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="FI">Keadaan Sosial<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.5pt; text-align: justify;">
<span lang="FI">Bagaimana hubungan ibu dengan
keluarga,tetangga dan masyarakat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -13.5pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="FI"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">Data Obyektif<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify; text-indent: 31.5pt;">
<span lang="FI">Data
obyektif adalah data yang diobservasi dan diukur secara langsung pada pasien.
(lyer et al,1995)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify;">
<b><span lang="IT">Informasi data ini biasanya diperoleh melalui:<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><i><span lang="IT"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="IT">Inspeksi <o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><i><span lang="IT"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="IT">Palpasi <o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><i><span lang="IT"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="IT">Auskultasi<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><i><span lang="IT"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="IT">Perkusi<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IT"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span lang="IT">Pemeriksaan Fisik<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><i><span lang="IT"><span>(1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="IT">Keadaan Umum <o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify;">
<span lang="IT">Untuk mengetahui kesadaran
secara keseluruhan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><i><span lang="IT"><span>(2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="IT">Kesadaran<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify;">
<span lang="IT">Untuk mengetahui tingkat
kesadaran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><i><span lang="IT"><span>(3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="IT">Bentuk Tubuh<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><i><span lang="IT"><span>(4)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="IT">TTV (Tanda-tanda Vital)<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 184.5pt; text-align: justify; text-indent: -1.5in;">
<!--[if !supportLists]--><span lang="DE"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="DE">Tekanan
darah<span> </span>:<span> </span>Untuk
mengetahui tekanan darah ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 184.5pt; text-align: justify; text-indent: -1.5in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Nadi<span> </span><span> </span>:<span> </span>Untuk mengetahui frekwensi tekanan jantung ibu
permenit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 184.5pt; text-align: justify; text-indent: -1.5in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Pernafasan<span> </span>:<span> </span>Untuk
mengetahui pernafasan ibu permenit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 184.5pt; text-align: justify; text-indent: -1.5in;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Suhu<span> </span><span> </span>:<span> </span>Untuk mengetahui temperatur ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="FI"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span lang="IT">Pemeriksaan</span></b><b><span lang="FI"> Khusus</span></b><span lang="FI"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><i><span lang="FI"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Inspeksi<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.5in; text-align: justify; text-indent: -103.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Kepala<span> </span>:Bentuk kepala,warna kulit ada lesi atau tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 135pt; text-align: justify; text-indent: -58.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Rambut<span> </span>:Bersih/tidak, rontok/tidak, warna rambut,
kering /lembab/basah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.5in; text-align: justify; text-indent: -103.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Wajah<span> </span>:Pucat/tidak,oedema/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.5in; text-align: justify; text-indent: -103.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Muka<span> </span>:Terdapat cloasma gravidarum atau tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2in; text-align: justify; text-indent: -67.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Mata<span> </span> : Mata kanan kiri simetris/tidak, konjunctiva
pucat/tidak, sklera icterus/tidak, terdapat oedem pada palpetra atau tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2in; text-align: justify; text-indent: -67.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Telinga<span> </span> : Simetris/tidak,<span> </span>ada kelainan bentuk/tidak, ada pengeluaran serumen/tidak, bersih/tidak,
bila perlu ada gangguan pendengaran atau tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2in; text-align: justify; text-indent: -67.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Hidung<span> </span> :Simetris/tidak, bersih/tidak, polip/tidak,
ada pengeluaran sekret / tidak, ada kelainan atau tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2in; text-align: justify; text-indent: -67.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Mulut<span> </span> : Simetris/tidak, mukosa bibir
kering/lembab, pucat / tidak, stomotitis/tidak, ada gigi palsu/tidak, ada
caries gigi/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2in; text-align: justify; text-indent: -67.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Leher<span> </span> : Simetris/tidak, ada lesi/tidak, ada
pembesaran kelenjar <span> </span>tyroid dan vena
jugularis/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.5in; text-align: justify; text-indent: -103.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Dada<span> </span><span> </span>: Simetris/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2in; text-align: justify; text-indent: -67.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Mamae
:Simetris/tidak, hiperpigmentasi pada areola/tidak, colostrom keluar/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -85.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Abdomen<span> </span>:<span> </span>Simetris/tidak,<span> </span>pembesaran perut sesuai usia kehamilan /
tidak, lesi/tidak, luka bekas SC/tidak, strie gravidarum dan linea nigra
ada/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.25in; text-align: justify; text-indent: -85.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Genetalia<span> </span>: Vulva bersih / tidak, terdapat pengeluaran
lendir / tidak, oedema / tidak, varices / tidak, pembengkakan kelenjar
bartholini / tidak, ada kandiloma / tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.5in; text-align: justify; text-indent: -103.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Anus<span> </span><span> </span>:<span> </span>Bersih / tidak, ada hemoroid /tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.25in; text-align: justify; text-indent: -157.5pt;">
<!--[if !supportLists]--><span lang="PT-BR"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Extremitas</span><span lang="PT-BR"> Atas </span><span lang="FI">Bawah<span> </span></span><span lang="PT-BR">:<span> </span>Simetris
/ tidak,varices / tidak.ada gangguan pergerakan / tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><i><span lang="FI"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Palpasi<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 153pt; text-align: justify; text-indent: -76.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Kepala<span> </span>:<span> </span>ada
benjolan / tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 153pt; text-align: justify; text-indent: -76.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Leher<span> </span>:<span> </span>terdapat
pembesaran tyroid / tidak,ada bendungan vena jugularis<span> </span>/ tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 153pt; text-align: justify; text-indent: -76.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Mamae<span> </span>:<span> </span>Ada
masa dan nyeri tekan / tidak,colostrom sudah keluar / tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 153pt; text-align: justify; text-indent: -76.5pt;">
<!--[if !supportLists]--><span lang="FI"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Abdomean<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 193.5pt; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><i><span lang="FI">Leopold
I</span></i><span lang="FI"><span> </span>:<span> </span>Untuk mengetahui
TFU dan bagian yang ada di fundus.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 193.5pt; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><i><span lang="FI">Leopold
II</span></i><span lang="FI"><span> </span><span> </span>:<span> </span>Untuk mengetahui bagian yang ada di sebelah
kanan dan kiri perut ibu.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 193.5pt; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><i><span lang="FI">Leopold
III</span></i><span lang="FI"> <span> </span>:<span> </span>Untuk
mengetahui bagian terendah janin,dan sudah<span>
</span>masuk<span> </span>PAP /belum.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 193.5pt; text-align: justify; text-indent: -99pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><i><span lang="FI">Leopold
IV</span></i><span lang="FI"> <span> </span>:<span> </span>Untuk
mengetahui kepala janin sudah masuk PAP /belum ,dan seberapa bagian yang telah
masuk.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><i><span lang="FI"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></i><!--[endif]--><i><span lang="FI">Auscultasi<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 157.5pt; text-align: justify; text-indent: -81pt;">
<!--[if !supportLists]--><span lang="NL" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Dada<span> </span>:<span> </span>Terdapat wheezing dan ronchi / tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 157.5pt; text-align: justify; text-indent: -81pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Abdomen<span> </span>:<span> </span>Untuk mendengar DJJ.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><i><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></i><!--[endif]--><i><span lang="FI">Perkusi</span><o:p></o:p></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify;">
<span> </span>Reflek Patella positif / tidak.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 94.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="IT">Periksaan</span> Dalam<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Untuk mengetahui Pembukaan servik</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Untuk mengetahui Effecement</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Untuk mengetahui Ketuban utuh / tidak</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Untuk mengetahui letak Janin</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Untuk Mengetahui Hodge</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><b><span lang="IT">Pemeriksaan</span> Penunjang<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify;">
<span lang="NL">Merupakan data yang diperlukan
untuk menunjang diagnosa,dapat berupa :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Pemeriksaan laboratorium</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Pemeriksaan Ultrasonografi (USG)</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -13.5pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Pemeriksaan Rontgen</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify;">
Pemeriksaaan ini selain untuk mengetahui keadaan psikis ibu juga untuk
mengetahui tanda awal dan akhir adanya komplikasi.</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="IT"><span>II.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">IDENTIFIKASI</span></b><b><span lang="IT"> DIAGNOSA, MASALAH, dan MASALAH (INTERPRETASI DATA)<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<span lang="IT">Untuk
mengetahui / menentukan diagnosa, data subyektif, data obyektif, kemudian
masalah, dan kebutuhan saat itu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="IT"><span>III.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">IDENTIFIKASI</span></b><b><span lang="IT"> DIAGNOSA POTENSIAL DAN MASALAH POTENSIAL<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<span lang="IT">Untuk
mengetahui diagnosa potensial dan masalah potensial, berdasarkan Interpretasi
data.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="IT"><span>IV.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">IDENTIFIKASI</span></b><b><span lang="IT"> KEBUTUHAN SEGERA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify;">
<span lang="IT">Untuk mengetahui tindakan saat
ini yang perlu dilakukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="FI"><span>V.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">INTERVENSI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<span lang="IT">Untuk</span><span lang="FI"> menentukan tujuan /kriteria dari diagnosa
kemudian menentukan rencana yang akan dilakukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<i><span lang="FI">Tujuan : </span></i><span lang="IT">Setelah</span><span lang="FI"> dilakukan Asuhan Kebidanan ini diharapkan ibu mengerti tentang keadaannya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="FI"><span>VI.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">IMPLEMENTASI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<span lang="FI">Pelaksanaan
Asuhan Kebidanan merupakan realisasi dari rencana asuhan.Dalam pelaksanaannya
bidan harus bertanggung jawab, dan setiap melakukan Asuhan Kebidanan ditulis
dalam bentuk catatan kebidanan, serta dilaksanakan secara efisien, aman, dan
tepat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<span lang="FI">Untuk
membantu memecahkan masalah dalam melaksanakan Asuhan Kebidanan </span><span lang="IT">dengan</span><span lang="FI"> baik, maka diperlukan kerja sama yang baik pula
dari berbagai pihak, baik antara tim kesehatan maupun dengan keluarga klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<!--[if !supportLists]--><b><span lang="FI"><span>VII.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="FI">EVALUASI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<span lang="FI">Evaluasi
merupakan langkah terakhir dalam Asuhan Kebidanan yaitu perbandingan yang
sistematik dan terencana kesehatan ibu hamil dengan tujuan yang telah </span><span lang="IT">ditetapkan</span><span lang="FI"> dilakukan dengan cara berkesinambungan dengan
melibatkan peran keluarga dan tenaga kesehatan lainnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<span lang="FI">Tujuan
Evaluasi adalah Untuk menilai dalam rencana Asuhan Kebidanan yang sudah </span><span lang="IT">tercapai</span><span lang="FI">. Ini dilaksanakan berorientasi dalam rencana
tindakandan dituliskan dalam bentuk catatan perkembangan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="FI">Dalam
evaluasi menggunakan format SOAP:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify;">
<span lang="FI">S<span> </span>:<span> </span>Data
yang diperoleh dari pernyataan klien secara langsung.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify;">
<span lang="FI">O<span> </span>:<span> </span>Data
yang diperoleh dari hasil observasi dan pemeriksaan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify;">
<span lang="PT-BR">A<span> </span>:<span> </span>Pernyataan
antara S dan O.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify;">
<span lang="PT-BR">P<span> </span>:<span> </span>Perencanaan
yang ditentukan sesuai dengan masalah yang terjadi.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 40.5pt; text-align: center;">
<br /></div>
</div>
<b><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB III</span><o:p></o:p></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span>ASUHAN KEBIDANAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span>PADA IBU BERSALIN NY “W” G</span></b><b><span dir="rtl" lang="HE">׀׀</span><span>P</span></b><b><span dir="rtl" lang="HE">׀</span><span dir="ltr"></span><span><span dir="ltr"></span>000</span></b><b><span dir="rtl" lang="HE">׀
</span></b><b>UK 40 MINGGU<o:p></o:p></b></div>
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<b>INPARTU KALA I FASE AKTIF dengan ANEMIA
SEDANG<o:p></o:p></b></div>
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<b>DI PONEK RSUD JOMBANG<o:p></o:p></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>I.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><b><span lang="IN">PENGKAJIAN DATA<o:p></o:p></span></b></div>
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<span>Tanggal :13 November 2011<span> </span>Jam
: 21.00 WIB</span><span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Data Subyektif<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Biodata Klien<o:p></o:p></span></b></div>
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<span lang="IN">Nama<span> </span>:<span> </span>Ny “</span>W<span lang="IN">”<o:p></o:p></span></div>
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<span lang="IN">Umur<span> </span>:<span> </span></span>35<span lang="IN"> Th<o:p></o:p></span></div>
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<span lang="IN">Agama<span> </span>:<span> </span>Is</span>lam</div>
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<span lang="IN">Suku/Bangsa<span> </span>:<span> </span>Jawa/Indonesia<o:p></o:p></span></div>
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<span lang="IN">Pendidikan<span> </span>:<span> </span></span>SMP</div>
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<span lang="IN">Pekerjaan<span> </span>:<span> </span></span>Swasta</div>
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<span lang="IN">Alamat<span> </span>:</span><span> </span>Jl.Dharma Husada Surabaya </div>
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<span lang="IN">Nama<span> </span>:<span> </span>Tn “</span>I<span lang="IN">”<o:p></o:p></span></div>
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<span lang="IN">Umur<span> </span>:<span> </span></span>33 <span lang="IN">th<o:p></o:p></span></div>
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<span lang="IN">Agama<span> </span>:<span> </span>Islam<o:p></o:p></span></div>
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<span lang="IN">Suku/Bangsa<span> </span>:<span> </span>Jawa/Indonesia<o:p></o:p></span></div>
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<span lang="IN">Pendidikan<span> </span>:<span> </span>SM</span>P</div>
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<span lang="IN">Pekerjaan<span> </span>:<span> </span></span>Wiraswasta</div>
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Alamat<span> </span>: Tembelang Jombang</div>
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<!--[if !supportLists]--><b><span><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span>Keluhan Utama<o:p></o:p></span></div>
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<span>Ibu mengatakan ini adalah
kehamilannya yang kedua ,perutnya terasa mules dan kepalanya pusing.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span>Riwayat
mestruasi <o:p></o:p></span></div>
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<span>Menarche <span> </span>:<span> </span>14 tahun <o:p></o:p></span></div>
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<span>Siklus <span> </span>:<span> </span>25 hari <o:p></o:p></span></div>
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<span>Lamanya <span> </span>:<span> </span>7 hari <o:p></o:p></span></div>
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<span>Sifat darah <span> </span>:<span> </span>Encer <o:p></o:p></span></div>
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<span>Bau <span> </span>:<span> </span>Anyir <o:p></o:p></span></div>
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<span>Banyaknya <span> </span>:<span> </span>Hari 1-3 ganti softek 3 </span><span style="font-family: Symbol;"><span>´</span></span><span>/hari, <o:p></o:p></span></div>
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<span><span> </span>Hari
4-6 ganti softek 2 </span><span style="font-family: Symbol;"><span>´</span></span><span>/hari<o:p></o:p></span></div>
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<span>Teratur/tidak <span> </span>:<span> </span>Teratur <o:p></o:p></span></div>
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<span>Disminorhea <span> </span>:<span> </span>-<o:p></o:p></span></div>
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<span>Flour albus <span> </span>:<span> </span>-<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="NL"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span lang="NL">Riwayat kehamilan, persalinan dan nifas yang lalu <o:p></o:p></span></div>
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<b><span style="font-size: 10pt; line-height: 150%;">No<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">Anak <o:p></o:p></span></b></div>
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<st1:place w:st="on"><st1:country-region w:st="on"><b><span style="font-size: 10pt; line-height: 150%;">UK</span></b></st1:country-region></st1:place><b><span style="font-size: 10pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">Jenis persalinan<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">Tempat persalinan<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">Komplikasi<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">Penolong<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">L/P<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">BB/PB lahir<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">KB<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">Ibu<o:p></o:p></span></b></div>
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<b><span style="font-size: 10pt; line-height: 150%;">Bayi<o:p></o:p></span></b></div>
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<span style="font-size: 10pt; line-height: 150%;">1.<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">2<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">.<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">12
tahun<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">HAMIL <o:p></o:p></span></div>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6pt; text-align: justify;">
<span style="font-size: 10pt; line-height: 150%;">9bl<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">INI<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">Spt B Kep<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">BPM<o:p></o:p></span></div>
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<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 80.95pt; padding: 0in 5.4pt; width: 35.45pt;" valign="top" width="47">
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<span style="font-size: 10pt; line-height: 150%;">-<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">-<o:p></o:p></span></div>
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<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 80.95pt; padding: 0in 5.4pt; width: 46.1pt;" valign="top" width="61">
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<span style="font-size: 10pt; line-height: 150%;">bidan<o:p></o:p></span></div>
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<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 80.95pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in 0in 6pt -0.9pt; text-align: center;">
<span style="font-size: 10pt; line-height: 150%;">L<o:p></o:p></span></div>
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<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 80.95pt; padding: 0in 5.4pt; width: 55.8pt;" valign="top" width="74">
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<span style="font-size: 10pt; line-height: 150%;">3000/50<o:p></o:p></span></div>
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<span style="font-size: 10pt; line-height: 150%;">Suntik <o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="NL"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span lang="NL">Riwayat kehamilan, persalinan dan nifas sekarang <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span><img alt="*" height="13" src="file:///C:/Users/ALVIAK%7E1/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="13" /><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span>Ibu mengatakan bahwa ini adalah kehamilannya yang
kedua dengan UK 9 bulan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NL" style="font-family: Symbol;"><span><img alt="*" height="13" src="file:///C:/Users/ALVIAK%7E1/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="13" /><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Pergerakan anak dirasakan
pertama kali pada UK 5 bulan.<o:p></o:p></span></div>
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<span>Keluhan pada : <o:p></o:p></span></div>
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<span>Trimester
I <span> </span>: <span> </span>Mual-muntah dan pusing<o:p></o:p></span></div>
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<span>Trimester
II <span> </span>: <span> </span>Tidak ada <o:p></o:p></span></div>
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<span>Trimester
III <span> </span>: <span> </span>Tidak ada <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span lang="IN">Riwayat
Kesehatan Yang Lalu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span lang="IN">Klien mengatakan </span>bahwa
tidak pernah di rawat di RS/PKM dan tidak mempunyai riwayat penyakit menular
seperti penyakiy kuning dan paru-paru maupun penyakit menurun seperti kencing
manis dan asma<span lang="IN">.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>7.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span lang="IN">Riwayat
Kesehatan Keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: 7.1pt;">
<span lang="IN">Klien
mengatakan dalam keluarga tidak pernah ada yang menderita penyakit menurun
seperti kencing manis,darah tinggi,asma, dan tidak pernah ada yang menderita
penyakit menahun seperti paru-paru.serta dalam keluarga tidak ada riwayat
keturunan kembar baik dari pihak suami ataupun klien sendiri.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>8.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span lang="IN">Riwayat
Sosial Budaya<o:p></o:p></span></div>
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<span lang="IN">Status</span><span> </span><span> </span><span lang="IN">: Kawin<o:p></o:p></span></div>
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<span lang="IN">Kawin</span><span> </span><span> </span><span lang="IN">: 1 xsehari-hari adalah bahasa Jawa.</span></div>
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<span lang="IN">Hubungan klien dengan suami dan keluarga baik-baik saja,hal tersebuut
terbukti saat klien datang ke bidan dan selama persalinan suami dan keluarganya
sabar menunggu dan menemani klien<o:p></o:p></span></div>
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<span lang="IN">Lama perkawinan</span><span> </span><span lang="IN">: </span>13<span lang="IN"> Tahun<o:p></o:p></span></div>
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<span lang="IN">Umur saat kawin</span><span> </span><span lang="IN">: 2</span>2<span lang="IN"> Tahun<o:p></o:p></span></div>
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<span lang="IN">Klien
dan suami sama-sama dari suku Jawa dan bahas yang dugunakan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.8pt;">
<span lang="IN">Klien mengatakan dalam keluarga tidak ada pantangan dalam hal mengkonsumsi
makanan dan klien mengatakan tidak pernah minum jamu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="NL"><span>9.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span lang="NL">Riwayat
KB<o:p></o:p></span></div>
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<span lang="NL"><span> </span>Ibu mengatakan setelah kelahiran anak
pertamanya dirinya menggunakan KB suntik 3 bulan selama 7 tahun ( 1994 -2011 )<o:p></o:p></span></div>
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<span lang="IN">Pola
Kebiasaan Sehari-Hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: 21.25pt;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Pola nutrisi <o:p></o:p></span></div>
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<span>Saat
hamil <span> </span>: <span> </span>Makan </span><span style="font-family: Symbol;"><span>±</span></span><span> 3 </span><span style="font-family: Symbol;"><span>´</span></span><span>/hari dengan menu nasi, sayur, lauk pauk, dan sayur<o:p></o:p></span></div>
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<span><span> </span>Minum </span><span style="font-family: Symbol;"><span>±</span></span><span> 6 gelas/hari air putih.<o:p></o:p></span></div>
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<span>Saat
inpartu<span> </span>: <span> </span>Makan </span><span style="font-family: Symbol;"><span>±</span></span><span> 3 sendok, komposisi nasi, lauk pauk dan sayur <o:p></o:p></span></div>
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<span><span> </span>Minum </span><span style="font-family: Symbol;"><span>±</span></span><span> 1 gelas/hari air putih. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Pola istirahat <o:p></o:p></span></div>
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<br /></div>
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<span>Saat
hamil<span> </span>: <span> </span>Tidur Siang </span><span style="font-family: Symbol;"><span>±</span></span><span> 2 jam, mulai jam 13.00 WIB- 15.00 WIB<o:p></o:p></span></div>
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<span><span> </span>Tidur malam ± 7 jam
, mulai jam 21.30 WIB- 04.00 WIB<o:p></o:p></span></div>
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<span>Saat
inpartu<span> </span>: <span> </span>Tidak tidur<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -7.1pt;">
<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Pola eliminasi<o:p></o:p></span></div>
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<span>Saat
hamil<span> </span>: BAK 3-4 </span><span style="font-family: Symbol;"><span>´</span></span><span>/hari dengan warna kuning
jernih, bau khas.<o:p></o:p></span></div>
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<span><span> </span>BAB 1</span><span style="font-family: Symbol;"><span>´</span></span><span>/hari dengan konsistensi
lembek, baunya khas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 184.3pt; text-align: justify; text-indent: -113.4pt;">
<span>Saat
inpartu<span> </span>: <span> </span>BAK 2 </span><span style="font-family: Symbol;"><span>´</span></span><span> dengan warna kuning jernih, bau khas.<o:p></o:p></span></div>
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<span><span> </span>BAB 1 x,
konsistensi lembek, baunya khas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Pola aktifitas <o:p></o:p></span></div>
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<span>Saat
hamil <span> </span>: <span> </span>Ibu bekerja setiap hari mulai jam 06.00 WIB –
jam 11.00 WIB<o:p></o:p></span></div>
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<span>Saat
inpartu<span> </span>: <span> </span>Ibu hanya miring kanan kiri untuk menggerakkan
tubuhnya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Pola personal
hygiene <o:p></o:p></span></div>
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<span>Saat
hamil<span> </span>: <span> </span>Mandi 2</span><span style="font-family: Symbol;"><span>´</span></span><span>/hari, gosok gigi 2</span><span style="font-family: Symbol;"><span>´</span></span><span>/hari, keramas 2</span><span style="font-family: Symbol;"><span>´</span></span><span>/mggu, ganti baju 2x/hari.<o:p></o:p></span></div>
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<span>Saat
inpartu<span> </span>: <span> </span>Ibu hanya diseka Ix<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>10.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></b><!--[endif]--><span>Pola</span><span lang="IN"> psiko</span><span>sosial</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.5in; text-align: justify; text-indent: -44.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Keadaan spikologi</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -7.05pt;">
<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span>Ibu mengatakan bahagia dengan
kehamilannya</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -7.05pt;">
<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span>Suami dan keluarga, mendukung
kehamilan ini</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -7.05pt;">
<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span>Jenis kelamin laki-laki/
perempuan sama saja, yang pentingibu dan bayinya sehat</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span>Keadaan Sosial</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 21.25pt;">
<span>Ibu mengatakan hubungannya
dengan suami, keluarga dan tetangganya baik.</span><span lang="IN"><o:p></o:p></span></div>
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -9pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Data Obyektif<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify; text-indent: -17pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Pemeriksaan</span> fisik secara</b><b><span lang="IN"> umum<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN">Keadaan umum<span> </span>: Baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify;">
<span lang="IN">Kesadaran<span> </span>:<span> </span>Composmentis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify;">
TTV<span> </span>:
TD<span> </span>: 100 /60 mmhg<span> </span>RR<span> </span>:
22x/menit</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify;">
<span> </span><span> </span>N<span> </span>:
82 / menit<span> </span>S<span> </span>: 36,2ºC</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify;">
<span lang="IN">BB <span> </span>:<span> </span></span>56<span> <span lang="IN">kg<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify;">
<span lang="IN">TB<span> </span>:<span> </span>15</span>0<span lang="IN"> cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify;">
<span lang="IN">Lila<span> </span>:<span> </span><span> </span>2</span>5<span lang="IN"> cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify; text-indent: -17pt;">
<!--[if !supportLists]--><b><span lang="IN"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Pemeriksaan Fisik</span> secara khusus</b><b><span lang="IN"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify; text-indent: -17pt;">
<!--[if !supportLists]--><b><i><span lang="IN"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></i></b><!--[endif]--><b><i><span lang="IN">Inspeksi<o:p></o:p></span></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120pt; text-align: justify; text-indent: -85pt;">
<span lang="IN">Kepala<span> </span>:<span> </span>Simetris,</span>tidak tampak ketombe, r<span lang="IN">ambut</span> tampak<span lang="IN"> lurus</span> dan<span> <span lang="IN">hitam,</span></span><span lang="IN"> </span><span lang="IN">kulit kepala tampak bersih.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120pt; text-align: justify; text-indent: -85pt;">
<span lang="IN">Muka<span> </span>:<span> </span>Simetris,tidak tampak pucat, dan tidak tampak
adanya cloasma gravidarum,dan tidak tampak adanya oedema.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120pt; text-align: justify; text-indent: -85pt;">
<span lang="IN">Mata<span> </span>:<span> </span>Simetris, conjungtiva merah muda, sklera putih.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120pt; text-align: justify; text-indent: -85pt;">
Telinga<span> </span>: Simetris, tidak tampak serumen.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120pt; text-align: justify; text-indent: -85pt;">
<span lang="IN">Hidung<span> </span>:<span> </span>Simetris,</span><span lang="IN"> </span><span lang="IN">tidak tampak adanya polip, tidak tampak adanya
secret, tidak tampak adanya kelainan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120pt; text-align: justify; text-indent: -85pt;">
<span lang="IN">Mulut<span> </span>:<span> </span>Simetris,mukosa</span> bibir<span lang="IN"> lembab,tidak</span> tampak<span> </span>adanya stomatitis dan caries gigi.<span> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120pt; text-align: justify; text-indent: -85pt;">
<span lang="IN">Leher<span> </span>:<span> </span>Simetris,tidak tampak adanya pembesaran
kelenjar tyroid, dan kelenjar limfe,serta tidak tampak adanya bendungan vena
jugularis.<o:p></o:p></span></div>
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<span lang="IN">Dada<span> </span>:<span> </span>Simetris,</span> tidak tampak adanya tarikan
dinding dada.</div>
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Mamae<span> </span>:<span> </span>Putting
susu tampak menonjol, tampak adanya hyperpigmentasi areola mamae.</div>
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<span lang="IN">Abdomen<span> </span>:<span> </span>Tampak pembesaran</span> perut<span> <span lang="IN">sesuai umur kehamilan,tidak tampak
adanya linea nigra,tidak tampak adanya strie gravidarum,tidak tampak adanya bekas
luka operasi.<o:p></o:p></span></span></div>
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<span lang="IN">Genetalia<span> </span>:</span><span> </span>Vulva tidak tampak oedema,<span lang="IN">tidak</span> tampak<span lang="IN"> varises </span><span> </span>dan tidak tampak <span lang="IN">candiloma.<o:p></o:p></span></div>
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<span lang="IN">Anus<b><i><span> </span></i></b>:<span> </span>Tidak tampak adanya haemoroid<b><i>.<o:p></o:p></i></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.5pt; text-align: justify; text-indent: -85.5pt;">
<span lang="IN">Eks</span>trem atas<span> </span><span lang="IN">:<span> </span>Simetris</span>, <span lang="IN">tidak tampak adanya oedema</span> dan varises,
tangan bagian kanan tampak terpasang infuse RL.</div>
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<span lang="IN">Ekstrem</span><span lang="IN"> </span><span lang="IN">Bawah</span><span> </span><span lang="IN">:<span> </span>Simetris,tidak
</span>tampak oedema dan varises serta tidak tampak gangguan pergerakan.<span lang="IN"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify; text-indent: -17pt;">
<!--[if !supportLists]--><b><i><span lang="IN"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></i></b><!--[endif]--><b><i><span lang="IN">Palpasi<o:p></o:p></span></i></b></div>
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<span lang="IN">Kepala<span> </span>:<span> </span>Tidak teraba<b><i> </i></b>adanya benjolan</span>
abnormal.<b><i><o:p></o:p></i></b></div>
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<span lang="IN">Leher<span> </span>:<span> </span>Tidak teraba adanya pembesaran kelenjar tyroid dan
bendungan vena jugularis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -55pt;">
<span lang="IN">Mamae<span> </span>:<span> </span>Tidak teraba adanya tumor, tidak ada nyeri
tekan,<span> </span>colostrum sudah keluar </span><sup><span lang="IN" style="font-family: Symbol;"><span>Å</span></span></sup><span lang="IN">/</span><sub><span lang="IN" style="font-family: Symbol;"><span>Å</span></span></sub><span lang="IN">.<span> </span><o:p></o:p></span></div>
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<span lang="IN">Abdomen<span> </span>:<span> </span>Leopold<span> </span>I<span> </span>:</span><span lang="IN"> </span><span lang="IN">3 jari di bawah Px,</span><span lang="IN"> </span><span lang="IN">pada bagian fundus
uteri teraba bulat, lunak, tidak melenting (bokong janin).</span></div>
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<span lang="IN"><span> </span>Leopold<span> </span>II<span> </span>:<span> </span>Pada perut Ibu sebelah k</span>iri<span lang="IN"> teraba keras, datar dan memanjang seperti
papan (Puk</span>i<span lang="IN">) dan pada perut</span>
ibu<span lang="IN"> sebelah k</span>anan <span lang="IN">teraba bagian kecil janin (kaki dan
tangan).<o:p></o:p></span></div>
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<span lang="IN"><span> </span>Leopold<span> </span>III<span> </span>:<span> </span>Pada bagian </span>terendah janin<span> <span lang="IN">teraba bulat, keras, melenting
(kepala janin),kepala sudah masuk PAP.<o:p></o:p></span></span></div>
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<span lang="IN"><span> </span>Leopold<span> </span>IV<span> </span>:<span> </span>Kepala sudah masuk PAP,</span><span lang="IN"> </span><span lang="IN">kepala tidak dapat digoyangkan (divergen).</span>
4/5</div>
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<span lang="IN">Menurut Spiegelberg</span><span> </span><span lang="IN">: <span> </span>TFU <span> </span><span> </span>:
</span>30<span lang="IN">cm di atas simphisis<o:p></o:p></span></div>
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<span lang="IN"><span> </span>Menurut
Jonshon-Tausa</span>k<span lang="IN">: TBBJ<span> </span>: (3</span>0<span lang="IN">-11) x 155 = </span>2945<span lang="IN"> gram<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Auskultasi<o:p></o:p></span></b></div>
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<span lang="IN">Dad</span>a<span> </span>: <span lang="IN">Tidak terdengar</span><span lang="NL"> bunyi</span><span lang="IN"> wheezing dan ronchi<o:p></o:p></span></div>
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<span lang="NL">Abdomen<span> </span>:
DJJ terdengar disebelah kanan perut ibu, sejajar dengan pusat agak kebawah
dengan frekwensi 140x/menit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Perkusi<o:p></o:p></span></b></div>
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Ekstrem<span> </span>bawah<span> </span>: <span lang="IN">Reflek patella</span><span lang="IN"> </span><span lang="IN">: positif/positif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71pt; text-align: justify; text-indent: -17pt;">
<!--[if !supportLists]--><b><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></b><!--[endif]--><b>Pemeriksaan Dalam<o:p></o:p></b></div>
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<span> </span>VT tanggal
13/11/11</div>
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Jam<span> </span>09.35<span> </span>:5 cm/ eff 75% / Let kep / UUK / HII /Ket
+</div>
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<span> </span>10.15<span> </span>:10cm / eff % / Let kep / UUK / H III+ /
Ket -</div>
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<!--[if !supportLists]--><b><span lang="IN"><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Pemeriksaan </span>Penunjang</b><b><span lang="IN"><o:p></o:p></span></b></div>
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HB 8,1</div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>II.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">IDENTIFIKASI DIAGNOSA, MASALAH, DAN KEBUTUHAN (INTERPRETASI DATA)<o:p></o:p></span></b></div>
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<span lang="IN">Dx<span> </span>:</span><span lang="IN"> </span><span lang="FI">Ny”W” G</span><span dir="rtl" lang="HE">׀׀</span><span lang="FI">P</span><sub><span dir="rtl" lang="HE">׀</span></sub><span dir="ltr"></span><sub><span lang="FI"><span dir="ltr"></span>000</span></sub><sub><span dir="rtl" lang="HE">׀</span></sub><span lang="FI">UK 40 minggu,Tunggal, Hidup, Intra uterin,
letak kepala, inpartu kala I fase aktif keadaan ibu dan janin lemah dengan
ANEMIA SEDANG<o:p></o:p></span></div>
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<span lang="IN">Ds<span> </span>:<span> </span>Ibu mengatakan ini merupakan kehamilan ke-</span><span lang="NL">2</span><span lang="IN"> dengan umur kehamilan 9 bulan</span>, merasa kenceng-kencengbertambah
waktu bertambah sakit serta<span lang="NL">
mengeluarkan lendir bercampur darah dan kepalanya terasa pusing.</span></div>
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<span lang="IN">Do<span> </span>:<span> </span>Keadaan
Umum<span> </span><span>
</span>:Baik<o:p></o:p></span></div>
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<span lang="IN">Kesadaran<span> </span><span> </span>: ComposMentis<span> </span><o:p></o:p></span></div>
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<span lang="IN">TTV<span> </span>
: TD<span> </span>:1</span><span lang="NL">0</span><span lang="IN">0/</span>6<span lang="IN">0 mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 171pt; text-align: justify;">
<span lang="IN">N<span> </span><span>
</span>:<span> </span><span> </span>8</span>2<span lang="IN">x /menit<o:p></o:p></span></div>
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<span lang="IN">S<span> </span>:<span>
</span><span> </span>36</span>,2<sup><span> <span lang="IN">0</span></span></sup><span lang="IN">C<o:p></o:p></span></div>
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<span lang="IN">RR <span> </span>:<span> </span><span> </span>2</span><span lang="NL">2</span><span lang="IN"> x /meni</span>t</div>
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DJJ<span> </span>:
140 x/m</div>
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<span lang="IN">Leopold I</span><span> </span><span> </span> <span lang="IN">:TFU 3 jari di bawah Px,</span>pada bagian fundus
uteri<span lang="IN"> teraba bulat, </span>lunak,tidak
melenting( bokong)</div>
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<br /></div>
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<span lang="IN">Leopold II</span><span> </span><span lang="IN">:</span><span> </span><span lang="IN">Pada
perut Ibu sebelah kanan teraba keras</span>,datar dan<span lang="IN"> memanjang seperti papan (Puka) dan pada perut</span>
ibu<span> <span lang="IN">sebelah kiri</span></span><span lang="IN"> </span><span lang="IN">teraba bagian kecil
janin (kaki dan tangan).<o:p></o:p></span></div>
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<span lang="IN">Leopold III</span><span> </span><span lang="IN">:</span><span> </span><span lang="IN">Pada
bagian bawah teraba bulat, keras, melenting (kepala janin),kepala sudah masuk
PAP.<o:p></o:p></span></div>
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<span lang="IN">Leopold I</span>V<span> </span>:<span> </span><span lang="IN">Kepala sudah masuk PAP,</span><span lang="IN"> </span><span lang="IN">kepala tidak dapat digoyangkan (divergen).</span>
4/5</div>
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Periksa Dalam:</div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>©<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Vulva<span> </span>:
Keluar darah bercampur lendir</div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol;"><span>©<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Pembukaan<span> </span>:
</span>10<span lang="IN">cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.5in; text-align: justify; text-indent: -30pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>©<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Effecement<span> </span>: </span>100%</div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>©<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Ketuban<span> </span>: Utuh<span> </span></div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>©<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span> </span>Presentasi<span> </span>: Belakang kepala</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 135pt; text-align: justify; text-indent: -57pt;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>©<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Denominator<span> </span>:
UUK</div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>©<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Pe</span>nurunan
kapala<span> </span><span lang="IN">: </span>Hodge III +</div>
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Kebutuhan<span> </span><span> </span><span lang="IN">: </span>- Dukungan /support mental dari
keluarga serta petugas kesehatan</div>
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<!--[if !supportLists]--><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]--><span> </span>Lingkungan
yang nyaman</div>
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<!--[if !supportLists]--><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]--><span> </span>-<span> </span> Observasi CHPB dan TTV</div>
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<!--[if !supportLists]--><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]--><span> </span>-<span> </span>Penjelasan tentang kemajuan persalinan </div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0in; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]--><span> </span>-<span> </span>Pendampingan oleh suami / keluarga</div>
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<!--[if !supportLists]--><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]--><span> </span>- Transvusi darah<span> </span></div>
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<!--[if !supportLists]--><span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Masalah<span> </span>:-<span> </span></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>III.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">IDENTIFIKASI DIAGNOSA POTENSIAL DAN MASALAH POTENSIAL<o:p></o:p></span></b></div>
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<b><span> </span>Terjadi HIPOKSIA</b><b><span lang="IN"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>IV.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">KEBUTUHAN SEGERA</span></b><span lang="IN"><o:p></o:p></span></div>
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<b>-OKSIGENASI<o:p></o:p></b></div>
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<b>-TRANSFUSI</b></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>V.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">RENCANA ASUHAN SECARA MENYELURUH<o:p></o:p></span></b></div>
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<span lang="IN">Diagnos</span>a:<span lang="FI">Ny”W” G</span><span dir="rtl" lang="HE">׀׀</span><span lang="FI">P</span><sub><span dir="rtl" lang="HE">׀</span></sub><span dir="ltr"></span><sub><span lang="FI"><span dir="ltr"></span>000</span></sub><sub><span dir="rtl" lang="HE">׀</span></sub><span lang="FI">UK 39-40 minggu,Tunggal, Hidup, Intra
uterin, letak kepala, keadaan jalan lahir normal, K/U ibu dan janin LEMAH,
inpartu kala I FASE AKTIF dengan ANEMIA SEDANG<o:p></o:p></span></div>
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<span lang="IN">Tujuan</span><span> </span><span lang="IN">:<span> </span>Setelah
dilakukan Asuhan Kebidanan</span> selama 1 6 jam<span lang="IN"> diharapkan </span>persalinan dapat berjalan secara fisiologis dan kadar
HBnya tidak turun.<span lang="IN"><o:p></o:p></span></div>
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<span lang="IN">Kriteria hasil</span> :<span> </span>a.<span lang="IN">TTV normal<span> </span>:
TD<span> </span>= 110/70 – 120/80 mm Hg<o:p></o:p></span></div>
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<span lang="IN">N<span> </span>=<span> </span>80 – </span>10<span lang="IN">0<span> </span>x
/menit<o:p></o:p></span></div>
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<span lang="IN">S<span> </span>=<span> </span>36<sup>5 </sup>- 37<sup>5</sup><span> </span><span>
</span><sup>0</sup>C<o:p></o:p></span></div>
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<span lang="IN">RR<span> </span>=<span> </span>18 – 20<span> </span>x /menit</span></div>
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b.Persalinan
berjalan dengan Normal</div>
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<i><span lang="IN">Intervensi<o:p></o:p></span></i></div>
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<!--[if !supportLists]--><span lang="IN"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Lakukan pendekatan terapeautik pada klien<o:p></o:p></span></div>
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<span lang="IN">R/ Dengan pendekatan terapeutik maka akan tercipta antara klien dengan
petugas kesehatan.</span></div>
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<!--[if !supportLists]--><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Jelaskan kondisi pasien</div>
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R/ Pasien mengetahui kondisi kesehatannya.</div>
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<!--[if !supportLists]--><span lang="IN"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]-->Observasi
TTV dan CHPB<span lang="IN"><o:p></o:p></span></div>
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<span lang="IN">R/</span><span lang="IN"> </span>Mendeteksi dini adanya komplikasi pada ibu .</div>
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<!--[if !supportLists]--><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Beritahukan tentang kondisi ibu dan kemajuan
persalinannya.</div>
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R/ Selama proses persalinan ibu merasa cemas dan
khawatir.</div>
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<!--[if !supportLists]--><span lang="IN"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]-->Persiapan
alat-alat<span lang="IN"><o:p></o:p></span></div>
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<span lang="IN">R/ </span>Penanganan Proses persalinan lebih efektif .</div>
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<!--[if !supportLists]--><span lang="IN"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Berikan cairan dan nutrisi<o:p></o:p></span></div>
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<span lang="IN">R/ Dengan diberikannya cairan dan nutrisi maka kebutuhan klien akan nutrisi
tercukupi sehingga dapat digunakan sebagai tenaga untuk mengejan selama
persalinan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>7.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Pastikan kandung kemih kosong<o:p></o:p></span></div>
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<span lang="IN">R/<span> </span>Kandung kemih yang penuh dapat
menghalangi turunnya kepala janin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>8.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Berikan asuhan persalinan 58 langkah <o:p></o:p></span></div>
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<span lang="IN">R/<span> </span>Dengan asuhan persalinan normal
58 langkah proses persalinan berjalan efektif<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>9.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Observasi 2 jam post partum<o:p></o:p></span></div>
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<span lang="IN">R/<span> </span>Dengan observasi 2 jam post
partum keadaan klien dapat dipantau serta deteksi dini adanya komplikasi</span></div>
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<!--[if !supportLists]--><b><span lang="IN"><span>VI.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">IMPLEMENTASI<o:p></o:p></span></b></div>
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<b><span lang="IN">NO<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-size: 10pt; line-height: 150%;">Hari<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-size: 10pt; line-height: 150%;">Tanggal,Jam</span></b><b><span lang="IN"><o:p></o:p></span></b></div>
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<b><span lang="IN">Kegiatan<o:p></o:p></span></b></div>
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<b><span lang="IN">TTD<o:p></o:p></span></b></div>
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<span lang="IN">1<o:p></o:p></span></div>
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Kamis</div>
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13
11 11</div>
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09.50<span lang="IN"> WIB<o:p></o:p></span></div>
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10.50
WIB</div>
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<div class="MsoNormal" style="line-height: 150%; margin-left: 12.6pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Melakukan pendekayan terapeautik kepada
klien dengan cara :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Memperkenalkan
diri kepada klien dan menjelaskan tindakan yang akan dilakukan pada klien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Menanyakan
data klien,serta keluhan yang dirasakan klien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]-->Memberitahu
ibu bahwa kondisi kesehatannya lemah.<span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]-->Mengobservasi
TTV dan CHPB<span lang="IN"><o:p></o:p></span></div>
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His : 5 x 45” x 10’</div>
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DJJ : 140x/mnt</div>
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VT: 10cm</div>
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Eff:100%</div>
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Presentasi: Letak kepala</div>
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Hodge:III+</div>
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Ket:(-) warna jernih</div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]-->Memberitahu
ibu bahwa pembukaannya sudah lengkap,keadaan ibu dan janin baik.<span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]-->Memeriksa
kelengkapan alat,bahan dan obat-obatan<span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Partus set<span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Larutan Chlorin<span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Peralatan untuk BB<span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Tempat sampah<span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Baju,handuk bayi<span lang="IN"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Obat-obatan (Pitogin,Metil Ergometrin,Vit
K,Salep mata)<span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 12.6pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Memberikan cairan dan nutrisi
kepada<span> </span>klien</span> saat<span lang="IN"> untuk persiapan tenaga saat<span> </span>mengejan selama persalinan </span>(ibu
minum teh hangat )<span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 12.6pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Memastikan kandung kemih kosong untuk
mempercepat turunnya kepala<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 12.6pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings;"><span>v<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]-->Melakukan
pertolongan persalinan denga58 langkah.<span lang="IN"><o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 462.5pt; padding: 0in 5.4pt; width: 42.55pt;" valign="top" width="57">
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<br /></div>
</td>
</tr>
</tbody></table>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="NL"><span>VII.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b>EVALUASI</b><span lang="NL"><o:p></o:p></span></div>
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<b>KALA I<o:p></o:p></b></div>
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<b>S<span> </span>:</b>Ibu mengatakan perutnya
terasa kenceng-kenceng.</div>
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<b>O<span> </span>:</b><span lang="NL">KU<span> </span>:baik<o:p></o:p></span></div>
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<b><span> </span><span> </span></b>Kesadaran<span> </span>:Composmentis</div>
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<span> </span><span> </span>VT <span> </span>:Pembukaan<span> </span>:10cm</div>
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<span> </span><span> </span>Eff<span> </span>:100%</div>
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<span> </span><span> </span>Presentasi<span> </span>:
Kepala</div>
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<span> </span><span> </span>Denominator<span> </span>:
UUK</div>
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<span> </span><span> </span>Hodge<span> </span>:
III+</div>
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<span> </span><span> </span>Ketuban<span> </span>:
Pecah (jernih)</div>
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<b>A<span> </span></b>: Ny”W” G׀׀P׀000׀UK 39-40
minggu,Tunggal, Hidup, Intra <span> </span>uterin,
letak kepala, keadaan jalan lahir normal, K/U ibu dan <span> </span>janin LEMAH, inpartu kala I FASE AKTIF dengan ANEMIA <span> </span><span> </span>SEDANG</div>
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<b>P<span> </span></b>:Langkah 1 - 27</div>
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<!--[if !supportLists]--><span lang="NL"><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Melihat tanda – tanda gejala kala II (
doran , teknus, Perjol, Dan Vulka )<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NL"><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Memeriksa kelengkapan dan mematahkan<span> </span>simpul oksitosin kemudian memasukan spuit
kedalam portus set.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Memakai celemek</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span>4)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Memastikan tangan tidak memakai perhiasan dan mencuci
kedua tangandengan sabun dan air mengalir</div>
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<!--[if !supportLists]--><span>5)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Memakai sarung tangan steril</div>
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<!--[if !supportLists]--><span lang="NL"><span>6)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Memasukkan oksitosinke dalam spuit dan
meletakkan kedalam partus set.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span>7)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Melakukan Vulva Hygienie</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="NL"><span>8)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Melakukan pemeriksaan dalam ( VT ) dengan
hasil pemeriksaan pembukaan lengkap ( 10cm )<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="NL"><span>9)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Mencelupkan sarung tangan kedalam larutan
klorin kemudian merendam Handscoon dalam keadaan terbaik kemudian mencuci
tangan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="NL"><span>10)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]-->Melakukan
pemeriksaan DJJ <span lang="NL"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span>11)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]--><span lang="NL"><span> </span></span>Memberitahu
kepada ibu bahwa pembukaan sudah lengkap dan <span> </span>keadaan janin baik kemudian meminta ibu
untuk meneran saat ada HIS</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span>12)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Meminta bantuan keluarga untuk menyiapkan posisi ibu
meneran </div>
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<!--[if !supportLists]--><span>13)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Melakukan pimpinan meneran saat ada HIS dan istirahat
saat tidak ada HIS, member minum ibu saat istirahat dan memeriksa DJJ.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span>14)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Saat kepala janin terlihat di Vulva 5 -6 cm, pasang
handuk bersih diatas perut ibu untuk mengeringkan bayi</div>
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<!--[if !supportLists]--><span lang="NL"><span>15)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Mengambil kain bersih lalu melipat 1/3
bagian dan meletakkan dibawah bokong ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="NL"><span>16)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="NL">Membuka tutup partus set dan memperhatikan
kembali kelengkapan alat dalam partus set dan obat- obatan serta mendekatkan
alat didekat pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span>17)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Memakai sarung tangan DTT pada kedua tangan</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span>18)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Saat sub-occiput tampak dibawah simphisis, tangan kanan
melindungi perineum dan dengan dialas lipatan kain dibawah bokong ibu sementara
tangan kiri menahan puncak kepala agar tidak terjadi defleksi yang terlalu
cepat saat kepala lahir.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span>19)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Setelah kepala lahir, mengusapkan kassa atau air bersih
untuk membersihkan muka bayi dari lender dan darah.</div>
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<!--[if !supportLists]--><span>20)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Memeriksa adanya lilitan tali pusat pada leher janin.</div>
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<!--[if !supportLists]--><span>21)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Menunggu hingga janin melakukan putar paksi luar</div>
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<!--[if !supportLists]--><span>22)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Setelah kepala janin menghadap paha ibu, tempatkan
kedua telapak tangan biparental kepala janin, tarik secara hati-hati kea rah
bawah sampai bahu depan lahir, kemudian tarik secara hati – hati kearah atas
sampai bahu belakang lahir.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span>23)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Setelah bahu lahir, tangan kanan menyangga kepala,
leher dan bahu janin bagian posterior ( belakang ) dengan posisi ibu jari peda
leher dan keempat jari pada bahu sementara tangan kiri memegang lengan dan bahu
bagian anterior ( depan ) saat badan dan lengan lahir.</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span>24)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Setelah badan dan lengan lahir, tangan kiri menyusuri
punggung kearah bokong dan tungkai bawah janin.Untuk memegang tungkai bawah,
selipkan jari telunjuk tangan kiridiantara lutut janin.</div>
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<!--[if !supportLists]--><span>25)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Setelah seluruh badan bayi lahir, pegang bayi bertumpu
pada lengan <span> </span>kanan sedemikian rupa
sehingga bayi mengahadap kearah penolong. Lakukan penilaian dengan segera
kemudian letakan bayi diatas perut ibu dengan posisi kepala lebih rendah dari
pada badan.</div>
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<span> </span>Bayi
lahir spontan tanggal 13 November 2011, jam 10.40 WIB </div>
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<span lang="NL">Jenis
kelamin :<span> </span>Laki-laki,bayi lahir langsung
menangis kuat, warna kulit kemerahan, gerak aktif. <o:p></o:p></span></div>
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26) Segera mengeringkan bayi, pembungkus kepala dan
badan bayi.</div>
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27) Memeriksa Fundus uteri untuk memastikan
bahwa kehamilannya tunggal .</div>
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KALA II</div>
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<b><span lang="IN">S</span></b><span lang="IN"><span> </span>:<span> </span>Ibu <span> </span>mengatakan</span> dirinya merasa lega karena
anaknya sudah lahir dalam keadaan sehat.</div>
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<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->:Bayi lahir jam 10.40 WIB</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Bayi lahir langsung menangis</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Gerak aktif</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]-->Tangis kuat</div>
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<b><span lang="FI">A</span></b><span lang="FI"><span> </span>: Kala
III<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 0.25in;">
<b><span lang="FI">P</span></b><span lang="FI"><span> </span>:Langkah 28 s/d 40 <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">28) Memberitahu ibu bahwa akan disuntik agar uterus berkontraksi baik.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">29) Dalam waktu 1menit,setelah bayi lahir Menyuntikkan oksitosin 10 unit IM
di 1/3 paha atas bagian distal lateral.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">30) Menjepit tali pusat dengan menggunakan klem kira-kira 3 cm dari
umbilikus bayi. Melakukan urutan isi tali pusat ke arah ibu dan memasang klem
ke 2 dengan jarak 2cm dari klem pertama.<i><o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">31) Memegang tali pusat diantara 2 klem menggunakan tangan kiri dengan
pelindungan jari – jari tangan kiri lalu memotong tali pusat diantara 2 klem .<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">32) Menjepit tali pusat dengan benang DTT pada satu sisi kemudian
melingkarkan benang tersebut dan mengikatnya dengan simpul mati.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">33) Mengganti pembungkus bayi dengan kain bersih dan kering. Membungkus
bayi hingga kepala, kemudian bayi diberikan kepad ibunya untuk disusui.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">34) Memindahkan klem pada tali pusat hingga berjarak 5 – 10cm dari Vulva.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">35) Meletakan tangan kiri diatas simpisis, menahan bagian bawah uterus
sementara tangan kanan memegang tali pusat menggunakan klem dengan jara 5 – 10
cm dari vulva.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">36) Saat uterus berkontraksi, meregangkan tali pusat dengan tangan kanan
sementara tangan kiri menekan uterus dengan hati-hati ke arah dorso kranial.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">37) Jika dengan peragangan tali pusat terkendali,
tali pusat terlihat bertambah panjang dan terasa ada pelepasan plasenta, minta
ibu untuk meneran sedikit sementara tangan kanan enarik tali pusat ke arah
bawah kemudian ke arah atau sesuai dengan kurva jalan lahir hingga plasenta
tampak di vulva .<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">38) Setelah
plasenta tampak di vulva teruskan melahirkan plasenta dengan hati-hati, dan
tangan kiri berada dibawah plasenta sementarabtangan kanan membantu menerima
plasenta sambil memutar searah jarum jam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">39) Segera setelah plasenta lahir, tangan kiri
melakukan Masase pada fundus uteri dengan menggosok fundus secara sirkular
dengan menggunakan bagian palmar 4 jari tangan kiri hingga kontraksi uterus
baik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">40) Memeriksa kelengkapan plasenta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify;">
<span lang="FI">tanggal<span> </span>: 13-11-2011<span> </span>jam: 10.50 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI">S:Ibu mengatakan lega karena ari-arinya sudah
lahir<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI">O: Kontiledon dan selaput ketuban<span> </span>: lengkap<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI"><span> </span>Panjang
tali pusat<span> </span><span> </span>: 45cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI"><span> </span>Tidak
ada kelainan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI"><span> </span>TTV<span> </span>:TD :100/60 mmhg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI"><span> </span><span> </span>N: 80x/m<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI"><span> </span>RR:24
x/m<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI"><span> </span>S:
36,7 C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI">A: P</span><span dir="rtl" lang="HE">׀׀</span><span dir="ltr"></span><span lang="FI"><span dir="ltr"></span>0002<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<span lang="FI">P:Penatalaksanaan kala IV<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -14.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">41) Memeriksa apakah ada robekan pada introitus vagina dan perineum yang
menimbulkan perdarahan aktif.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">42) Memeriksa kembali kontraksi uterus dan tanda
adanya perdarahan pervaginaan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">43)<span> </span>Biarkan
bayi tetap kontak kulit dengan kulit ibunya minimal 1jam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">44)<span> </span>Setelah 1 jam bayi lahir, lakukan
penimbangan bayi dan beri tetes mata antibiotik <i>Profilaksis</i> serta vitamin K 1mg di paha kiri anterolateral.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">45)<span> </span>Setelah 1 jam dari pemberian
vitamin K 1 mg, berikan imunisasi Hb1 di paha kanan anterolateral.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">46)<span> </span>Melakukan observasi terhadap kontraksi uterus
untuk menilai perdarahan pervaginaan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">47)<span> </span>Mengajarkan kepada ibu atau
keluarga untuk melakukan masase uterus dan menilai kontraksi uterus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">48)<span> </span>Mengevaluasi jumlah perdarahan
yang terjadi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI"><span> </span>Kontraksi
uterus<span> </span>: Baik (keras)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI"><span> </span>TFU<span> </span>: 2 jari di bawah pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI"><span> </span>Kandung
kemih<span> </span>:<span> </span>-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="FI"><span> </span>Perdarahan<span> </span>: ± 100cc<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">49)<span> </span>Memeriksa TTV, TFU, kontraksi
uterus, kandung kemih, dan perdarahan setiap 15 menit pada jam pertama dan
setiap 30 menit pada jam kedua.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -12.7pt;">
<span lang="FI">50)<span> </span>Pastikan kembali bahwa bayi
bernafas normal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">51)<span> </span>Merendam semua peralatan bekas
pakai ke dalam larutan klorin 0,5%.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -19.75pt;">
<span lang="FI">52)<span> </span>Membuang bahan-bahan yang
terkontaminasi ke tempat sampah yang sesuai.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">53)<span> </span>Membersihkan ibu dari sisa air
ketuban, lendir, dan darah dengan air DTT serta mengganti pakaian ibu dengan
pakaian bersih dan kering.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">54)<span> </span>Memastikan ibu merasa nyaman dan
memberitahu keluarga untuk membantu apabila ibu ingin minum.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">55)<span> </span>Dekontaminasi tempat persalinan
dengan larutan klorin 0,5%.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">56)<span> </span>Mencelupkan sarung tangan kedalam
larutan klorin 0,5%, melepas sarung tangan dalam keadaan terbalik dan
merendamnya kedalam larutan 0,5%.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">57)<span> </span>Mencuci kedua tangan dengan sabun
dan air mengalir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<span lang="FI">58)<span> </span>Mendokumentasikan dengan
melengkapi partograf. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify; text-indent: -12.7pt;">
<b><span lang="FI">PEMERIKSAAN FISIK PADA BAYI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>a)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Inspeksi <o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 83.4pt; width: 457px;">
<tbody>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Kepala<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris, tumbuh rambut warna
hitam, bersih, tidak tampak caput succedeneum dan cephal hematom, ubun-ubun
belum menutup ,tampak cembung.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Muka<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris, kemerahan,</span><span> tidak tampak icterus<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Mata <o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div align="center" class="MsoNormal" style="margin: 0in -5.65pt 0.0001pt; text-align: center;">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris, conjugtiva berwarna
merah muda, sklera putih</span><span>,mata tidak
tampak cowong<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Hidung <o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div align="center" class="MsoNormal" style="margin: 0in -5.65pt 0.0001pt; text-align: center;">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris, bersih tidak ada
serumen<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Mulut <o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div align="center" class="MsoNormal" style="margin: 0in -5.65pt 0.0001pt; text-align: center;">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris,</span><span lang="NL"> bibir atas dan bawah
terbentuk,</span><span lang="IN">
tidak t</span><span lang="NL">ampak</span><span lang="IN"> labiopalatokisis</span><span lang="NL">.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Leher<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div align="center" class="MsoNormal" style="margin: 0in -5.65pt 0.0001pt; text-align: center;">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris, tidak tampak
pembesaran kelenjar tyroid dan pembendungan vena jugularis<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Dada<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div align="center" class="MsoNormal" style="margin: 0in -5.65pt 0.0001pt; text-align: center;">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris</span><span>, tidak tampak retraksi dinding dada.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Mamae<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div class="MsoNormal">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris, puting susu menonjol,
areola mamae kemerahan<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span>Abdoment
<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div class="MsoNormal">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Bersih, tidak ada perdarahan,
tali pusat belum kering dan belum lepas,</span><span lang="IN"> </span><span lang="IN">serta lembe</span><span>k.<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Punggung<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
<div class="MsoNormal">
<span lang="IN">:<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Simetris, tidak </span><span>tampak</span><span lang="IN"> spina bifida<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN">Genetalia<o:p></o:p></span></div>
</td>
<td style="padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
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<span lang="IN">:<o:p></o:p></span></div>
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<td style="padding: 0in 5.4pt; width: 251.4pt;" valign="top" width="335">
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<span lang="IN">Bersih, labia mayor menutupi
labia minor.<o:p></o:p></span></div>
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</tr>
<tr>
<td style="padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
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<span lang="IN">Anus <o:p></o:p></span></div>
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<span lang="IN">:<o:p></o:p></span></div>
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<span lang="IN">Tidak</span><span> tampak</span><span lang="IN"> atresia ani</span><span><o:p></o:p></span></div>
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<td style="height: 77.25pt; padding: 0in 5.4pt; width: 73.5pt;" valign="top" width="98">
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<span lang="IN">Ekstr</span><span>em.atas<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span>Ekstrem.bawah<o:p></o:p></span></div>
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<br /></div>
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<td style="height: 77.25pt; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24">
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<span lang="IN">:</span><span><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin: 0in -5.65pt 12pt;">
<span><span> </span>:<o:p></o:p></span></div>
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<span>Simetris, tida tampak kelainan kongenital seperti
polidaktili, sindaktili, mikroamelia.<o:p></o:p></span></div>
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<span>Simetris, tidak tampak kelainan kongenital seperti
polidaktili, sindaktili, mikro amelia, pes varus, pes valgus.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>b)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Palpasi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 168pt; text-align: justify; text-indent: -84pt;">
<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Kepala <span> </span>:<span> </span>Tidak
ada </span><span>benjolan abnormal</span><span lang="IN">, tidak ada kelainan
seperti : chepal hematoma, caput succedenum, anansefalus dan hidrosefal</span><span>us.</span><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 170.1pt; text-align: justify; text-indent: -78pt;">
<!--[if !supportLists]--><span lang="IN"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN">Leher<span> </span>: Tidak ada pembesaran kelenjar tyroid dan
pembendungan pembuluh vena jugularis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN"><span>c)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span>Auskultasi</span><span lang="IN"><o:p></o:p></span></div>
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<span lang="NL">Dada <span> </span><span> </span>:Tidak terdengar bunyi ronchi, wheezing
dan<span> </span>murmur<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">* BB<span>
</span>: 3180 gram<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">* PB<span>
</span>: 51 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">* LK<span>
</span>: SOB<span> </span>: 32 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI"><span> </span><span> </span>FO<span>
</span>: 33 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI"><span> </span><span> </span>MO<span> </span>:
35 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">* LD<span>
</span>: 33 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">* LA<span>
</span>: 34 cm<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">KALA IV</span><b><span lang="FI" style="font-size: 14pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">Tanggal :13 November 2011<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">Jam<span> </span><span> </span>: 12.40 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI">S :
- Ibu mengatakan lega dan senang melahirkan anak ke-1 dengan selamat<o:p></o:p></span></div>
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<span lang="FI"><span> </span><span> </span>-
Ibu mengatakan badannya masih lemas <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI">O :
- K/U<span> </span>: Cukup<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI"><span> </span>- TTV<span>
</span>: TD : 110/60 mmHg<o:p></o:p></span></div>
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<span lang="FI"><span> </span><span> </span><span> </span>N : 84 x/menit<o:p></o:p></span></div>
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<span lang="FI"><span> </span><span> </span>RR : 24 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.5pt; text-align: justify;">
<span lang="FI">S<span> </span>: 36ºC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI"><span> </span><span> </span>-
TFU<span> </span><span> </span>:
2 jari dibawah pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI"><span> </span>- UC<span>
</span><span> </span>: Baik (
keras )<o:p></o:p></span></div>
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<span lang="FI"><span> </span>- Perdarahan <span> </span>: ± 2 kotek<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI"><span> </span>- Lokhea<span> </span>:
Rubra<o:p></o:p></span></div>
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<span lang="FI"><span> </span>- ASI<span> </span>:
Positif (+/+)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI"><span> </span>- BAK<span> </span><span> </span><span> </span>:
Belum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI"><span> </span>- BAB<span> </span><span> </span><span> </span><span> </span>: Belum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI">A : Ny”Y” P</span><sub><span dir="rtl" lang="HE">׀׀</span></sub><span dir="ltr"></span><sub><span lang="FI"><span dir="ltr"></span>0002</span></sub><span lang="FI"> 2 jam post partum dengan keadaan umum ibu
baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="FI">P : <span> </span>- Observasi TTV,TFU,UC,dan perdarahan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">- Anjurkan ibu untuk mobilisasi dini
secara bertahap<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">- Anjurkan ibu untuk menjaga kebersihan
alat genetalia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">- Ajari ibu untuk perawatan luka perineum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;">
<span lang="FI">- Anjurkan ibu untuk memberikan ASI
Eksklusif selama 6 bulan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">- Ajari ibu cara meneteki yang benar<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">-Transvusi darah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI">- <span> </span>Kolaborasi dengan dokter dalam pemberian
terapi obat per oral<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI"><span> </span>*
Amoxilin<span> </span><span> </span>3 x 500 mg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="FI"><span> </span>*
asam mefenamat <span> </span>1 x 1
Tablet <o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">B</span></b><b><span style="font-size: 14pt; line-height: 150%;">AB</span></b><b><span style="font-size: 14pt; line-height: 150%;"> </span></b><b><span style="font-size: 14pt; line-height: 150%;">IV<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">PENUTUP<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0in; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><b><span lang="IN"><span>B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN">Kesimpulan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 45pt;">
<span lang="IN">Persalinan adalah suatu proses pengeluaran hasil konsepsi yang dapat hidup
di dunia keluar dari rahim mulai jalan lahir atau dengan jalan lain.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify; text-indent: 0.5in;">
<span lang="IN">Persalinan dibedakan menjadi 2,yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99pt; text-align: justify; text-indent: -63pt;">
<!--[if !supportLists]--><span lang="IN"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Menurut
cara persalinan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99pt; text-align: justify; text-indent: -63pt;">
<!--[if !supportLists]--><span lang="IN"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN">Menurut
usia kehamilan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 45pt;">
<span lang="IN">Sebab-sebab
terjadinya persalinan diantaranya adalah adanya teori penurunan hormon, teori
oksitosin internal, dan yang lainnya. Faktor-faktor penting dalam persalinan
diantaranya adalah power,</span><span lang="IN"> </span><span lang="IN">passage,</span><span lang="IN"> </span><span lang="IN">passanger,</span><span lang="IN"> </span><span lang="IN">penolong persalinan,</span><span lang="IN"> </span><span lang="IN">psikis,</span><span lang="IN"> </span><span lang="IN">posisi,</span><span lang="IN"> </span><span lang="IN">dan penolong.</span><span lang="IN"> </span><span lang="IN">Beberapa tanda-tanda persalinan ada 4,</span><span lang="IN"> </span><span lang="IN">yaitu : his yang
adekuat,</span><span lang="IN"> </span><span lang="IN">bloody show,</span><span lang="IN"> </span><span lang="IN">pecahnya ketuban,</span><span lang="IN"> </span><span lang="IN">dan adanya pendataran,</span><span lang="IN"> </span><span lang="IN">pembukaan serta penipisan servik.</span><span lang="IN"> </span><span lang="IN">Persalinan dibagi
menjadi 4 tahap,</span><span lang="IN"> </span><span lang="IN">yaitu :</span><span lang="IN"> </span><span lang="IN">Kala I (kala pembukaan),</span><span lang="IN"> </span><span lang="IN">Kala II (kala pengeluaran janin),</span><span lang="IN"> </span><span lang="IN">Kala III(kala
pengeluaran uri),</span><span lang="IN"> </span><span lang="IN">Kala IV (kala observasi),</span><span lang="IN"> </span><span lang="IN">dan lamanya persalinan pada primigravida ± 10-12
jam serta pada multigravida ± 8-10 jam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 45pt;">
<span lang="IN">Pada masa
persalinan seorang ibu membutuhkan perawatan yang komprehensif dan juga
dukungan emosional dari keluaraga yang menunggu, sehingga diharapkan saat
persalinan d</span>a<span lang="IN">pat berjalan
dengan normal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 45pt;">
Dari kasus yang saya kaji dan telah dilakukan
pelaksanaan yang adekuat, ternyata tidak jauh beda antara pelaksanaan dalam
teori dengan pelaksanaan di lapangan pada study kasus ini.</div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN"><span>C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="PT-BR">Saran </span></b><span lang="IN"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="PT-BR"><span>
</span><i>(1 )Bagi<span> </span>Klien <o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Klien lebih percaya diri sehingga
nantinya pada saat nifas kondisi dirinya serta bayinya baik-baik saja.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Klien menjalankan apa yang telah
dinasehatkan oleh petugas kesehatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Klien dapat memahami kondisi dirinya
serta bayinya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i><span lang="PT-BR"><span> </span>(2) Bagi Mahasiswa<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Belajar lebih giat<span> </span>lagi untuk lebih memahami<span> </span>teori yang ada,<span> </span>sehingga
dapat<span> </span>menyesuaikan dengan<span> </span>kasus<span>
</span>yang ada di lapangan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Lebih kooperatif<span> </span>dalam melaksanakan praktek .<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="PT-BR"><span>
</span><span> </span><i>(3) Bagi Institusi<span> </span>Kesehatan<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Lebih sabar dalam memberikan
bimbingan<span> </span>kepada<span>
</span><span> </span><span> </span><span> </span>mahasiswa yang praktek<span> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Mempertahankan pelayanan yang sudah
baik <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Memperbaiki pelayanan yang ada<span> </span>sesuai dengan protap<span> </span>dan srandart<span> </span>kesehatan. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i><span lang="PT-BR"><span> </span><span> </span>(4) Bagi Institusi Pendidikan<span> </span><o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="PT-BR" style="font-family: Wingdings;"><span>§<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="PT-BR">Lebih sabar<span> </span>dalam memberikan<span> </span>bimbingan<span>
</span>kepada<span> </span>mahasiswa.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="PT-BR"><span> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Mochtar,Rustam,Prof.Dr.1998.<b><i><u>Sinopsis
Obstetrii Jilid 1</u>.</i></b>Jakarta : EGC.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81pt; text-align: justify; text-indent: -81pt;">
<span lang="IN">Prawirohardjo,Sarwono.2002.<b><i><u>Buku Panduan Praktis Pelayanan Kesehatan
Maternal dan Neonatal.</u></i></b>Jakarta :PT.Tiga Putera Begawan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.75in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Tim Penyusun.2007.<b><i><u>Asuhan Persalinan Normal</u></i></b>.Jakarta
: JHPIEGO.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-indent: -78pt;">
<span lang="PT-BR">Wiknjosastro,Hanifa
;dkk.2005.<b><i><u>Ilmu Kebidanan</u></i></b>. Jakarta :Yayasan Bina Pustaka Sarwono
Prawirohardjo.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-indent: -78pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="PT-BR">Manuaba, Ida Bagus Gde, Prof.
Dr.1998.<b><u>Ilmu Kebidanan Penyakit
Kandungan Dan Keluarga Berencana Untuk Pendidikan Bidan</u></b>. Jakarta : ECG<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="PT-BR">Tim Revisi PDT Sub Komite Farmasi
Dan Terapi.2008. <b><u>Pedoman Diagnosa Dan
Terapi Bag/ SMF Ilmu Kebidanan Dan Penyakit Kandungan. </u></b>Surabaya: FK UNSSAIR<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="PT-BR">Mansjoer, Arif.2000. <b><u>Kapita Selekta Kedokteran Jilid 1. </u></b>Jakarta:
Media Aesculapius <o:p></o:p></span></div>
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ol
{margin-bottom:0in;}
ul
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-->
</style><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
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mso-padding-alt:0in 5.4pt 0in 5.4pt;
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mso-para-margin-right:0in;
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mso-para-margin-left:0in;
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mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
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mso-ascii-theme-font:minor-latin;
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mso-bidi-theme-font:minor-bidi;}
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{mso-style-name:"Table Grid";
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border:solid windowtext 1.0pt;
mso-border-alt:solid windowtext .5pt;
mso-padding-alt:0in 5.4pt 0in 5.4pt;
mso-border-insideh:.5pt solid windowtext;
mso-border-insidev:.5pt solid windowtext;
mso-para-margin:0in;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:10.0pt;
font-family:"Times New Roman","serif";
mso-fareast-font-family:"Times New Roman";}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="2050"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
</o:shapelayout></xml><![endif]-->
</m:defjc></m:rmargin></m:lmargin></m:dispdef></m:smallfrac><br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif";">BAB III<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif";">TINJAUAN KASUS<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif";">ASUHAN KEBIDANAN PADA NY ”D”
GıP00000 UK 38 MINGGU<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif";">INPARTU KALA 1 FASE AKTIF DENGAN
PEB<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif";">DI RUANG VK RSIA MUSLIMAT JOMBANG<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif";"><span>I.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif";">Pengkajian
Data<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Tanggal<span> </span>:22-06-2011<span> </span>Tanggal
MRS<span> </span>:22-06-2011<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Jam<span> </span>:20.00 WIB<span> </span>Jam<span> </span>:19.55 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">A.<span> </span>Data Subyektif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">1.Biodata<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Nama<span> </span>:Ny “D”<span> </span>Namasuami<span> </span>: Tn “A”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Umur<span> </span>:22th<span> </span>Umur<span> </span>:27
th<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Agama<span> </span>: Islam<span> </span>Agama<span> </span>:Islam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Pendidikan<span> </span>:SMA<span> </span>Pendidikan<span> </span>:SMA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Suku/bangsa<span> </span>:Jawa<span> </span>Suku/bangsa<span> </span>:Jawa/Indonesia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Pekerjaan<span> </span>:TidakBekerja<span> </span>Pekerjaan<span> </span>:Wiraswasta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Alamat<span> </span><span> </span>:Jombang<span> </span><span> </span>Alamat<span> </span>:Jombang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">2.<span> </span>KeluhanUtama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Ibu mengatakan hami lanak
yang pertama, usia kehamilan 9 bulan,
merasa kenceng-kenceng dan nyeri pada perutnya mulai pukul 16.00 WIB , pukul 19.00
mengeluarkan lendir bercaampur darah, merasa sakit semua pada tangan dan kaki karena bengkak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">3 <span> </span>Riwayat kesehatan yang lalu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Ibu mengatakan mempunyai riwayat penyakit menahun yaitu daraht inggi ibu tidak pernah menderita penyakit menular seperti HIV/AIDS, penyakit kuning,TBC,
penyakit keturunan seperti sesak nafas, kencing manis, dan juga tidak mempunyai riwayat kembar baik dari pihak
ayah maupun ibu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">4.<span> </span>Riwayat kesehatan yang sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Ibu mengatakan sedang menderita penyakit menahun
(darah tinggi) dan tidak sedang menderita penyakit menular maupun menurun.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">5.<span> </span>Riwayat kesehatan keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";"><span> </span>Ibu mengatakan dalam keluarganya ada
yang menderita darah tinggiy aitu dari pihak ayah,<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">6.<span> </span>Status perkawinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Perkawinanke<span> </span>:1<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Umurkawin<span> </span>:19th<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Lama kawin<span> </span>:2th<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">7.<span> </span>RiwayatHaid<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Amenorhoe<span> </span>:9bl<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Menarche<span> </span>:13<sup>th</sup><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Siklus<span> </span>:28hr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Lama haid<span> </span>:7hr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Banyaknya<span> </span>:1-2 hr=2kotex penuh, 3-6hr =1kotex<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Dysmenorrhea<span> </span>:-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">Flour Albus<span> </span>:-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif";">8.<span> </span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Riwayat KB</span><span style="font-family: "Times New Roman","serif";"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 54.85pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ibu
mengatakan pernah memakai kondom </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>±</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 1 tahun dan pil KB </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>±</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 1,5 tahun<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 54.85pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rencana KB
setelah melahirkan belum ada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 36.85pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>9.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Riwayat
kehamilan dan nifas yang lalu<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; width: 618px;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 62.2pt;" width="83">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perkawinan<o:p></o:p></span></b></div>
</td>
<td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 68.55pt;" width="91">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kehamilan<o:p></o:p></span></b></div>
</td>
<td colspan="4" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 175.6pt;" width="234">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Persalinan<o:p></o:p></span></b></div>
</td>
<td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 103.9pt;" width="139">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anak<o:p></o:p></span></b></div>
</td>
<td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 52.95pt;" width="71">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nifas<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 62.2pt;" width="83">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ke<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 25.95pt;" width="35">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ke<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 42.6pt;" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">UK<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 50.15pt;" width="67">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">JNS<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 39.5pt;" width="53">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pnlng<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 41.55pt;" width="55">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tempat<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 44.4pt;" width="59">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyulit<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 50.15pt;" width="67">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BB/PB<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.75pt;" width="72">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jns Klmn<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 29.9pt;" width="40">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pnylt<o:p></o:p></span></b></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 23.05pt;" width="31">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 0in -5.65pt 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ASI<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 62.2pt;" valign="top" width="83">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">I<o:p></o:p></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 25.95pt;" valign="top" width="35">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">I<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 42.6pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
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<br /></div>
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<br /></div>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 29.9pt;" valign="top" width="40">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 23.05pt;" valign="top" width="31">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 17pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>10.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Riwayat kehamilan sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ANC<span> </span>:<span> </span>TM<span> </span>I<span> </span>:<span> </span>2 x di Bidan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>TM<span> </span>II<span> </span>:<span> </span>3 x di Bidan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>RM<span> </span>III<span> </span>:<span> </span>5 x di Bidan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keluhan<span> </span>:<span> </span>TM<span> </span>I<span> </span>:<span> </span>Pusing, mual, muntah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>TM<span> </span>II<span> </span>:<span> </span>Pusing, kaki dan tangan bengkak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>TM<span> </span>III<span> </span>:<span> </span>Tidak bisa tidur, kaki dan tangan bengkak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ibu
mengatakan mulas merasa gerakan janin pada usia 6 bulan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Imunisasi TT
: 2 x di Bidan (sebelum menikah dan waktu hamil 2 bulan)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>11.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pola kebiasaan sehari-hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pola nutrisi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebelum
hamil<span> </span>:<span> </span>Makan : 2 x/hari menu nasi, sayur, lauk<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Minum : 6-7 gelas/hari,
air putih kadang teh<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saat hamil<span> </span>:<span> </span>Makan
: 3-4 x/hari, menu nasi, sayur, lauk, kadang buah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Minum : 8-10
gelas/hari, air putih kadang susu<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pola
eliminasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebelum
hamil<span> </span>:<span> </span>BAK : </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>±</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 5-5 x/hari,
warna kuning, jernih, bau khas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>BAB : 1 x/hari,
warna kuning, kosistensi lunak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saat hamil<span> </span>:<span> </span>BAK
: </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>±</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 7-10 x/hari, warna kuning,
jernih, bau khas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>BAB : 1 x/hari,
warna kuning, konsistensi lunak<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pola
aktifitas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebelum
hamil<span> </span>:<span> </span>Ibu mengatakan melakukan pekerjaan rumah seperti memasak, menyapu,
mencuci.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saat hamil<span> </span>:<span> </span>aktifitas
sehari-hari berkurang tapi Ibu setiap pagi melakukan jalan-jalan disekitar
rumah.<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pola
istirahat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebelum
hamil<span> </span>:<span> </span>jarang tidur siang, tidu malam mulai jam 20.00-04.00<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saat hamil<span> </span>:<span> </span>tidur
siang 14.00-16.00, tidur malam 20.00-05.00<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Personal
hygiene<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebelum
hamil<span> </span>:<span> </span>Mandi 2x /hari, gosok gigi 2x/hari, ganti baju 1 x/hari cuci rambut
2x/minggu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saat hamil<span> </span>:<span> </span>Mandi
2x/hari, gosok gigi 2x/hari, ganti baju 2x/hari cuci rambut 3x/minggu<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pola
hubungan seksual<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebelum
hamil<span> </span>:<span> </span>2 x/minggu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 2in; text-align: justify; text-indent: -90.15pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saat hamil<span> </span>:<span> </span>1
x/ minggu tetapi kadang tidak<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>g.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data
psikososial<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ibu menganut agama Islam, menjalankan shalat 5 waktu.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>h.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Budaya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ibu mengatakan tidak ada pantangan dalam mengkonsumsi makanan selama
kehamilan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">B.<span> </span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data Obyektif<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
Umum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Courier New"; font-size: 12pt; line-height: 150%;"><span>o<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keadaan umum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kesadaran<span> </span>:<span> </span>composmentis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Postur tubuh<span> </span>:<span> </span>lordosis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BB sebelum hamil<span> </span>:<span> </span>48
kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BB saat hamil<span> </span>:<span> </span>5</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lila<span> </span>:<span> </span>2</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TB<span> </span>:<span> </span>15</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Courier New"; font-size: 12pt; line-height: 150%;"><span>o<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TTV<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TD<span> </span>:<span> </span>1</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">0/1</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">0 mmHg<span> </span>RR<span> </span>:<span> </span>20
x/menit<span> </span>HPHT<span> </span>:<span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">28</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-09-</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2010<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nadi<span> </span>:<span> </span>8</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> x/menit<span> </span>S<span> </span>:<span> </span>37</span><sup><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">,1</span></sup><sup><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 0</span></sup><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">C<span> </span>TD<span> </span>:<span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">05-07-2011<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 36.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
fisik khusus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Inspeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kepala/rambut<span> </span>:<span> </span>Kulit
kepala bersih</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">,</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> rambut hitam, tidak rontok,
tidak ada benjolan, tidak ada lesi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Muka<span> </span>:<span> </span>Tidak pucat, terdapat cloasmagravidarum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mata<span> </span>:<span> </span>Sclera tidak icterus, conjungtiva merah muda<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Telinga<span> </span>:<span> </span>Tidak ada serumen, bersih, Simetris<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hidung<span> </span>:<span> </span>Bersih, tidak ada secret, tidak ada pernafasan cuping hidung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mulut/Gigi<span> </span>:<span> </span>Bibir
lembab, tidak stomatitis, caries (-)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Leher<span> </span>:<span> </span>Tidak ada pembesaran kelenjar thyroid dan vena jugularis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dada/payudara<span> </span>:<span> </span>Simetris,
tegang, hyperpigmentasi areola mamae, puting susu menonjol, colostrum </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>Å</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Abdomen<span> </span>:<span> </span>Membesar
sesuai UK, ada striae gravidarum, hyperpigmentasi linea nigra, tidak ada bekas
operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
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" filled="f" stroked="f">
<v:textbox style='mso-fit-shape-to-text:t' inset="0,0,0,0">
<![if !mso]>
<table cellpadding=0 cellspacing=0 width="100%">
<tr>
<td><![endif]>
<div>
<p class=MsoNormal align=center style='text-align:center'>
<b><span
style='font-size:14.0pt;line-height:115%'>+<o:p></o:p></span></b></p>
</div>
<![if !mso]></td>
</tr>
</table>
<![endif]></v:textbox>
</v:rect></v:group><![endif]--><!--[if !vml]--><span style="height: 105px; left: 0px; margin-left: 248px; margin-top: 5px; position: absolute; width: 76px; z-index: 2;"><img height="105" src="file:///C:/Users/ALVIAK%7E1/AppData/Local/Temp/msohtmlclip1/01/clip_image003.png" v:shapes="Group_x0020_7 Rectangle_x0020_5 Rectangle_x0020_6 Rectangle_x0020_7 Rectangle_x0020_8 Rectangle_x0020_9" width="76" /></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Genetalia<span> </span>:<span> </span>oedem (-), varises (-), hemoroid (-)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ekstrimitas<span> </span>:<span> </span>oedem
<span> </span>variess<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Palpasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Leher<span> </span>:<span> </span>tidak ada pembesaran kelenjar tyroid, limfe dan vena jugularis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Payudara<span> </span>:<span> </span>tidak
ada benjolan, massa, tidak ada nyeri tekan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 150pt; text-align: justify; text-indent: -96pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 132pt; text-align: justify; text-indent: -78pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Leopold<span> </span>I<span> </span>:<span> </span>TFU antara Px dan pusat</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">(33cm)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 132pt; text-align: justify; text-indent: -78pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>II<span> </span>:<span> </span>teraba
keras seperti papan disebelah kiri (PUKI)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 132pt; text-align: justify; text-indent: -78pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>III<span> </span>:<span> </span>bagian
terendah adalah kepala (bulat, keras, melenting)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 132pt; text-align: justify; text-indent: -78pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>IV<span> </span>:<span> </span>bagian
terendah sudah masuk PAP : divergen 3/5<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 132pt; text-align: justify; text-indent: -78pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">His<span> </span>: 4x, 10’, 40”</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Auskultasi :
DJJ : 36 x/mnt : teratur<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perkusi :
reflek patela <sup>+</sup>/<sub>+</sub><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 36.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
dalam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tanggal : </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">23-06-2011</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Jam : </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">03.00</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pembukaan<span> </span>:<span> </span></span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>Æ</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Affecement<span> </span>:<span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">75</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">%<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ketuban<span> </span>:<span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">:(-)
warnakehijauan</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bagian
terdahulu<span> </span>:<span> </span>kepala<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bagian
terendah<span> </span>:<span> </span>UUK<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penurunan
bagian terendah<span> </span>:<span> </span>H I</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">V</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 36.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
penunjang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Protein uri : (-) : Hb : 11 gr %<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>II.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Interpretasi
Dasar<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify; text-indent: -66pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diagnosa<span> </span>:<span> </span>Ny</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">”D” </span><span style="font-family: "Times New Roman","serif";">GıP00000</span><a href="" name="_GoBack"></a><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> , usia kehamilan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">39 </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">minggu,
hidup, tunggal, letak kepala, intra uterin, jalan lahir normal, inpartu kala I
fase aktif dengan PE</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">B</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify; text-indent: -66pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ds<span> </span>:<span> </span>Ibu mengatakan ini kehamilan yang ketiga usia kehamilan 9 bulan haid
terakhir 5-9-07, Ibu mengatakan kenceng-kenceng mulai tanggal 29 Juni 2008.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify; text-indent: -66pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Do<span> </span>:<span> </span>Tanggal
pemeriksaan 30 Juni 2008 jam 12.15 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify; text-indent: -66pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>BB/TB<span> </span>:<span> </span>56
kg / 149 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify; text-indent: -66pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>TP<span> </span>:<span> </span>12-06-08<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify; text-indent: -66pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Keadaan<span> </span>:<span> </span>Lemas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify; text-indent: -66pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>TTV<span> </span>:<span> </span>S<span> </span>:<span> </span>37<sup>3
0</sup>C<span> </span>RR<span> </span>:<span> </span>20
x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify; text-indent: -66pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>N<span> </span>:<span> </span>82
x/menit<span> </span>TD<span> </span>:<span> </span>140/110 mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>TFU<span> </span>:<span> </span>Antara
Px dengan pusat (30 cm), punggung sebelah kiri, letak kepala sudah amsuk PAP
3/5 bagian<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>DJJ<span> </span>:<span> </span>Terdengar sebelah kiri bawah pusat 136 x/menit, teratur<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Vulva/vagina
tidak oedem dan tidak varises<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Pengukuran
pervaginam : darah lendir<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Pembukaan<span> </span>:<span> </span></span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>Æ</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 6 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Efficement<span> </span>:<span> </span>50%<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Ketuban<span> </span>:<span> </span></span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>Å</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Bagian
terdahulu : kepala<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Bagian terendah
: ubun-ubun kecil<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Penurunan<span> </span>:<span> </span>H II<o:p></o:p></span></div>
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<tr>
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<div>
<p class=MsoNormal align=center style='text-align:center'>
<b><span
style='font-size:14.0pt;line-height:115%'>+<o:p></o:p></span></b></p>
</div>
<![if !mso]></td>
</tr>
</table>
<![endif]></v:textbox>
</v:rect></v:group><![endif]--><!--[if !vml]--><span style="height: 106px; left: 0px; margin-left: 144px; margin-top: 8px; position: absolute; width: 76px; z-index: 4;"><img height="106" src="file:///C:/Users/ALVIAK%7E1/AppData/Local/Temp/msohtmlclip1/01/clip_image004.png" v:shapes="Group_x0020_1 Rectangle_x0020_17 Rectangle_x0020_18 Rectangle_x0020_19 Rectangle_x0020_20 Rectangle_x0020_21" width="76" /></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Bagian kecil
janin : (-)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Oedem :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Lab protein
uri : (-)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 138pt; text-align: justify; text-indent: -138pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Masalah<span> </span>:<span> </span>Ibu cemas akan proses persalinannya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 84pt; text-align: justify; text-indent: -84pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kebutuhan<span> </span>:<span> </span>-<span> </span>Dukungan emosional<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nutrisi dan
cairan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 84pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Persiapan
persalinan normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 66pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>III.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Identifikasi
Diagnosa dan Masalah Potensial<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1.5in; text-align: justify; text-indent: -1.5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diagnosa
potensial<span> </span>:</span><span style="font-family: "Times New Roman","serif";">NY ”D” GıP00000</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> usia kehamilan 43 minggu, tunggal, letak kepala, intra uterin, jalan
lahir normal, inpartu kala I fase aktif dengan PEB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1.5in; text-align: justify; text-indent: -1.5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Masalah
potensial<span> </span>:<span> </span>Ibu strees akan pross persalinannya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>IV.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tindakan
Segera dan Kolaborasi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kolaborasi
dengan Dokter obgyn<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Infus D5<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>V.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rencana
Asuhan Menyeluruh<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -1in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan<span> </span>:<span> </span>-<span> </span>Kala I fase aktif dapat berlangsung secara
fisiologis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tidak
terjadi komplikasi lebih lanjut (PEB) pada Ibu dan asfiksia BBL pada janin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kriteria hasil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dalam waktu </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>±</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 2 jam sudah ada kemajuan persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DJJ dalam
batas normal (120-160 x/menit)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">His adekuat
4x dalam 10 menit selama 40 detik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TTV dalam
batas normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">S<span> </span>:<span> </span>36-37,5 <sup>0</sup>C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">N<span> </span>:<span> </span>80-100 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">RR<span> </span>:<span> </span>16-24 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 132pt; text-align: justify; text-indent: -60pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TD (PER)<span> </span>:<span> </span>140/90
mmHg teratur Kenaikan 30 mmHg => sistolik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 240pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kenaikan 15 mmHg => diastolik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 132pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Interval pemeriksaan 6 jam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 1.25in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">(PEB) : 160/110 mmHg.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intervensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bina
hubungan saling percaya dengan menciptakan suasana terapeutik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>Suasana terapeutik dapat menimbulkan sifat
kooperatif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lakukan
pemeriksaan TTV dengan interval tiap 6 jam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>TTV merupakan salah satu parameter untuk
mengetahui kelainan tubuh.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lakukan
observasi CHPB (Contonen tiap ½ jam, his tiap ½ jam, penurunan kepala tiap 4
jam, bandle bila ada idikasi)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>Merupakan salah satu parameter untuk
mengetahui kelainan pada janin dan kemajuan persalinan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bantu Ibu
untuk mengibah posisi miring ke kiri atau terlentang sesuai keinginan Ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>meningkatkan perfusi plasenta dan menurunkan
tekanan uterus pada vena kava.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berikan
informasi tentang kemajuan persalinan dan keadaan janinnya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>Memberikan dukungan emosi yang dapat
mengurangi kecemasan dan Ibu lebih kooperatif.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bantu untuk
memili posisi yang nyaman untuk mengejan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>posisi yang nyaman dengan relaksasi jaringan
perineal mengoptimalkan upaya mengejan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>7)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bimbing Ibu
cara mengejan yang benar<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>Sikap kooperatif Ibu dapat menciptakan
kerjasama yang baik antara Ibu dan petugas sehingga dapat memberikan pelayanan
yang optimal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>8)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bantu Ibu
untuk beristirahat diantara kontraksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>Menghemat energi yang dibutuhkan untuk upaya
mengejan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>9)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berikan pada
Ibu cairan peroral selama proses persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>Cairan peroral mencegah dehidrasi yang dapat
menurunkan kekuatan Ibu dan his.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>10)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Siapkan
mental Ibu, alt-alat untuk menolong persalinan (partus set, perlengkapan Ibu
dan bayi)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>Mempermudah tindakan menolong persalinan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>11)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lakukan
prosedur APN, bila pembukaan sudah lengkap<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 24pt; text-align: justify; text-indent: -24pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/<span> </span>Teknik menolong persalinan yang
direkomendasikan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>VI.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Implementasi<o:p></o:p></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; width: 591px;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 56.15pt;" width="75">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tgl/Jam<o:p></o:p></span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 345.25pt;" width="460">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tindakan<o:p></o:p></span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 42.15pt;" width="56">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Paraf<o:p></o:p></span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 56.15pt;" valign="top" width="75">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">30.06-08<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">12.15<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 345.25pt;" valign="top" width="460">
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Melakukan
pendekatan kepada klien : sapa klien dengan ramah, perkenalkan diri kepada
klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Melakukan
pemeriksaan TTV<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 15.85pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">S<span> </span>:<span> </span>37
<sup>0</sup>C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 15.85pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">N<span> </span>:<span> </span>80
x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 15.85pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">RR<span> </span>:<span> </span>20
x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 15.85pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TD<span> </span>:<span> </span>140/110
mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Melakukan
pemeriksaan CHPB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DJJ : 136
x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">His : 4x, 10’, 40”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">VT : </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>Æ</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 6 cm / Ket </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>Å</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> / H II /
eff : 50%<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DJJ : 140 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">His : 5x, 10’, 50”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">VT : </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>Æ</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 10 cm / Ket </span><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>Å</span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> / H IV /
eff : 100%<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Membantu
Ibu supaya miring ke kiri agar aliran darah Ibu ke janin lancar<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Memasang
infus D5 untuk menambah tenaga Ibu agar kuat mengejan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Memberikan
informasi tentang kemajuan informasi persalinan dan keadaan janin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>7)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Membantu
Ibu memilih posisi yang nyaman untuk mengejan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>8)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Membimbing
Ibu cara mengejan yang benar yaitu pada waktu mengejan dagu ditempelkan di
dada, mulut terbuka, mengejan pada saat perut kenceng-kenceng<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>9)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Membantu
Ibu untuk istirahat diantar koktraksi dan memberikan cairan peroral selama
proses persalinan yaitu, teh hangat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>10)<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mempersiapkan
mental Ibu dan peralatan yang akan digunakan pada persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2 wadah
(DTT : clorin)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tempat
plasenta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kebutuhan
Ibu (jarik, softek, baju ibu)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 39.85pt; text-align: justify; text-indent: -0.25in;">
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</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sampah
medis dan non medis<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Obat-obatan
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<br /></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-32600215871048938812012-06-28T16:08:00.000-07:002012-06-28T16:08:40.898-07:00ASUHAN KEBIDANAN PADA Tn “W” DENGAN DIAGNOSA CEREBRO VASKULER ACCIDENT (CVA) DI RUANG IGD BAPELKES RSUD “CINTAKU” JOMBANG<link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml" rel="File-List"></link><link href="file:///C:%5CUsers%5CALVIAK%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_editdata.mso" rel="Edit-Time-Data"></link><!--[if !mso]>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">LAPORAN PEN</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">GKAJIA</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">N<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">ASUHAN KEBIDANAN PADA
Tn “W” DENGAN DIAGNOSA <o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">CEREBRO VASKULER
ACCIDENT (CVA)<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">DI RUANG I</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">G</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">D BAPELKES</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;"><o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">RSUD</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;"> “CINTAKU” </span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">JOMBANG<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEinRfdNFp05lSQJnLJOb1Fdy1CpHVG_Nk08OQTAa9LeC9i8mskWCqsTFJpfbPraK4Ym2u3IifTLjakvB9_CnVs-UVIM5VrE6dtBCoIgrOygO7rSxtDsPNF72wFNZRFqV4faULm4rQXiLlc/s1600/Akbid.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="299" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEinRfdNFp05lSQJnLJOb1Fdy1CpHVG_Nk08OQTAa9LeC9i8mskWCqsTFJpfbPraK4Ym2u3IifTLjakvB9_CnVs-UVIM5VrE6dtBCoIgrOygO7rSxtDsPNF72wFNZRFqV4faULm4rQXiLlc/s320/Akbid.jpg" width="320" /></a></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><!--[if gte vml 1]><v:shapetype id="_x0000_t75"
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</v:shape><![endif]--><!--[if !vml]--><br /><!--[endif]--></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Oleh :<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><u><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">NUR
ALFI ABIDA<o:p></o:p></span></u></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">NIM : 7209</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">010<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">PRODI DIII KEBIDANAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">FAKULTAS ILMU KESEHATAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">UNIVERSITAS PESANTREN TINGGI
DARUL ‘ULUM<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">JOMBANG<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;">2010<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">CEREBRO VASKULAR
ACCIDENT (CVA)</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DEFINISI<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stroke / Cerebro Vaskuler Accident (CVA)
merupakan suatu keadaan, kehilangan fungsi otak secara mendadak yang
diakibatkan oleh gangguan suplai darah kebagian otak , atau merupakan suatu
kalainan otak baik secara fungsional maupun struktural yang disebabkan oleh
keadaan patologis pembuluh darah serebral atau dari seluruh sistem pembuluh
darah otak.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menurut WHO, stroke (CVA) adalah adanya
defisit neurologist yang berkembang cepat, akibat gangguan fungsi otak likal
(global) dengan gejala-gejala yang berlangsung selama 24 jam atau lebih yang
menyebabkan kematian tanpa adanya penyebab lain jelas selain vaskuler.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ETIOLOGI<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyebab
dari stroke / CVA adalah :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Trombosis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Embolisme serebral (3/4
kasus stroke).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perdarahan baik intra
maupun subarachnoid (1/4 kasus stroke).<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lodera cerebro vaskular
atau stroke meliputi awitan, tiba-tiba deficit neurologist ksrens insufisiensi
suplai darah ke suatu bagian dari otak. Insufisiensi suplai darah disebabkan
oleh trombus, biasanya sekunder terhadap arterisklerosis, terhadap embolisme
berasal dari tempat lain dalam tubuh, atau terhadap perdarahan akibat raptor
arteri (aneurisma).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Faktor
resiko stroke (CVA)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Yang
dapat dirubah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hipertensi,
faktor resiko utama<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyakit
hematokrit tinggi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diabetes
Melitus (penyakit anterogenesis)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemakai
kontrasepsi oral<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penurunan
tekanan darah berlebihan dalam jangka panjang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Obesitas,
perokok, alkoholisme<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kadar
estrogen yang tinggi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Usia
> 35 tahun<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyalahgunaan
obat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan
darah/ aliran darah otak sepintas<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hiper
kolesterolemia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kelainan
pembuluh darah otak (karena genetik, infeksi dan ruka paksa)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lansia<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyakit
paru menahun<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>ü<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Asam
urat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Klasifikasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stroke
dapat diklasifikasi menurut patologi dan gejala kliniknya, yaitu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stroke
Haemorhagi <o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Merupakan perdarahan
serebral dan mungkin perdarahan subarachnoid disebabkan oleh pecahnya pembuluh
darah otak pada daerah otak tertentu. Biasanya kejadian saat melakukan
aktivitas atau aktif, namun bisa juga terjadi saat istirahat kesadaran pasien
umumnya menurun. Stroke Haemorhagi adalah disfungsi neurologi fokal yang akut
dan disebabkan oleh perdarahan primer substansi otak yang terjadi secara
spontan, bukan oleh trauma kapitis, disebabkan pecahnya pembuluh arteri, vena
dan kapiler.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stroke
Non Haemorhagi<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat berupa iskemia
atau emboli dan trombosis serebral. Biasanya terjadi saat setelah lama
istirahat<span> </span>baru bangun, tidur atau di
pagi hari. Tidak terjadi perdarahan, namun terjadi iskemia yang menimbulkan
hipoksia dan selanjutnya dapat timbul odema, sekunder kesadaran umum baik.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stroke
menurut perjalanan penyakit atau stadiumnya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TIA
( Trans Iskemik Attack)<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan Neurologis
setempat yang terjadi selama beberapa menit sampai beberapa jam sama. Gajala
yang timbul akan hilang dengan spontan dan sempurna dalam waktu kurang dari 24
jam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stroke
Involusi<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stroke yang terjadi
masih terus berkembang dimana gangguan neurologis semakin berat dan bertambah
buruk proses dapat berjalan 24 jam atau beberapa hari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stroke
Komplit <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.25in; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan neurologis
yang timbul sudah menetap atau permanen, sesuai dengan istilahnya stroke
komplit dapat diawali dengan serangan TIA berulang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">MANIFESTASI
KLINIK<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Menurut
Hudak dan Gallo dalam buku perawatan kritis, terdapat manifestasi akibat
stroke, yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Defisit Motorik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hemiparese, Hemiplegia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Disatria (Kerusakan
otot-otot bicara)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Disfagia (Kerusakan
otot-otot menelan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Defisit Sensoris<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Defisit Visual (umum,
karena jarak fisual terpotong sebagian besar pada hamisfer serebri)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tidak memberikan/
hilangnya respon terhadap sensori superfisial (sentuhan, nyeri, tekanan, panas
dan dingin)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tidak memberikan/
hilangnya respon terhadap propioresepsi (pengetahuan tentang posisi bagian
tubuh)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Defisit Perseptual
(gangguan dalam merasakan dengan tepat dan menginterpretasikan diri dan
lingkungan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan sken/ maksud
tubuh (amnesia/ menyangkal terhadap ekstremitas yang mengalami paralise,
kelainan unilateral)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Disonentasi (waktu,
tepat, orang)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Apraksia ( kehilangan
kemampuan untuk menggunakan obyek- obyek dengan tepat)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Agnosia ( ketakmampuan
untuk mengidentifikasi lingkungan melalui indera)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kelainan dalam
menemukan letak obyek dalam ruangan, memperkirakan ukurannya dan nilai jauhnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kerusakan memori untuk
mengingat letak obyek/ tempat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>g.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Disorientasi kanan,
kiri.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Defisit Bahasa/ komunikasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Afaksia ekspresif
(kesulitan dalam mengubah suara, menjadi pola- pola bicara yang sulit
dipahami). Dapat berbicara dengan menggunakan respon satu kata.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Afasia reseptif
(kerusakan kelengkapan kata)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Afasia global
(kombinasi afasia ekspresif dan reseptif) tidak mampu berkomunikasi pada setiap
tingkat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Aleksia (ketidakmampuan
untuk mengerti kata yang dituliskan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Agrafasial
(ketidakmampuan untuk mengekspresikan ide- ide dalam tulisan)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Defisit Intelektual<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kehilangan memori<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rentang perhatian
singkat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Peningkatan
distrakbilitas (mudah buyar)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penilaian buruk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Disfungsi aktifitas
mental dan psikologis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lobilitas emosional<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kehilangan kontrol diri
dari hambatan sosial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penurunan toleransi
terhadap ares<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ketakutan permusuhan,
frustasi, marah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 0in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Depresi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>7.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan Eliminasi
(Kandung kemih dan usus)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lesi unilateral, karena
stroke mengakibatkan sensori dan kontrol partial kandung kemih, sehingga klien
sering mengalami berkemih dorongan dan inkontinensia urine.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kerusakan fungsi usus
akibat dari penurunanan tingkat kesadaran, dehidrasi dan immobilitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Konstipasi dan
pergerakan feses.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>8.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan keasadaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -4.35pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jenis kesadaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kognitif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;"><span>·<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Afektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -4.35pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Derajat/ tingkat
kesadaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -4.35pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bentuk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kesadaran
menurun<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Apatis
(keadaan kesadaran yang segan untuk berhubungan dengan kehidupan, sikapnya acuh
tak acuh)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Somnolen
(keadaan kesadaran yang mau tidur saja, dapat dibangunkan dengan rangsangan
nyeri, akan tetapi jatuh tidur lagi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sopor
(Ingatan, orientasi dan pertimbangan sudah hilang)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Subkoma
dan koma (tidak ada respon terhadap stimulus yang kuat)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Kesadaran fungsi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Terjaga
nornal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sadar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Letargi/
Somnolen (mengantuk,dapat mengetahui perintah)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sopor
(Sulit dibangunkan)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Koma<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">CARA
PENGUKURAN TINGKAT KESADARAN<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glas Glow (Oma Scale
(GCS))<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Spontan<span> </span>4<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Terhadap
Bicara<span> </span>3<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Terhadap
Nyeri<span> </span>2<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tidak
Ada Respon<span> </span>1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Respon
Verbal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Reorientasi<span> </span>5<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Percakapan
yang membingungkan<span> </span>4<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penggunaan
kata- kata yang tidak sesuai<span> </span>3<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Suara
menggumam<span> </span>2<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tidak
ada respon<span> </span>1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Respon
Motorik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengikuti
perintah<span> </span>6<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menunjuk
tempat rangsangan<span> </span>5<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menghindar
dari stimulus<span> </span><span> </span>4<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fleksi
abnormal<span> </span>3<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ekstensi
abnormal<span> </span>2<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tidak
ada respon<span> </span>1<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penilaian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nilai
3<span> </span>: Kesadaran
terburuk<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nilai
4 – 5<span> </span>: Koma yang dalam<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nilai
6 - 10<span> </span>: Gangguan kesadaran
intermediate<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nilai
11 - 14<span> </span>: Kesadaran lebih
baik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Wingdings; font-size: 12pt; line-height: 150%;"><span>Ø<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nilai
15<span> </span>: Terbaik<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>E.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PENATALAKSANAAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menurut
Kerusakan Iskemik<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dengan infark cerebral
terdapat kehilangan, irreversible inti sentral jaringan otak. Disekitar zona
jaringan yang mati ini mungkin ada jaringan yang masih dapat diselamatkan.
Tindakan awal yang harus difokuskan untuk menyelamatkan sebanyak mungkin area
iskemik. Tiga unsur yang paling penting untuk area tersebut adalah oksigen,
glukosa dan aliran darahyang adekuat. Kadar oksigen dapat dipantau melalui gas
– gas darah, arteri dan oksigen dapat diberikan pada pasien jika ada indikasi
hipoglikemia dapat dievaluasi dengan serangkaian pemeriksaan glukosa darah.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Prinsip
Penatalaksanaan Stroke Iskemik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Membatasi
atau memulihkan iskemia akut yang sedang berlangsung (1 – 3 jam pertama)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mencegah
perburukan, neurologis yang berhubungan dengan stroke yang masih berkembang,
progresivitas stroke terjadi pada 20 – 40 pasien stroke iskemik yang dirawat
dengan resiko terbesar dalam 24 jam pertama, saat aset gejala.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mencegah
stroke berulang dini (dalam 30 hari sejak aset gejala stroke)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Protokol
Penatalaksanaan Stroke Iskemik Akut<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pertimbangan
intra vena, 10 % diberikan bolus IV dan sisanya diberikan perdrib dalam waktu 1
jam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pertimbangan
pemantauan irama jantung<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekanan
darah tinggi pada stroke iskemik tidak boleh cepat – cepat diturunkan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pertimbangan
konsul bedah syaraf untuk dekompresia pada pasien<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pertimbangan
pemberian heparin, IV dimulai dosis 800 unit/jam<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dan
lain – lain<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Protokol
Penatalaksanaan Stroke Hemoeragik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Singkirkan
kemungkinan kongulopati, pastikan masa protombin dan tromboblastin parsial
adalah normal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kendalikan
hipertensi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berikan
manitol 20 % (1 kg/kg BB, intra vena dalam 20 – 30 menit)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pertimbangan
fenitor (20 mg/kg BB, intra vena kecepatan maksimal 50 mg/menit atau per oral).
Pada perdarahan luas dan derajat kesadaran menurun.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perwatan
Umum<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Demam<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Demam di obati secara
agresif dengan antipiretik atau kompres dingin. Penyebab demam tersering adalah
pnemonia. Aspirasi lakukan kultur darah dan urine, kemudian di berikan
antibiotik intra vena secara empiris.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nutrisi<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien stroke memiliki
resiko tinggi aspirasi bila pasien sadar penuh. Tes kepekaan menelan dengan
memberikan satu sendok teh air putih kepada pasien dengan posisi pasien
setengah duduk.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hidrasi
Intra Vena<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Harus dikoreksi dengan
kantaloid isotonis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glukosa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hiperglikemia dan
hipoglikemia dapat menimbulkan aksa serbasi iskemia.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan
Paru<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fisioterapi dada setiap
4 jam harus dilakukan untuk mencegah atelektaksis paru pada pasien yang tidak
bergerak.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Aktivitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien dengan stroke
harus di mobilisasi dan dilakukan fisioterapi sedini mungkin bila kondisi
klinis neurologis dan hemodinamik stabil.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>g.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Neurorestorasi
Dini<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Stimulasi sensorik,
kognitif, memori, bahasa, emosi serta visual spesial harus dilakukan sedini
mungkin untuk mempercepat returasi fungsi – fungsi otak yang terganggu depresi
atau amnesia juga harus dikenali dan diobati sedini mungkin.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>h.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan
Vesika<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kateter urine tetap
(kateter feleg) sebaiknya hanya dipakai dengan pertimbangan khusus (kesadaran
menurun, demensia, afasia global).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pencegahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pencegahan Primer<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Strategi kampanye
nasional terintegrasi dengan program pencegahan penyakit lainnya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Memasyarakatkan gaya
hidup sehat bebas stroke<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pencegahan Sekunder<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Modifikasi gaya hidup
beresiko stroke dan faktor resiko<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Melibatkan peran serta
keluarga seoptimal mungkin<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Obat – obatan yang
digunakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 99.25pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tindakan iritasif<o:p></o:p></span></div>
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<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0in; text-align: center;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DAFTAR
PUSTAKA<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 92.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Carpenito,
Iyada Jual, 1995. <i>Diagnosa keperawatan</i>,
Jakarta : EGC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">dr.
Juwono T, 1993. <i>Penatalaksanaan Kasus –
kasus darurat Neurologis</i>, Jakkarta : EGC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mansjoer,
Arief, 2000. <i>Kapita selekta jilid II</i>,
Jakarta : Media Aesculaplus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -42.55pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Wartono,
Tarwoto, 2003. <i>Kebutuhan Dasar Manusia
dan Proses Keperawatan</i>, Jakarta : Salemba Medika<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: 14.7pt;">
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<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">LAPORAN
PENDAHULUAN<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">KEBUTUHAN
DASAR MANUSIA (KDM)<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">MOBILISASI<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DEFINISI<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mobilisasi
adalah suatu energi atau keadaan bergerak dimana manusia memerlukan hal
tersebut agar dapat memenuhi kebutuhan hidup.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">KONSEP
DASAR<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fisiologi
Pergerakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pergerakan merupakan
rangkaian yang terintegrasi antara sistem muskuloskeletal dan sistem
persyarafan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Body
Mekanik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sikap aktivitas yang
dilakukan perawat harus memperhatikan body mekanik seperti kegiatan mengangkat/
memindah pasien.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">FAKTOR
– FAKTOR YANG MEMPENGRUHI PERGERAKAN<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tingkat
Perkembangan Tubuh<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Usia akan mempengaruhitingkat
perkembangan neuromuskulerdan tubuh secara proporsional, postur, pergerakan dan
reflek akan berfungsi secara optimal.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kesehatan
Fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyakit, cacat tubuh,
dan immobilisasi akan mempengaruhi pergerakan tubuh.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keadaan
Nutrisi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kurangnya nutrisi dapat
menyebabkan kelemahan otot, dan obesitas dapat menyebabkan pergerakan kurang
bebas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Emosi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasa aman dan gembira
dapat mempengaruhi aktivitas tubuh. Keresahan dan kesusahan dapat menghilangkan
semangat dan kemudahan sering dimanifestasikan dengn kurangnya aktivitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kelemahan
neuromuskular dan skeletal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Adanya abnormal postur
seperti skoliosis, lordosis dan kifosis dapat mempengaruhi terhadap pergerakan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pekerjaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Seseorang yang bekerja
di kantor kurang melakukan aktivitas bila dibandingkan dengan petani atau
buruh.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>D.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">FAKTOR-FAKTOR
YANG MEMPENGARUHI KURANGNYA PERGERAKAN IMMOBILISASI<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan
Muskuloskeletal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Osteoporosis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Atropi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kontraktur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kekakuan
dan sakit sendi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan
Kardiovaskuler<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Postural
Hipotensi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Vasodilatasi
vena<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Peningkatan
penggunaan valsava manuver<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan
Sistem Respirasi <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penurunan
gerak pernafasan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bertambahnya
sekresi paru<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Atelektasil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hipostatis
pneumonia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 89.45pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>E.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">KRITERIA
HASIL<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Individu akan :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Memperlihatkan
penggunaan alat – alat yang adaptif untuk peningkatan mobilisasi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menggunakan
tindakan pengaman untuk meminimalkan kemungkinan terhadap cidera.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Memperlihatkan
tindakan untuk meningkatkan mobilitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Melepaskan
adanya peningkatan mobilitas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 71.45pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>F.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">INTERVENSI
GENERIK<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rujukan
pada sindrom disuse untuk intervensi pencegahan komplikasi immobilitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ajarkan
untuk melakukan latihan rentang gerak aktif pada anggota gerak yang sehat,
sedikitnya 4x sehari.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Posisi
dalam kesejajaran tubuh untuk mencegah komplikasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gunakan papan kaku<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hindari berbaring/
duduk dengan posisi yang sama dalam waktu lama.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ubah posisi sendi bahu
setiap 2 – 4 jam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gunakan bantal kecil/
tanpa bantal saat dalam posisi fowler<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berikan
Mobilisasi Progresif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Biarkan individu
mengambil posisi duduk dengan perlahan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Biarkan individu
menjuntaikan tungkai di samping tempat tidur selama 5 menit sebelum mengambil
posisi berdiri<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anjurkan ambulasi
dengan atau tanpa alat bantuan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tingkatkan lamanya
berjalan, secara progresif setiap hari<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Minta
individu untuk memperagakan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Latihan penguatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Latihan rentang gerak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Merawat alat adaptif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tindakan kewaspadaan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PENGKAJIAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 28.35pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>A.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><b>PENGERTIAN<o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 21.25pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengkajian
adalah suatu format atau data yang dilakukan oleh petugas kesehatan kepada
pasien dengan cara menyusun data subyektif<span>
</span>dan data obyektif melalui wawancara dan pemeriksaan langsung dengan pasien,
dan jika melalui wawancara tetapi pasien dalam keadaan koma, maka petugas
kesehatan dapat bertanya kepada pendamping, pengantar atau keluarga. Di dalam
data pengkajian terdiri dari biodata – biodata yang di dalamnya merupakan
pribadi/ privasi dari masing – masing pasien. Data yang tercantumdi dalam
format pengkajian adalah data subyektif dan obyektif.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: 15.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -28.35pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>B.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DATA
SUBYEKTIF<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 21.25pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Adalah
suatu data yang ada di dalam format pengkajian dengan melakukan wawancara
dengan pasien dan apabila pasien tidak sadar dan tidak dapat melakukan
komunikasi, dapat dilakukan dengan mewawancarai keluarga pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 21.25pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data
subyektif terdiri dari anamnesa terhadap pasien, dari keluhan utama pasien
sampai riwayat penyakit masa lalu pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 21.25pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anamnesa
adalah suatu data yang diambil dari hasil wawancara dengan pasien untuk
mengetahui riwayat kesehatan dari pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>-<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data
Anamnesa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sumber
Informasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Adalah dimana petugas
kesehatan menanyakan anamnesa dari pasien atau keluarganya dengan benar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keluhan
Utama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Suatu keadaan dimana
pasien merasakan rasa sakit atau tidak nyaman yang dirasakanleh pasien pertama
kali.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Riwayat
Penyakit Sekarang dan Masa Lalu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Adalah data kesehatan
atau diagnosa dari pasien untuk mengetahui penyakit yang di derita pasien
sekarang dan masa lalu pasien, sehingga petugas kesehatan dapat mengetahui
sebab dari penyakit pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Riwayat
Kesehatan Keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Untuk mengetahui
riwayat kesehatan dari keluarga pasien, sehingga petugas kesehatan tahu apakah
ada atau tidak penyakit turunan dari keluarga pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 88.9pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -28.35pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>C.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">DATA
OBYEKTIF <o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 21.25pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Adalah
data pengkajian<span> </span>yang dilakukan dengan
cara memeriksa secara langsung dengan pasien, di dalam data obyektif bertujuan
untuk mengetahui keadaan pasien sekarang, selama pasien merasakan keluhannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diantara
data – data obyektif adalah :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan
fisik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan yang
dilakukan untuk mengetahui keadaan fisik pasien. Pemeriksaan fisik dilakukan
dari memeriksa ujung kepala sampai ujung kaki, TTV (dari suhu tubuh sampai
dengan mengukur tinggi badan).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan kepala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
bentuk dan fungsi kepala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
kelainan yang terdapat di kepala<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan mata<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
bentuk dan fungsi mata<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
adanya kelainan pada mata<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan telinga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
keadaan telinga luar, saluran telinga, gendang telinga dan fungsi pendengaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan hidung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
bentuk dan fungsi hidung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menentukan
kesimetrisan struktur dan adanya inflamasi dan infeksi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan mulut dan faring<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
bentuk dan setiap kelainan mulut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan leher<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menentukan struktur
integritas leher<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui bentuk leher
serta organ yang berkaitan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Memeriksa sistem
limfatik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>g.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan paru dan dada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
bentuk dan kesimetrisan, keadaan kulit dan dinding dada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
frekuensi, sifat, irama pernafasan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
adanya nyeri tekan, massa, peradangan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
keadaan paru, rongga pleura<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
batas paru dengan organ lain di sekitarnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
adanya sumbatan aliran udara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>h.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan jantung<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
ketidak normalan denyut jantung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
ukuran, dengan bentuk jantung secara kasar<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui bunyi
jantung normal atau tidak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -21.25pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mendeteksi adanya
gangguan kardiovaskuler atau tidak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>i.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan dari pemeriksaan
payudara dan ketiak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.8pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
adanya massa atau adanya ketidak teraturan dalam jaringan payudara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>j.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan dari pemeriksaan
genetalia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Melibatkan
dan mengetahui organ – organ yang termasuk dalam genetalia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
adanya abnormalitas pada genetalia<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
kemajuan proses persalinan pada ibu hamil atau persalinan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>k.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan
dari pemeriksaan abdomen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
adanya gerakan dan bentuk perut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 85.05pt; text-align: justify; text-indent: -0.25in;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
suara peristaltik usus<o:p></o:p></span></div>
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tepat nyeri tekan, organ dalam rongga perut, benjolan dalam perut<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>l.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan dari pemeriksaan
rektum dan anus<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui
kondisi anus dan rektum<o:p></o:p></span></div>
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integritas sfinkter anal eksternal<o:p></o:p></span></div>
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kanker rektal<o:p></o:p></span></div>
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dari pemeriksaan kulit dan kuku<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui kondisi
kulit dan kuku<o:p></o:p></span></div>
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dari pemeriksaan neurologi<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengetahui integritas
sistem persarafan yang meliputi sistem saraf kranial, fungsi sensorik, fungsi
motorik dan reflek<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>o.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data
Psikososial dan Spiritual<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dimana data tersebut
disusun untuk mengetahui kegiatan sehari – hari pasien.<o:p></o:p></span></div>
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Pola Aktivitas Sehari – hari<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dimana data tersebut
disusun untuk mengetahui kegiatan sehari – hari pasien.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>q.<span style="font-family: "Times New Roman"; font-size-adjust: none; font-size: 7pt; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data
Penunjang yang Spesifik<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data disusun untuk
mengetahui keluhan yang dirasakan oleh pasien sehingga petugas kesehatan
mengetahui penyakit yang di derita pasien.<o:p></o:p></span></div>
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</span></span></span></b><!--[endif]--><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">KESIMPULAN<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dari
data pengkajian yang dilakukan oleh petugas kesehatan dapat memperoleh data
yang lengkap dan jelas, tetapi dari setiap petugas kesehatan harus dapat
menjaga dari setiap data yang telah diambil karena semua yang telah diambil
kajiannya adalah privasi dari masing – masing pasien.<o:p></o:p></span></div>
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<br /></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com1tag:blogger.com,1999:blog-1824918336444908792.post-78841609035509391742012-06-19T05:50:00.001-07:002012-06-19T05:51:02.898-07:00ASUHAN KEPERAWATAN GERONTIK PADA NY "L" DENGAN DIAGNOSA MEDIS TUBERCOLOSIS<br />
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<span lang="EN-US" style="font-family: 'Times New Roman', serif;">BAB 1<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif;">PENDAHULUAN<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">1.1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Latar
belakang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Usia lanjut merupakan
suatu kejadian yang fisiologis dan pasti dialami oleh orang yang dikarunia usia
panjang hal ini tidak bisa dihindari
oleh siapapun .Pada usia lanjut akan terjadi penurunan pada sistem tubuh .Sehingga
banyak sekali permasalahan yang terjadi salah satunya adalah resiko infeksi.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Infeksimerupakan
kolonisasi yang dilakuakan spesies asing ( patogen ) terhadap organisme.dan
membahayakan inang menganggu fungsi normal inang dan dapat berakibat luka kronik , gangren ,
kehilangan organ tubuh bahkan kematian.
<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Jumlah lansia saat
ini sekitar 16,5 juta termasuk didalamnya lansia yang masih potensial, dan
jumlah tahun ketahun terus meningkat menurut dirjen pelayananrehabilitasi
sosial ( yanrehsus ) .Depsos, Makmur
sanusi pada konfrensi pers dalam rangka hari lanjut usia Nasional ( HLUN ) Th 2009 di jakarta ,jum at (22/5 ).
<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Namun para lansia
( Lanjut usia ) tidak usah berkecil hati tetapi harus tetap optimis
karena kesehatan akan tercapai apabila mereka selalu menjaganya oleh karena itu kita selalu memelihara dan menyanyangi kesehatan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">1.2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Rumusan
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<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Berdasarkan latar
belakang diatas maka dapat ditemukan rumusan masalah sebagai berikut :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Bagaimana teori lansia ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Apa pengertianinffeksi ?<o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif;">Apa yang dimaksud TB yang
merupakan infeksi ?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Bagimana asuhan keperawatan lansia dengan
infeksi ?<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif;">Tujuan dalam pembuatan makalah ini adalah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif;">Mengetahui asuhan
keperawatan pada lansia dengan infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Memenuhi tugas materi keperawatan gerontik<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">BAB 11<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">PEMBAHASAN<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori
lansia ( lanjut usia )<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.1.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pengertian Lansia<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Lanjut usia ataupun yang sering disebut senescance adalah merupakan
suatu periode dari renteng kehidupan yang ditandai dengan perubahan atau
penurunan fungsi tubuh , biasanya mulai pada usia untuk individu yang berbeda (
papalia, 2001 )<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Primary aging<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Merupakan suatu proses penurunan atau kerusakan fisik yang terjadi
secara bertahap dan bersifat inevitable ( tidak dapat dihindari )<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Secondery aging <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Merupakan dari hasil dari
penyakit ,Abase, dan disuse pada tubuh yang sering kali dapat dihindari dan
dikontrol oleh induvidu dibandingan dengan premary aging ex pola makan yang
baik menjaga kebugaran fisik dll. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Sedangkan proses menua yang lain yaitu teori teori biologis. Teori
bilogis adalah sebagai berikut : <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori genetik dan mutasi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Maksud teori adalah menua telah terprogram secara genetik untuk
spesies2 tertentu. Menua terjadi sebagai akibat dari perubahan biokimia yang
dipengaruhi oleh molekul2/DNA setiap sel pada saatnya akan mengalami
mutasi contoh penurunan kemampuan
fungsional sel.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pemakian dan rusak<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"> Kelebihan
usaha dan stres menyebebkan sel2 lelah ( terpakai )<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Reaksi kekebalan tubuh ( Atauimmune theory )
didalam proses metabolisme tubuh, memproduksi zat khusus. <st1:city w:st="on"><st1:place w:st="on">Ada</st1:place></st1:city> jaringan tubuh yang tidak tahan terhadap
zat tersebut sehingga jaringan menjai lemah dan sakit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori immun menjadi efektif dengan bertambahnya
usia dan masuknya virus kedalam tubuh dapat menyebabkan organ tubuh<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori stres menua terjadi akibat hilangnya sel
sel yang biasa digunakan tubuh. Regenerasi jaringan tubuh dapat mempertahankan
kesetbilan lingkungan internal kelebihan usaha dan stres yang menyebabkan sel
sel tubuh leleh terpakai<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori radikal, radikal bebas dapat terbentuk
alam bebas tidak stbilnya bebas mengakibatkan oksidasi oksigen bahan bahan
organik seperti karbohidrat dan protein sehingga menyebabkan sel sel tidak
dapat regenerasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori rantai silang reaksinya menyebabkan
kurangnya elastis kekakuan dan hilangnya fungsi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori program kemampuan organisme untuk
menetapkan jumlah sel yang membelah setelah sel sel tersebut mati.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.1.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Faktor yang mempengaruhi ketuaan (Nugroho 2000)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Hereditas<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Nutrisi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Status pengalaman hidup<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.1.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Klasifikasi usia lanjut :<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> Menurut organisasi kesehatan dunia lanjut
usia dikelompokkan: <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Usia pertangahan ( Middle age ): 45-59 Th<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Lanjut usia (erderly ): 60-74 Th<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Lanjut usia tua ( old ) : 75-90 Th<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Usia sangat tua ( Very old ) : lebih 90 Th.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.1.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Perubahan perubahan yang terjadi pada lansia pada dasarnya lansia
secara fisologis mengalami penurunan pada sistem.Tubuh baik itu respirsi ,
jantung, gastrointestinal, penglihatan, moskoloskeletal, indokrin, intugumen,
genetourinaria dll.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori
infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.2.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pengertian<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Infeksi adalah adanya suatu organisme pada jaringan atau cairan tubuh
yang disertai suatu gejala klinisbaik lokal maupun sistemik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Infeksi penykit yng disebabkan karen masuknya bibit penyakitmenular
dari stu orang ke orang lainjadi orang yang sehat harus dihandarkan dari
oraang yang menderita penyakit dari golongan ini<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.2.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Etiologi<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Bakteri dan jasad hidup ( organisme ) kuman kuman ini menyebar dengan
berbagai cara dan vektor<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Klasifikasi penyakit infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">1)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Penyebab penyakit adalah bakteri ( jasad renik
atu kuman )<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"> a. TBC → udara<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"> b. Tetanus→Luka yang kotor<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"> c. Mencret→ Lalat,air, tangan yang kotor <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"> d. Pnemoni→ Lewat batuk dan udara<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"> </span><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">e. Gonorrhe dan spilis→ hubungan kelamin<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">2)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Penyebab </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">adalah</span><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> virus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 93.0pt; mso-list: l10 level3 lfo22; tab-stops: 30.0pt list 93.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Salesma, influinsa, campak, gondok, yang ditularkan dari
batuk , udara dan lalat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 93.0pt; mso-list: l10 level3 lfo22; tab-stops: 30.0pt list 93.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Rabies : Melalui gigitan binantang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 93.0pt; mso-list: l10 level3 lfo22; tab-stops: 30.0pt list 93.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Penyakit melalui sentuhan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 75.0pt; mso-list: l10 level2 lfo22; tab-stops: 30.0pt list 75.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">3)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Jamur, kurap kutu air dan gatal pada lipatan
paha→sentuhan atau pakaian yang dipai secara bergantian<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 75.0pt; mso-list: l10 level2 lfo22; tab-stops: 30.0pt list 75.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">4)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Parasit internal: <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 30.0pt;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> Disentri→ Kotoran ke mulut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 30.0pt;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> Malaria→ Melalui gigitan nyamuk<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 30.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 57.0pt; tab-stops: 30.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 75.0pt; mso-list: l10 level2 lfo22; tab-stops: 30.0pt list 75.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">5)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Parasit eksternal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 30.0pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kutu rambut, kutu hewan kutu busuk, berupa kudus
penularannya dari orang yang terinfeksi dan pakaian yang bergantian.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 30.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 57.0pt; mso-list: l21 level3 lfo19; tab-stops: 30.0pt list 57.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Penatalaksanaan</span><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo23; tab-stops: 30.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: Symbol; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Mencuci tangan setelah kontak dengan kotoran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo23; tab-stops: 30.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: Symbol; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Memakai celemek, sepatu, handscon, saat bertemu pasien
yang rawan menularkan infeksi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo23; tab-stops: 30.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Masker<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l8 level1 lfo23; tab-stops: 30.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: Symbol; line-height: 150%;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pemakaian anti biotik akan tetapi juga memiliki efek
samping. Yang diperlu diperhatiakan:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 30.0pt;">
<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> 1. Reaksi efek pera<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 30.0pt;">
<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> 2. Menganggu keseimbangan alami<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 30.0pt;">
<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> 3. Kekebalan terhadap penyakit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 30.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.0pt; mso-list: l21 level2 lfo19; tab-stops: list 21.0pt left 30.0pt; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Teori</span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> penyakit TBC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l21 level3 lfo19; tab-stops: list 57.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pangertian <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Penyakit infeksi kronis
dengan karakteristik terbentuknya tuberkel granuloma pada paru.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l21 level3 lfo19; tab-stops: list 57.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.3.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Etiologi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Mycobacterium
tuberkulosis (Amin, M.,1999).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 6.0pt;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Faktor Resiko <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l3 level1 lfo6; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Rasial/Etnik group : Penduduk asli Amerika,
Eskimo, Negro, Imigran dari Asia Tenggara.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l3 level1 lfo6; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Klien dengan ketergantuangan alkhohol dan kimia
lain yang menimbulkan penurunan status kesehatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l3 level1 lfo6; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Bayi dan anak di bawah 5 tahun.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l3 level1 lfo6; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Klien dengan penurunan imunitas : HIV positip,
terapi steroid & kemoterapi kanker.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l21 level3 lfo19; tab-stops: list 57.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.3.3<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Patofisiologi</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: Tahoma, sans-serif; font-size: 10pt;">
Mycobacterium TBC<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
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<td></td>
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<!--[endif]--><span lang="EN-US" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> </span><br />
<br clear="ALL" />
<div class="MsoNormal">
<span lang="EN-US" style="font-family: Tahoma, sans-serif; font-size: 10pt;">
Masuk jalan napas<o:p></o:p></span></div>
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<td><img height="13" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1027" width="12" /></td>
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<span lang="EN-US" style="font-family: Tahoma, sans-serif; font-size: 10pt;">
Tinggal di Alveoli<o:p></o:p></span></div>
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<tbody>
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<td height="7" width="258"></td>
</tr>
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<td></td>
<td><img height="13" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1028" width="12" /></td>
</tr>
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<br clear="ALL" />
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Inflamasi disebar
oleh limfe<o:p></o:p></span></div>
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<td width="161"></td>
<td width="12"></td>
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<td height="10"></td>
<td></td>
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<br clear="ALL" />
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</v:line><![endif]--><!--[if !vml]--><span style="height: 2px; margin-left: 311px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 60px; z-index: 14;"><img height="2" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" v:shapes="_x0000_s1039" width="60" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> Fibrosis Timbul
jar. Ikat sifat <o:p></o:p></span></div>
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o:allowincell="f">
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</v:line><![endif]--><!--[if !vml]--><span style="height: 13px; margin-left: 258px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 5;"><img height="13" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1030" width="12" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> Elastik
& tebal.<o:p></o:p></span></div>
<div class="MsoNormal">
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z-index:9' from="327.6pt,2.35pt" to="327.6pt,9.55pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 13px; margin-left: 431px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 9;"><img height="13" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" v:shapes="_x0000_s1034" width="12" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> Kalsifikasi<o:p></o:p></span></div>
<div class="MsoNormal">
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z-index:6' from="198pt,7.4pt" to="198pt,14.6pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 12px; margin-left: 258px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 6;"><img height="12" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" v:shapes="_x0000_s1031" width="12" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> - Batuk Alaveolus tidak <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> - Spuntum purulen Exudasi kembali saat <o:p></o:p></span></div>
<div class="MsoNormal">
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<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 13px; margin-left: 258px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 7;"><img height="13" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1032" width="12" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> - Hemoptisis ekspirasi<o:p></o:p></span></div>
<div class="MsoNormal">
<!--[if gte vml 1]><v:line id="_x0000_s1036" style='position:absolute;
z-index:11' from="327.6pt,5.85pt" to="327.6pt,13.05pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 12px; margin-left: 431px; margin-top: 7px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 11;"><img height="12" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" v:shapes="_x0000_s1036" width="12" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> - BB menurun Nekrosis/perkejuan<o:p></o:p></span></div>
<div class="MsoNormal">
<!--[if gte vml 1]><v:line id="_x0000_s1033" style='position:absolute;
z-index:8' from="198pt,6pt" to="198pt,13.2pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 13px; margin-left: 258px; margin-top: 7px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 8;"><img height="13" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1033" width="12" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> Gas
tidak dapat<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> Kavitasi berdifusi dgn. Baik.<o:p></o:p></span></div>
<div class="MsoNormal">
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</v:line><![endif]--><!--[if !vml]-->
</div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="7" width="431"></td>
</tr>
<tr>
<td></td>
<td><img height="12" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" v:shapes="_x0000_s1041" width="12" /></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> </span><br />
<br clear="ALL" />
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> </span><u><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">Sesak<o:p></o:p></span></u></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 144.0pt;">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> Kuman<o:p></o:p></span></div>
<div class="MsoNormal">
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</v:line><![endif]--><!--[if !vml]-->
</div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="2" width="234"></td>
</tr>
<tr>
<td></td>
<td><img height="13" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" v:shapes="_x0000_s1043" width="12" /></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> </span><br />
<br clear="ALL" />
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">
Infeksi primer<o:p></o:p></span></div>
<div class="MsoNormal">
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</v:line><![endif]--><!--[if !vml]-->
</div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="2" width="103"></td>
<td width="119"></td>
<td width="12"></td>
<td width="12"></td>
<td width="12"></td>
<td width="119"></td>
</tr>
<tr>
<td height="12"></td>
<td align="left" rowspan="2" valign="top"><img height="16" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" v:shapes="_x0000_s1045" width="119" /></td>
<td></td>
<td align="left" valign="top"><img height="12" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" v:shapes="_x0000_s1044" width="12" /></td>
<td></td>
<td align="left" rowspan="2" valign="top"><img height="16" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" v:shapes="_x0000_s1046" width="119" /></td>
</tr>
<tr>
<td height="4"></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> </span><br />
<br clear="ALL" />
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">Sembuh total Sembuh dgn. Sarang Komplikasi<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> ghon - Menyebar ke seluruh <o:p></o:p></span></div>
<div class="MsoNormal">
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<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 32px; margin-left: 234px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 23;"><img height="32" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" v:shapes="_x0000_s1048" width="12" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">
tubuh
scr. Bronkhogen, <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">
limphogen, hematogen<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
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z-index:22' from="93.6pt,8.9pt" to="136.8pt,8.9pt" o:allowincell="f"
strokeweight="3pt">
<v:stroke dashstyle="1 1" linestyle="thinThin" endcap="round"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 5px; margin-left: 122px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 63px; z-index: 22;"><img height="5" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" v:shapes="_x0000_s1047" width="63" /></span><!--[endif]--><i><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">Infeksi
post primer</span></i><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">
Kuman dormant<o:p></o:p></span></div>
<div class="MsoNormal">
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<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 36px; margin-left: 239px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 138px; z-index: 26;"><img height="36" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" v:shapes="_x0000_s1051" width="138" /></span><!--[endif]--><!--[if gte vml 1]><v:line id="_x0000_s1050"
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o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 32px; margin-left: 234px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 25;"><img height="32" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" v:shapes="_x0000_s1050" width="12" /></span><!--[endif]--><!--[if gte vml 1]><v:line id="_x0000_s1049"
style='position:absolute;flip:x;z-index:24' from="79.2pt,11.25pt" to="180pt,32.85pt"
o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><![endif]--><!--[if !vml]--><span style="height: 36px; margin-left: 103px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 138px; z-index: 24;"><img height="36" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" v:shapes="_x0000_s1049" width="138" /></span><!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> Muncul bertahun kemudian<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">Diresorpsi kembali/sembuh Membentuk jar. keju Sarang meluas<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> Jika dibatukkan sembuh dgn.<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> membentuk kavitas. Jar. Fibrotik<o:p></o:p></span></div>
<div class="MsoNormal">
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<v:stroke endarrow="block"/>
</v:line><v:line id="_x0000_s1054" style='position:absolute;z-index:29' from="194.4pt,3.6pt"
to="295.2pt,25.2pt" o:allowincell="f">
<v:stroke endarrow="block"/>
</v:line><v:line id="_x0000_s1053" style='position:absolute;z-index:28' from="180pt,3.6pt"
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<v:stroke endarrow="block"/>
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</div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="4" width="83"></td>
<td width="139"></td>
<td width="12"></td>
<td width="12"></td>
<td width="12"></td>
<td width="139"></td>
</tr>
<tr>
<td height="32"></td>
<td align="left" rowspan="2" valign="top"><img height="36" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image017.gif" v:shapes="_x0000_s1052" width="139" /></td>
<td></td>
<td align="left" valign="top"><img height="32" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" v:shapes="_x0000_s1053" width="12" /></td>
<td></td>
<td align="left" rowspan="2" valign="top"><img height="36" src="file:///C:/Users/acer/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" v:shapes="_x0000_s1054" width="139" /></td>
</tr>
<tr>
<td height="4"></td>
</tr>
</tbody></table>
<!--[endif]--><span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> </span><br />
<br clear="ALL" />
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;"> .<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">Kavitas meluas Memadat & membungkus diri
Bersih & menyembuh<o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="SV" style="font-family: Tahoma, sans-serif; font-size: 10pt;">Membentuk sarang tuberkuloma <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l21 level3 lfo19; tab-stops: list 57.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.3.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Gejala Klinis <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l18 level1 lfo7; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Demam (subfebris, kadang-kadang 40 - 41 C,
seperti demam influensa.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l18 level1 lfo7; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Batuk (kering, produktif, kadang-kadang
hemoptoe (pecahnya pembuluh darah).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l18 level1 lfo7; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Sesak napas, jika infiltrasi sudah setengah
bagian paru.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l18 level1 lfo7; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Nyeri dada, jika infiltrasi sudah ke pleura.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l18 level1 lfo7; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Malaise , anoreksia, badan kurus, sakit kepala, meriang,
nyeri otot, keringat malam.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.0pt; mso-list: l21 level2 lfo19; tab-stops: list 21.0pt left 30.0pt; text-indent: -21.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.4<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">ASUHAN
KEPERAWATAN <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l21 level3 lfo19; tab-stops: list 54.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">2.4.1<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Pengkajian</span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> </span><span lang="EN-US" style="font-family: 'Times New Roman', serif;"> (Doegoes, 1999)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Aktivitas /Istirahat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kelemahan umum dan kelelahan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Napas pendek dgn. Pengerahan tenaga.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Sulit tidur dgn. Demam/kerungat malam.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Mimpi buruk.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Takikardia, takipnea/dispnea.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kelemahan otot, nyeri dan kaku.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Integritas Ego :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Perasaan tak berdaya/putus asa.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Faktor stress : baru/lama.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Perasaan butuh pertolongan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Denial.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Cemas, iritable.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Makanan/Cairan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kehilangan napsu makan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Ketidaksanggupan mencerna.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kehilangan BB.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Turgor kulit buruk, kering, kelemahan otot, lemak subkutan tipis.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Nyaman/nyeri :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Nyeri dada saat batuk.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Memegang area yang sakit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Perilaku distraksi.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pernapasan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Batuk (produktif/non produktif)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Napas pendek.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Riwayat tuberkulosis<o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Peningkatan jumlah pernapasan.<o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Gerakan pernapasan asimetri.<o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Perkusi : Dullness, penurunan
fremitus pleura terisi cairan).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Suara napas : Ronkhi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Spuntum : hijau</span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">/purulen, kekuningan, pink.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kemanan/Keselamatan :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Adanya kondisi imunosupresi : kanker, AIDS, HIV positip.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Demam pada kondisi akut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Interaksi Sosial :<o:p></o:p></span></div>
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</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Perasaan terisolasi/ditolak.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">2.4.2<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Diagnosa
Keperawatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Bersihan jalan napas tak efektif berhubungan
dengan sekresi yang kental/darah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kerusakan pertukaran gas berhubungan dengan kerusakan
membran alveolar-kapiler.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l12 level1 lfo10; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Perubahan nutrisi : kurang dari kebutuhan tubuh
berhubungan dengan peningkatan produksi spuntum/batuk, dyspnea atau anoreksia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l12 level1 lfo10; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Resiko tinggi terhadap infeksi berhubungan dengan tidak
adekuatnya pertahanan primer, penurunan geraan silia, stasis dari sekresi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l12 level1 lfo10; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kurang pengetahuan tentang kondisi, terapi dan
pencegahan berhubungan dengan infornmasi kurang / tidak akurat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l21 level3 lfo19; tab-stops: list 54.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif;">2.4.3<span style="font-family: 'Times New Roman'; font-size: 7pt;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif;">Intervensi</span><span lang="SV" style="font-family: 'Times New Roman', serif;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Diagnosa Bersihan jalan
napas tak efektif berhubungan dengan sekresi yang kental/darah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
<i><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Tujuan</span></i><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> : Kebersihan jalan napas
efektif.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<i><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kriteria hasil :<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l7 level1 lfo11; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Mencari posisi yang nyaman yang memudahkan
peningkatan pertukaran udara.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l7 level1 lfo11; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Mendemontrasikan batuk efektif.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l7 level1 lfo11; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Menyatakan strategi untuk menurunkan kekentalan
sekresi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<i><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Rencana Tindakan :<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Jelaskan klien tentang kegunaan batuk yang
efektif dan mengapa terdapat penumpukan sekret di sal. pernapasan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Pengetahuan yang diharapkan akan membantu
mengembangkan kepatuhan klien terhadap rencana teraupetik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Ajarkan klien tentang metode yang tepat
pengontrolan batuk.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Batuk yang tidak terkontrol adalah
melelahkan dan tidak efektif, menyebabkan frustasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Napas dalam dan perlahan saat duduk setegak
mungkin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="PT-BR" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Memungkinkan</span><span lang="PT-BR" style="font-family: 'Times New Roman', serif; line-height: 150%;"> ekspansi paru lebih
luas.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Lakukan pernapasan diafragma.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Pernapasan diafragma menurunkan frek. napas
dan meningkatkan ventilasi alveolar.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Tahan napas </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">selama</span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> 3 - 5 detik
kemudian secara perlahan-lahan, keluarkan sebanyak mungkin melalui mulut.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Lakukan napas ke dua ,
tahan dan batukkan dari dada dengan melakukan 2 batuk pendek dan kuat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Meningkatkan volume
udara dalam paru mempermudah pengeluaran sekresi sekret.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Auskultasi paru sebelum dan sesudah klien
batuk.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/
Pengkajian ini </span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">membantu</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"> mengevaluasi keefektifan upaya batuk klien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Ajarkan klien tindakan untuk menurunkan
viskositas sekresi : mempertahankan hidrasi yang adekuat; meningkatkan masukan
cairan 1000 sampai 1500 cc/hari bila tidak kontraindikasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Sekresi kental sulit untuk diencerkan dan
dapat menyebabkan sumbatan mukus, yang mengarah pada atelektasis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Dorong atau berikan perawatan mulut yang baik
setelah batuk.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Hiegene mulut yang baik meningkatkan rasa
kesejahteraan dan mencegah bau mulut.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l22 level1 lfo12; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kolaborasi</span><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> dengan tim kesehatan lain : <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.1pt; text-align: justify; text-indent: 3.0pt;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> Dengan dokter,
radiologi dan fisioterapi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 75.15pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pemberian expectoran.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 75.15pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pemberian antibiotika.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.8pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> Konsul photo
toraks.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Expextorant untuk
memudahkan mengeluarkan lendir dan menevaluasi perbaikan kondisi klien atas
pengembangan parunya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Diagnosa Kerusakan
pertukaran gas berhubungan dengan kerusakan membran alveolar-kapiler.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<i><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Tujuan</span></i><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> : Pertukaran gas efektif.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<i><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kriteria hasil :<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l6 level1 lfo13; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Memperlihatkan frekuensi
pernapasan yang efektif.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l6 level1 lfo13; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Mengalami perbaikan pertukaran gas-gas pada
paru.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l6 level1 lfo13; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="NO-BOK" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="NO-BOK" style="font-family: 'Times New Roman', serif; line-height: 150%;">Adaptive mengatasi
faktor-faktor penyebab.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<i><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Rencana tindakan :<o:p></o:p></span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 6.0pt; mso-list: l20 level1 lfo14; tab-stops: list 75.3pt; text-align: justify; text-indent: -21.3pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Berikan posisi yang
nyaman, biasanya dengan peninggian kepala tempat tidur. </span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Balik ke sisi yang sakit. Dorong klien untuk
duduk sebanyak mungkin.<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Meningkatkan inspirasi
maksimal, meningkatkan ekpsnsi paru dan ventilasi pada sisi yang tidak sakit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Observasi </span><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">fungsi</span><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;"> pernapasan, catat frekuensi pernapasan, dispnea atau
perubahan tanda-tanda vital.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Distress pernapasan dan perubahan pada tanda
vital dapat terjadi sebagai akibat stress fisiologi dan nyeri atau dapat
menunjukkan terjadinya syock sehubungan dengan hipoksia.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Jelaskan</span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> pada klien bahwa tindakan tersebut dilakukan untuk
menjamin keamanan.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Pengetahuan apa yang diharapkan dapat
mengurangi ansietas dan mengembangkan kepatuhan klien terhadap rencana
teraupetik.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Jelaskan pada klien tentang etiologi/faktor pencetus adanya sesak atau
kolaps paru-paru.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Pengetahuan apa yang diharapkan dapat
mengembangkan kepatuhan klien terhadap rencana teraupetik.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pertahankan perilaku tenang, bantu pasien untuk kontrol diri dnegan
menggunakan pernapasan lebih lambat dan dalam.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Membantu klien mengalami efek fisiologi
hipoksia, yang dapat dimanifestasikan sebagai ketakutan/ansietas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kolaborasi dengan tim kesehatan lain :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Dengan dokter, radiologi dan fisioterapi.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pemberian antibiotika.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pemeriksaan sputum dan kultur sputum.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Konsul photo toraks.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/Mengevaluasi perbaikan kondisi klien atas
pengembangan parunya.<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Diagnosa Perubahan nutrisi : kurang dari
kebutuhan tubuh berhubungan dengan peningkatan produksi spuntum/batuk, dyspnea
atau anoreksia <o:p></o:p></span></div>
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<i><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Tujuan :</span></i><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> Kebutuhan nutrisi adekuat<o:p></o:p></span></div>
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<i><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kriteria hasil :<o:p></o:p></span></i></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Menyebutkan makanan mana
yang tinggi protein dan kalori<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Menu makanan yang disajikan habis<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: Wingdings; font-size: 8pt; line-height: 150%;">Ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Peningkatan berat badan
tanpa peningkatan edema<o:p></o:p></span></div>
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<i><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Rencana tindakan <o:p></o:p></span></i></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Diskusikan penyebab anoreksia, dispnea dan mual.<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Dengan membantu klien
memahami kondisi dapat menurunkan ansietas dan dapat membantu memperbaiki
kepatuhan teraupetik. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Ajarkan dan bantu klien untuk istirahat sebelum makan.<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Keletihan berlanjut
menurunkan keinginan untuk makan.<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Tawarkan makan sedikit tapi sering (enam kali
sehari plus tambahan).<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Peningkatan </span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">tekanan</span><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> intra abdomen dapat
menurunkan/menekan saluran GI dan menurunkan kapasitas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Pembatasan</span><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> cairan pada makanan dan menghindari cairan 1 jam
sebelum dan sesudah makan.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ cairan dapat </span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">lebih</span><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;"> pada lambung, menurunkan
napsu makan dan masukan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Atur makanan dengan protein/kalori tinggi yang
disajikan pada waktu klien merasa paling suka untuk memakannya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Ini meningkatkan
kemungkinan klien mengkonsumsi jumlah protein dan kalori adekuat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Jelaskan</span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> kebutuhan peningkatan masukan makanan tinggi elemen
berikut <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Vitamin B12 (telur, daging ayam, kerang).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.7pt; mso-list: l4 level1 lfo17; tab-stops: list 72.0pt; text-align: justify; text-indent: -17.85pt;">
<!--[if !supportLists]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="SV" style="font-family: 'Times New Roman', serif; line-height: 150%;">Asam folat (sayur berdaun hijau, kacang-kacangan,
daging).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NO-BOK" style="font-family: 'Times New Roman', serif; line-height: 150%;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="NO-BOK" style="font-family: 'Times New Roman', serif; line-height: 150%;">Thiamine (kacang-kacang, buncis,
oranges).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="NO-BOK" style="font-family: 'Times New Roman', serif; line-height: 150%;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="NO-BOK" style="font-family: 'Times New Roman', serif; line-height: 150%;">Zat besi (jeroan, buah yang
dikeringkan, sayuran hijau, kacang segar).<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Masukan vitamin harus
ditingkatkan untuk mengkompensasi penurunan metabolisme dan penyimpanan vitamin
karena kerusakan jarinagn hepar.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span lang="EN-US" style="font-family: 'Times New Roman', serif; line-height: 150%;">Konsul</span><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;"> dengan dokter/shli gizi bila klien tidak mengkonsumsi
nutrien yang cukup.<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">R/ Kemungkinan diperlukan
suplemen tinggi protein, nutrisi parenteral,total, atau makanan per sonde.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">BAB
III<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">PENUTUP<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.1<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Kesimpulan<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Infeksi merupakan adanya suatu
organisme pada jaringan atau cairan tubuh yang disertai suatu gejala klinis
baik lokal maupun sistemik sehingga rentan sekali terjadi infeksi karena pada
lansia banyak mengalami penurunan system organ dalam tubuh. Oleh karena itu
kami harapkan pada keluarga maupun tim kesehatan untuk selalu memperhatikan
kesehatannya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">3.2<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Saran dan Kritik<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif; line-height: 150%;">Dalam hal ini penulis menyadari bahwa
penyusunan makalah masih jauh dari kesempurnaan. Oleh karena itu penulis
mengharap kritik dan saran dari para pembaca yang bersifat konstruktif. Semoga
makalah ini membawa maneaat bagi kita semua. Amin <o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;"> <o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">DAFTAR PUSTAKA<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">Amin, M., (1999). </span><span lang="FI" style="font-family: 'Times New Roman', serif;">Ilmu Penyakit Paru</span><span lang="FI" style="font-family: 'Times New Roman', serif;">. Surabaya
:Airlangga Univerciti Press<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">Carpenito, L.J., (1999). </span><span lang="FI" style="font-family: 'Times New Roman', serif;">Rencana Asuhan & Dokumentasi Keperawatan</span><span lang="FI" style="font-family: 'Times New Roman', serif;">. Ed. 2 Jakarta : EGC<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;"> <u> </u> (2000). </span><span lang="FI" style="font-family: 'Times New Roman', serif;">Diagnosa Keperawatan</span><span lang="FI" style="font-family: 'Times New Roman', serif;">. Ed. 8. Jakarta : EGC<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">Doengoes, (1999). </span><span lang="FI" style="font-family: 'Times New Roman', serif;">Perencanaan Asuhan Keperawatan</span><span lang="FI" style="font-family: 'Times New Roman', serif;">. Jakarta : EGC<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">Makalah Kuliah . </span><span lang="NO-BOK" style="font-family: 'Times New Roman', serif;">Tidak diterbitkan.<o:p></o:p></span></div>
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<span lang="NO-BOK" style="font-family: 'Times New Roman', serif;">Mansjoer, Arif., et all. </span><span lang="SV" style="font-family: 'Times New Roman', serif;">(1999). Kapita Selekta
Kedokteran. Fakultas Kedokteran UI : Media Aescullapius. <o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif;">KATAPENGANTAR<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif;">Puji syukur
kehadirat Allah SWT. Yang telah memberikan rahmat dan hidayah-Nya sehingga kami
mampu menyelesaikan makalah askep infeksi pada lansia dengan baik.<o:p></o:p></span></div>
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<span lang="SV" style="font-family: 'Times New Roman', serif;">Terima kasih
kepada koordinator mata ajar gerontik yang telah mamberikan kesempatan kepada
kami untuk memahami lebih dalam tentang askep infeksi pada lansia.<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">Kepada
teman-teman yang turut membantu menyusun makalah ini tak lupa kami ucapkan
terima kasih.<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">Terakhir
semoga makalah ini dapat memberikan manfaat yang sebesarnya kepada mahasiswa
PSIK dan Program B khususnya.<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">Jombang, Desember 2009<o:p></o:p></span></div>
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<span lang="FI" style="font-family: 'Times New Roman', serif;">Penyusun</span><span lang="FI" style="font-family: 'Times New Roman', serif;"><o:p></o:p></span></div>
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<!--[endif]--><span lang="FI" style="font-family: 'Swis721 Th BT', sans-serif; font-size: 13pt;"> </span><br />putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-50817802137716945292012-06-19T05:46:00.001-07:002012-06-19T05:47:34.343-07:00ASUHAN KEPERAWATAN (ASKEP) DENGAN DHF<br />
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<span lang="EN-US">ASUHAN
KEPERAWATAN PADA KLIEN DENGAN DHF</span></div>
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<h1 style="line-height: 200%; mso-list: l2 level1 lfo2;">
<span lang="EN-US">A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US">Pengertian</span></h1>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">DHF adalah penyakit yang disebabkan oleh Arbovirus ( arthro
podborn virus ) dan ditularkan melalui gigitan nyamuk AEDES ( AEDES ALBOPICTUS
dan AEDES AEGEPTY )<o:p></o:p></span></div>
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<h1 style="line-height: 200%; mso-list: l2 level1 lfo2;">
<span lang="EN-US">B.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US">Penyebab</span></h1>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Penyebab DHF adalah Arbovirus ( Arthropodborn Virus ) melalui
gigitan nyamuk Aedes ( Aedes Albopictus dn Aedes Aegepty )<o:p></o:p></span></div>
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<span lang="EN-US">C.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span><span lang="EN-US">Tanda dan gejala </span></h1>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Tanda dan gejala penyakit DHF adalah :<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Meningkatnya suhu tubuh<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Nyeri pada otot seluruh tubuh<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Suara serak<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Batuk<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Epistaksis<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Disuria<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Nafsu makan menurun<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Muntah<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Muntah darah<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Hematuria masih<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Melena<o:p></o:p></span></div>
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<span lang="EN-US">D. Klasifikasi
DHF menurut WHO</span></div>
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<span lang="EN-US">Derajat I</span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Demam disertai gejala tidak khas, terdapat manifestasi
perdarahan ( uju tourniquet positif )<o:p></o:p></span></div>
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<span lang="EN-US">Derajat II</span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Derajat I ditambah gejala perdarahan spontan dikulit dan
perdarahan lain.<o:p></o:p></span></div>
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<span lang="EN-US">Derajat III</span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Kegagalan sirkulasi darah, nadi cepat dan lemah, tekanan nadi menurun ( 20 mmhg, kulit
dingin, lembab, gelisah, hipotensi )<o:p></o:p></span></div>
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<b><span lang="EN-US">Derajat IV<o:p></o:p></span></b></h6>
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<span lang="EN-US">Pemeriksaan Diagnostik</span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Darah Lengkap = Hemokonsentrasi (
Hemaokrit meningkat 20 % atau lebih ) Thrombocitopeni ( 100. 000/ mm<sup>3 </sup>atau
kurang )<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Serologi = Uji HI ( hemaaglutinaion
Inhibition Test ) <o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Rontgen Thorac = Effusi Pleura<o:p></o:p></span></div>
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<b><span lang="EN-US">E.<span style="font-size: 7pt; font-weight: normal;"> </span></span></b><b><span lang="EN-US">Pathways<o:p></o:p></span></b></h5>
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<b><span lang="EN-US">F.<span style="font-size: 7pt; font-weight: normal;"> </span></span></b><b><span lang="EN-US">Penatalaksanaan <o:p></o:p></span></b></h5>
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<span lang="EN-US" style="font-family: Wingdings; font-size: 12pt; line-height: 200%;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><b><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Medik<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">A.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">DHF tanpa Renjatan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Beri minum banyak ( 1 ½ - 2 Liter /
hari )<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Obat anti piretik, untuk menurunkan
panas, dapat juga dilakukan kompres<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Jika kejang maka dapat diberi
luminal ( antionvulsan ) untuk anak
<1th dosis 50 mg Im dan untuk anak >1th 75 mg Im. Jika 15 menit kejang
belum teratasi , beri lagi luminal dengan dosis 3mg / kb BB ( anak <1th dan
pada anak >1th diberikan 5 mg/ kg BB.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Berikan infus jika terus muntah dan
hematokrit meningkat<o:p></o:p></span></div>
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<h4 style="text-align: justify;">
<span lang="EN-US">B.<span style="font-size: 7pt; font-weight: normal;">
</span></span><span lang="EN-US">DHF dengan Renjatan</span></h4>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pasang infus RL<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Jika dengan infus tidak ada respon
maka berikan plasma expander ( 20 – 30 ml/ kg BB )<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Tranfusi jika Hb dan Ht turun<o:p></o:p></span></div>
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</span></span><b><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Keperawatan<o:p></o:p></span></b></div>
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secara kontinue tiap jam<o:p></o:p></span></li>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pemeriksaan Hb, Ht, Trombocyt tiap
4 Jam<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Observasi intik output<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pada pasienDHF derajat I : Pasien
diistirahatkan, observasi tanda vital tiap 3
jam , periksa Hb, Ht, Thrombosit tiap 4 jam beri minum 1 ½ liter – 2
liter per hari, beri kompres<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pada pasien DHF derajat II :
pengawasan tanda vital, pemeriksaan Hb, Ht, Thrombocyt, perhatikan gejala
seperti nadi lemah, kecil dan cepat, tekanan darah menurun, anuria dan sakit
perut, beri infus.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pada pasien DHF derajat III : Infus
guyur, posisi semi fowler, beri o2 pengawasan tanda – tanda vital tiap 15 menit,
pasang cateter, obsrvasi productie urin tiap jam, periksa Hb, Ht dan
thrombocyt.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Obsevasi perdarahan : Pteckie,
Epistaksis, Hematomesis dan melena<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Catat banyak, warna dari perdarahan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Pasang NGT pada pasien dengan
perdarahan tractus Gastro Intestinal<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Observasi / Ukur suhu tubuh secara
periodik<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Beri minum banyak<o:p></o:p></span></div>
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</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Berikan kompres<o:p></o:p></span></div>
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<b><span lang="EN-US">F. Asuhan Keperawatan pada pasien DHF<o:p></o:p></span></b></h3>
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<span lang="EN-US">Pengkajian</span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Kaji riwayat Keperawatan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Kaji adanya peningkatan suhu tubuh,
tanda perdarahan , mual muntah, tidak nafsu makan, nyeri ulu hai, nyeri otot
dan tanda – tanda renjatan ( denyut nadi
cepat dan lemah, hipotensi, kulit dingin dan lembab, terutama pada ekstremitas,
sianosis, gelisah, penurunan kesadaran )<o:p></o:p></span></div>
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<span lang="EN-US">Diagnose Keperawatan</span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Kekurangan Volume cairan
berhubungan dengan peningkatan permeabilitas kapiler , perdarahan, muntah, dan
demam<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Perubahan perfusi jaringan perifer
berhubungan dengan perdarahan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Perubahan nutrisi kurang dari
kebutuhan tubuh berhubungan dengan mual, muntah, tidak ada nafsu makan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Hipertermi berhubungan dengan
proses infeksivirus<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Perubahan proses proses keluarga
berhubungan dengan kondisi anak<o:p></o:p></span></div>
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<span lang="EN-US">Perencanaan</span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Anak menunjukkan tanda – tanda
terpenuhinya kebutuhan cairan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Anak menunjukkan tanda – tanda
perfusi jaringan perifer yang adekwat<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Anak menunjukkan tanda – tanda
vital dalam batas normal<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Keluarga menunjukkan kekoping yang
adaptif<o:p></o:p></span></div>
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<span lang="EN-US">Implementasi</span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">1.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mencegah terjadinya kekurangan
volume cairan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mengobservasi tanda – tanda vital
paling sedikit setiap 4 jam<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Monitor tanda – tanda meningkatnya
kekurangan cairan : turgor tidak elastis, ubun – ubun cekung, produktie urin
menurun<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mengobservasi dan mencatat intake
dan output<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Memberikan hidrasi yang adekwat
sesuai dengan kebutuhan tubuh<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Memonitor nilai laboratorium :
elektrolit / darah BJ urin , serum tubuh<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mempertahankan intake dan output
yang adekwat <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Memonitor dan mencatat berat badan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Memonitor pemberian cairan melalui
intravena setiap jam<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mengurangi kehilangan cairan yang
tidak telihat ( insesible water loss / IWL )<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">2.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Perfusi jaringan Adekwat<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mengkaji dan mencatat tanda – tanda
Vital ( kualitas dan Frekwensi denyut nadi, tekanan darah , Cappilary Refill )<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mengkaji dan mencatat sirkulasi
pada ektremitas ( suhu , kelembaban dan warna )<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Menilai kemungkinan terjadinya
kematian aringan pada ekstremitas seperti dingin , neri , pembengkakan kaki )<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">3.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Kebutuhan nutrisi adekwat<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Ijinka anak memakan makanan yang
dapa ditoleransi anak. Rencanakan untuk memperbaiki kualitas gizi pada saat
selera makan anak meningkat.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Berikan makanan yang disertai
dengan suplemen nutrisi untuk meningkatkan kualitas intake nutrisi <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Menganjurkan kepada orang tua untuk
memberikan makanan dengan teknik porsi kecil tetapi sering<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Menimbang berat badan setiap hari
pada waktu yang sama dan dengan skala yang sama<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mempertahankan kebersihan mulut
pasien<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Menjelaskan pentingnya intake
nutirisi yang adekwat untuk penyembuhan penyakit<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">4.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mempertahankan suhu tubuh normal<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Ukur tanda – tanda vital suhu tubuh<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Ajarkan keluarga dala pengukuran
suhu<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Lakukan “ tepid sponge” ( seka ) dengan air biasa<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Tingkatkan intake cairan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Berikan terapi untuk menurunkan
suhu<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">5.<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Mensupport koping keluarga Adaptif<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">mengkaji perasaan dn persepsi orang
tua atau anggota keluarga terhadap situasi yang penuh stress<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Ijinkan orang tua dan keluarga
untuk memberikan respon secara panjang lebar dan identifikasi faktor yang
paling mencmaskan keluarga<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Identifikasikan koping yang biasa
digunakan dn seberapa besar keberhasilannya dalam mengatasi keadaan<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">G. Pencegahan DHF<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Menghindari atau mencegah berkembangnya nyamuk Aedes Aegepty
dengan cara:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Rumah selalu terang<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Tidak menggantung pakaian<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Bak / tempat penampungan air sering
dibersihkan dan diganti airnya minimal 4 hari sekali<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Kubur barang – barang bekas yang
memungkinkan sebagai tempat terkumpulnya air hujan<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Perencanaan pemulangan dan PEN KES<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Berikan informasi tentang kebutuhan
melakukan aktifitas sesuai dengan tingkat perkembangan dan kondisi fisik anak<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Jelaskan terapi yang diberikan,
dosis efek samping <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Menjelaskan gejala – gejala
kekambuhan penyakit dan hal yang harus dilakukan untuk mengatasi gejala <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Tekankan untuk melakukan kontrol
sesuai waktu yang ditentukan<o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-size: 12pt; line-height: 200%;">DAFTAR PUSTAKA<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-size: 12pt; line-height: 200%;">Buku ajar IKA infeksi dan penyakit tropis IDAI Edisi
I. Editor : Sumarmo, S Purwo Sudomo, Harry Gama, Sri rejeki Bag IKA FKUI jkt
2002.<o:p></o:p></span></div>
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<span lang="EN-US">Christantie, Effendy. SKp, Perawatan Pasien
DHF. <st1:city w:st="on"><st1:place w:st="on">Jakarta</st1:place></st1:city>,
EGC, 1995</span></div>
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<span lang="EN-US" style="line-height: 200%;">Prinsip – Prinsip Keperawatan Nancy Roper hal 269 – 267<o:p></o:p></span></div>
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<br /></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-36368633151833861042012-06-19T05:43:00.001-07:002012-06-19T05:43:41.112-07:00Asuhan Kebidanan (ASKEB) BBLR<br />
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<b><span style="font-family: Phoenix; font-size: 20.0pt; mso-ansi-language: IN;">PADA
BAYI Ny “</span></b><b><span lang="EN-US" style="font-family: Phoenix; font-size: 20.0pt; mso-ansi-language: EN-US;">D</span></b><b><span style="font-family: Phoenix; font-size: 20.0pt; mso-ansi-language: IN;">” UMUR 1 HARI DENGAN BBLR<o:p></o:p></span></b></div>
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<b><span style="font-family: Phoenix; font-size: 20.0pt; mso-ansi-language: IN;">DI
</span></b><b><span lang="EN-US" style="font-family: Phoenix; font-size: 20.0pt; mso-ansi-language: EN-US;">PAVILIUN ANGGREK RSUD</span></b><b><span style="font-family: Phoenix; font-size: 20.0pt; mso-ansi-language: IN;"> JOMBANG</span></b><b><span style="font-size: 16.0pt; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
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<span style="font-family: "VIPER NORA"; font-size: 14.0pt; letter-spacing: 1.0pt; mso-ansi-language: IN; mso-font-width: 120%;">PRODI D III KEBIDANAN<o:p></o:p></span></div>
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<span style="font-family: "VIPER NORA"; font-size: 14.0pt; letter-spacing: 1.0pt; mso-ansi-language: IN; mso-font-width: 120%;">FAKULTAS ILMU KESEHATAN<o:p></o:p></span></div>
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<span style="font-family: "VIPER NORA"; font-size: 14.0pt; letter-spacing: 1.0pt; mso-ansi-language: IN; mso-font-width: 120%;">UNIVERSITAS PESANTREN TINGGI DARUL </span><span style="font-size: 14.0pt; letter-spacing: 1.0pt; mso-ansi-language: IN; mso-font-width: 120%;">‘</span><span style="font-family: "VIPER NORA"; font-size: 14.0pt; letter-spacing: 1.0pt; mso-ansi-language: IN; mso-font-width: 120%;">ULUM<o:p></o:p></span></div>
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<span style="font-family: "VIPER NORA"; font-size: 14.0pt; letter-spacing: 1.0pt; mso-ansi-language: IN; mso-font-width: 120%;">20</span><span lang="EN-US" style="font-family: "VIPER NORA"; font-size: 14.0pt; letter-spacing: 1.0pt; mso-ansi-language: EN-US; mso-font-width: 120%;">11</span><span lang="EN-US" style="font-size: 14.0pt; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
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<b>KATA PENGANTAR<o:p></o:p></b></div>
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Puji syukur kita panjatkan kepada
Allah SWT, yang mana berkat Rahmat, Taufik serta Hidayah-Nya sampai akhirnya
asuhan kebidanan ini dapat disusun dan terselesaikan.<o:p></o:p></div>
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Shalawat serta salam tak lupa kita
panjatkan kepada junjungan kita Nabi Besar Muhammad SAW, yang telah membawa
kita dari zaman kegelapan menuju zaman yang terang benderang yakni <i>Addinul
Islam Wal ‘Alimin.</i><o:p></o:p></div>
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Pada penyusunan asuhan kebidanan ini
dapat terselesaikan tak jauh dari berbagai pihak yang telah memberikan dukungan
baik secara langsung, maupun tidak langsung pada penulis. Pada akhirnya pada
tempat kiranya penulis menyampaikan penghargaan yang setinggi-tingginya dan
terima kasih sebesar-besarnya kepada :<span lang="EN-US"><o:p></o:p></span></div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Bapak Dr. H.M Zulfikar As'ad, MMR selaku
penanggung jawab Fakultas Ilmu Kesehatan UNIPDU Jombang.<o:p></o:p></div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Ibu Hj. Sabrina Dwi Prihartini, SKM, selaku Ka
Prodi D III Kebidanan Darul 'Ulum<o:p></o:p></div>
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<!--[if !supportLists]-->3.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Ibu <span lang="EN-US">Anik Masrifah,S.Kep.Ners</span>
selaku Pembimbing<span lang="EN-US">
Ruangan</span> di Paviliun Anggrek Jombang.<o:p></o:p></div>
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<!--[if !supportLists]-->4.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]--><span lang="EN-US">Ibu Suyati,SST selaku Pembimbing
Akademik Prodi D III Kebidanan UNIPDU Jombang.</span><o:p></o:p></div>
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<!--[if !supportLists]-->5.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Semua teman-teman yang memberi dukungan dan semangat.<o:p></o:p></div>
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Penulis menyadari sepenuhnya bahwa
Asuhan Kebidanan ini masih jauh dari kesempurnaan, sehingga kritik dan saran
dari pembaca sekalian kami harapkan.<o:p></o:p></div>
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Semoga Asuhan Kebidanan ini dapat
bermanfaat bagi pembaca sekalian dan pada penulis khususnya. Amin...........<o:p></o:p></div>
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Jombang, Juni 20<span lang="EN-US">11<o:p></o:p></span></div>
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Penulis<o:p></o:p></div>
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<br /></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
</span>
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<b>DAFTAR ISI<o:p></o:p></b></div>
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<b>HALAMAN JUDUL</b>................................................................................................. i<o:p></o:p></div>
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<b>KATA PENGANTAR</b>............................................................................................. ii<o:p></o:p></div>
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<b>DAFTAR ISI</b>............................................................................................................ iii<o:p></o:p></div>
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<b>BAB I : PENDAHULUAN<o:p></o:p></b></div>
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<!--[if !supportLists]-->A.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Latar Belakang................................................................................ 1<o:p></o:p></div>
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<!--[if !supportLists]-->B.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Tujuan............................................................................................. 1<o:p></o:p></div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Tujuan Umum........................................................................... 1<o:p></o:p></div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Tujuan Khusus.......................................................................... 1<o:p></o:p></div>
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<b>BAB II : LANDASAN
TEORI<o:p></o:p></b></div>
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<!--[if !supportLists]-->A.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Asuhan Segera BBL Normal.......................................................... 3<o:p></o:p></div>
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<!--[if !supportLists]-->B.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Asuhan Bayi Berat Lahir Rendah<b> </b>BBLR....................................... 5<o:p></o:p></div>
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<!--[if !supportLists]-->C.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Konsep dasar Asuhan Kebidanan................................................... 9<o:p></o:p></div>
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<b>BAB III : TINJAUAN
KASUS<o:p></o:p></b></div>
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<!--[if !supportLists]-->I.<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Pengkajian
Data........................................................................... 15<o:p></o:p></div>
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<!--[if !supportLists]-->II.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Identifikasi Diagnosa dan Masalah.............................................. 18<o:p></o:p></div>
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<!--[if !supportLists]-->III.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Identifikasi Diagnosa dan Masalah Potensial.............................. 19<o:p></o:p></div>
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<!--[if !supportLists]-->IV.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Identifikasi Kebutuhan Segera.................................................... 19<o:p></o:p></div>
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<!--[if !supportLists]-->V.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Intervensi/Pengembangan Rencana Menyeluruh......................... 19<o:p></o:p></div>
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<!--[if !supportLists]-->VI.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Implementasi................................................................................ 20<o:p></o:p></div>
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<!--[if !supportLists]-->VII.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Evaluasi..................................................................................... 20<o:p></o:p></div>
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<b>BAB IV : PENUTUP<o:p></o:p></b></div>
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<!--[if !supportLists]-->A.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Kesimpulan................................................................................... 22<o:p></o:p></div>
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<!--[if !supportLists]-->B.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Saran............................................................................................. 22<o:p></o:p></div>
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<b>DAFTAR PUSTAKA<o:p></o:p></b></div>
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<b>BAB I<o:p></o:p></b></div>
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<b>PENDAHULUAN<o:p></o:p></b></div>
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<!--[if !supportLists]--><b>A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Latar Belakang<o:p></o:p></b></div>
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Bayi baru lahir
dapat dibagi menjadi 2 : (1). Bayi Normal (sehat) memerlukan perawatan biasa;
(2). Bayi Gawat (<i>high risk baby</i>) memerlukan penanggulangan khusus
seperti adanya asfiksia dan perdarahan. Pada umumnya, kelahiran bayi normal
cukup ditolong oleh Bidan dengan tanggung jawab penuh terhadap keselamatan Ibu
dan bayi. Pada kelahiran abnormal, yang memerlukan pertolongan spesialis, bayi
baru lahir diurus oleh Bidan, dan bila dirumah sakit yang dilengkapi dengan
unit kesehatan bayi, hendaknya ditangani oleh dokter anak.<o:p></o:p></div>
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Dalam beberapa
dasawarsa ini perhatian terhadap janin yang mengalami gangguan pertumbuhan
dalam kandungan sangat meningkat. Hal ini disebabkan masih tingginya angka
kematian perinatal dan neonatal karena masih banyak bayi yang dilahirkan dengan
berat badan lahir rendah. Kalaupun bayi menjadi dewasa ia akan mengalami
gangguan pertumbuhan, baik fisik maupun mental.<o:p></o:p></div>
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Walaupun sebagian
besar proses persalinan terfokus pada Ibu, tetapi karena proses tersebut
merupakan pengeluaran hasil kehamilan (bayi) maka penatalaksanaan persalinan
baru dapat dikatakan berhasil apabila selain ibunya, bayi yang dilahirkan juga
berada dalam kondisi yang optimal. Memberikan asuhan segera, aman dan bersih
untuk bayi baru lahir merupakan bagian esensial asuhan bayi baru lahir.<o:p></o:p></div>
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Maka pelayanan
kebidanan selayaknya dilaksanakan berdasarkan teori yang dapat dipertanggung
jawabkan dan berdasarkan kenyataan.<o:p></o:p></div>
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<!--[if !supportLists]--><b>B.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tujuan<o:p></o:p></b></div>
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<!--[if !supportLists]--><b>1.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tujuan Umum<o:p></o:p></b></div>
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Menerapkan dan
mengembangkan pola pikir secara ilmiah kedalam proses asuhan kebidanan nyata
serta mendapatkan pengalaman dalam memecahkan masalah pada bayi baru lahir.<o:p></o:p></div>
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<!--[if !supportLists]--><b>2.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Tujuan Khusus<o:p></o:p></b></div>
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<!--[if !supportLists]-->a.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Melakukan pengkajian data<o:p></o:p></div>
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<!--[if !supportLists]-->b.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Mengidentifikasi diagnosa, masalah dan kebutuhan<o:p></o:p></div>
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<!--[if !supportLists]-->c.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Mengantisipasi masalah potensial<o:p></o:p></div>
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<!--[if !supportLists]-->d.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Mengidentifikasi kebutuhan segera<o:p></o:p></div>
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<!--[if !supportLists]-->e.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Menyusun rencana tindakan yang akan dilakukan<o:p></o:p></div>
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<!--[if !supportLists]-->f.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Melaksanakan rencana yang telah ditetapkan<o:p></o:p></div>
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<!--[if !supportLists]-->g.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Mengevaluasi pelaksanaan asuhan kebidanan<o:p></o:p></div>
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<b>BAB II<o:p></o:p></b></div>
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<b>LANDASAN TEORI<o:p></o:p></b></div>
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<!--[if !supportLists]--><b>A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Asuhan Segera Bayi Baru Lahir Normal<o:p></o:p></b></div>
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Asuhan segera pada
bayi baru lahir adalah asuhan yang diberikan pada bayi tersebut selama jam
pertama setelah kelahiran. Sebagian besar bayi yang baru lahir akan menunjukkan
usaha pernapasan spontan dengan sedikit bantuan dan gangguan. Aspek-aspek
penting dari asuhan segera bayi baru lahir :<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Jagalah agar
bayi tetap kering dan hangat<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Usahakan
adanya kontak antara kulit bayi dengan kulit ibunya sesegera mungkin. (YBP-SP :
Buku Panduan Praktis Pelayanan Kesehatan Maternal dan Neonatal, hal : N-30).<o:p></o:p></div>
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<b>Penanganan BBL<o:p></o:p></b></div>
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Tujuan utama perawatan bagi segera
sesudah lahir adalah :<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Membersihkan
jalan nafas<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Memotong dan
merawat tali pusat<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Mempertahankan
suhu tubuh bayi<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Identifikasi<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pencegahan
infeksi<o:p></o:p></div>
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Pembersihan jalan
nafas, perawatan tali pusat, perawatan mata, dan identifikasi adalah rutin
segera dilakukan, kecuali bayi dalam keadaan kritis dan dokter mamberi intruksi
khusus.<o:p></o:p></div>
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<b>Pemantauan Bayi Baru Lahir <o:p></o:p></b></div>
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Tujuan pemantauan BBL adalah untuk
mengetahui aktivitas bayi normal atau tidak dan identifikasi masalah kesehatan
bayi baru lahir yang memerlukan perhatian keluarga dan penolong persalinan
serta tindak lanjut petugas kesehatan.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Dua jam
pertama sesudah lahir<o:p></o:p></div>
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Hal-hal yang dinilai waktu pemantauan
bayi pada jam pertama sesudah lahir meliputi :<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Kemampuan
menghisap kuat atau lemah<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Bayi tampak
aktif atau lunglai<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.85pt; mso-list: l22 level2 lfo2; tab-stops: list 53.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Bayi
kemerahan atau biru<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Sebelum
penolong persalinan meninggalkan Ibu dan bayinya<o:p></o:p></div>
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Penolong persalinan melakukan
pemeriksaan dan penilaian terhadap ada tidaknya masalah kesehatan yang memerlukan
tindakan, seperti :<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l22 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Bayi kecil
untuk masa kehamilan/bayi kurang bulan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l22 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Gangguan
pernafasan<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Hipotermia<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l22 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Infeksi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l22 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Cacat bawaan
dan trauma lahir<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
Yang perlu dipantau pada BBL<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Suhu badan
dan lingkungan<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Tanda-tanda
vital<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Berat badan<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Mandi dan
perawatan kulit<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pakaian<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; mso-list: l22 level1 lfo2; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Perawatan
tali pusat<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;">
Bayi baru lahir dinyatakan sakit
apabila mempunyai salah satu atau beberapa tanda-tanda berikut :<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Sesak nafas<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Frekuesi
pernafasan 60 x/menit<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Gerak
retraksi didada<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Malas minum<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Panas atau
suhu badan bayi rendah<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Kurang aktif<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Berat lahir
rendah (1500-2500 gram) dengan kesulitan minum (YBP-SP: Buku Acuan Nasional
Pelayanan Kesehatan Maternal dan Neonatal, hal: 133-139).<o:p></o:p></div>
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<b>Klasifikasi klinik<o:p></o:p></b></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Nilai 7-10 = bayi
normal<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Nilai 4-6 = bayi
asfiksi ringan – sedang<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Nilai 0-3 = bayi
asfiksi berat<o:p></o:p></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: -12.6pt; width: 585px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" width="176">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Skor<o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.0pt;" width="88">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>0<o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.0pt;" width="136">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>1<o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" width="120">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>2<o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.8pt;" width="65">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Angka<o:p></o:p></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 132.0pt;" valign="top" width="176">
<div class="MsoNormal" style="margin-left: 24.0pt; tab-stops: 18.0pt 24.0pt; text-align: justify; text-indent: -24.0pt;">
A : Appearace
color (warna)<o:p></o:p></div>
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P : Pulse
(frekuensi jantung)<o:p></o:p></div>
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G : Grimance
(reaksi terhadap rangsang)<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 24.0pt; tab-stops: 18.0pt 24.0pt; text-align: justify; text-indent: -24.0pt;">
A : Activity
(tonus otot)<o:p></o:p></div>
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R : Respiration
(usaha nafas)<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 66.0pt;" valign="top" width="88">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Pucat<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Tidak ada<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Tidak ada<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Lumpuh<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Tidak ada<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.0pt;" valign="top" width="136">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Badan merah, ekstrimitas biru<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Dibawah 100<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Sedikit gerakan mimik<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Ekstrimitas dalam fleksi sedikit<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Lemah, tidak teratur<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Seluruh tubuh kemerah-merahan<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Diatas 100<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Menangis, batuk bersin<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Gerakan aktif<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: justify;">
Menangis kuat<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.8pt;" valign="top" width="65">
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr>
<td colspan="4" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 390.0pt;" width="520">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Jumlah<o:p></o:p></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 48.8pt;" valign="top" width="65">
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(Mochtar Rustam : 120)<o:p></o:p></div>
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<br /></div>
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<!--[if !supportLists]--><b>B.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Asuhan Bayi Berat Lahir Rendah (BBLR)<o:p></o:p></b></div>
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<b>Definisi dan beberapa istilah<o:p></o:p></b></div>
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WHO (1961)
mengganti istilah bayi prematur dengan Bayi Berat Badan Lahir Rendah (BBLR).
Karena disadari tidak semua bayi dengan berat badan kurang dari 2500 gr pada
waktu lahir bukan bayi prematur.<o:p></o:p></div>
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<!--[if !supportLists]-->1)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Prematuritas murni<o:p></o:p></div>
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Adalah bayi lahir pada kehamilan kurang
dari 37 minggu, dengan berat badan yang sesuai.<o:p></o:p></div>
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<!--[if !supportLists]-->2)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Small For Date (SFD) atau kecil untuk masa
kehamilan (KMK)<o:p></o:p></div>
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Adalah bayi yang berat badannya kurang
dari seharusnya umur kehamilan.<o:p></o:p></div>
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<!--[if !supportLists]-->3)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Retardasi pertumbuhan janin intrauterin<o:p></o:p></div>
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Adalah bayi yang lahir dengan berat
badan rendah dan tidak sesuai dengan tuanya kehamilan.<o:p></o:p></div>
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<!--[if !supportLists]-->4)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Light for date sama dengan small for date<o:p></o:p></div>
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<!--[if !supportLists]-->5)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Dismaturitas<o:p></o:p></div>
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Adalah suatu sindrom klinik dimana
terjadi ketidak seimbangan antara pertumbuhan janin dengan lanjutnya kehamilan.
Atau bayi-bayi yang lahir dengan berat badan tidak sesuai dengan tuanya
kehamilan. Atau bayi dengan gejala intrauterin malnutrition or wasting.<o:p></o:p></div>
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<!--[if !supportLists]-->6)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Large for date<o:p></o:p></div>
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Adalah bayi yang dilahirkan lebih
besar dari seharusnya tua kehamilannya, misalnya pada diabetes mellitus.<o:p></o:p></div>
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<br /></div>
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<b>Etiologi</b><o:p></o:p></div>
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Sering faktor
penyebab tidak diketahui ataupun kalau diketahui faktor penyebabnya tidaklah
berdiri sendiri, antara lain :<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Faktor
genetik atau kromosom<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Infeksi<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Bahan toksik<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Radiasi<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Insufisiensi
atau disfungsi plasenta<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Faktor
nutrisi<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Faktor-faktor
lain-lain merokok, peminum alkohol, bekerja berat masa hamil, plasenta previa,
kehamilan ganda, obato-obatan dan sebagainya (Mochtar Rustam : 448).<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Beberap penyakit yang berhubungan dengan
prematuritas :<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Sindrom
gangguan pernafasan idiopatik (penyakit membran hilain)<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pneumonia
aspirasi, karena refleks menelan dan batuk belum sempurna.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Perdarahan
spontan dalam vertikel otak lateral, akibat anoksia otak (erat kaitannya dengan
gangguan pernafasan)<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Hiperbilirubinemia,
karena fungsi hati belum matang<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Hipotermia <o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Beberapa penyakit yang berhubungan dengan
dismatoritas :<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Sindrom
aspirasi mekoneum<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Hipoglikemia<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Hiperbilirubinemia<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Hipotermia<o:p></o:p></div>
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<table cellpadding="0" cellspacing="0">
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<tr>
<td bgcolor="white" height="82" style="background: white; border: .75pt solid black; vertical-align: top;" width="510"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251655168;">
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Bayi Berat Lahir
Rendah (BBLR) memungkinkan prematur (kurang bulan) mungkin juga cukup bulan
BBLR sangat rentan terhadap hipotermia dan infeksi<o:p></o:p></div>
</div>
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</tbody></table>
<!--[endif]-->Oleh karena itu bayi berat
lahir rendah mempunyai resiko kematian tinggi<o:p></o:p><br />
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<br /></div>
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<br /></div>
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<br /></div>
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(YBP-SP: Buku Acuan Nasional Pelayanan
Kesehatan Maternal dan Neonatal, hal: 133-139)<o:p></o:p></div>
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<br /></div>
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<b>Diagnosa dan Gejala Klinik<o:p></o:p></b></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Sebelum bayi
lahir<o:p></o:p></div>
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<!--[if !supportLists]-->1)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Pada anamnesa sering dijumpai adanya Riwayat
abortus, partus prematurus, dan lahir mati.<o:p></o:p></div>
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<!--[if !supportLists]-->2)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Pembesaran utrus tidak sesuai tuanya kehamilah<o:p></o:p></div>
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<!--[if !supportLists]-->3)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Pergerakan janin yang pertama (quikening) terjadi
lebih lambat, gerakan janin lebih lambat walaupun kehamilannya sudah agak
lanjut.<o:p></o:p></div>
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<!--[if !supportLists]-->4)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Pertambahan BB Ibu lambat dan tidak sesuai menurut
yang seharusnya.<o:p></o:p></div>
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<!--[if !supportLists]-->5)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Sering dijumpai kehamilan dengan oligohidromnion
atau bisa pula dengan hidromnion, hiperemesis gravidarum dan pada hamil lanjut
dengan toksemia gravidarum, atau perdarahan antepartum.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Setelah bayi
lahir<o:p></o:p></div>
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<!--[if !supportLists]-->1)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Bayi dengan retardasi pertumbuhan intrauterin<o:p></o:p></div>
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Secara klasik tampak seperti bayi yang
kelaparan. Tanda-tanda bayi ini adalah tengkorak kepala, keras, kerakan bayi
terbatas, cerniks kaseosa sedikit atau tidak ada, kulit tipis, berlipat-lipat
mudah diangkat, abdomen cekung atau rata, jaringan lemak bawah kulit sedikit,
tali pusat tipis, lembek dan berwarna kehijauan.<o:p></o:p></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
</span>
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<!--[if !supportLists]-->2)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Bayi prematur yang lahir sebelum kehamilan 37
minggu.<o:p></o:p></div>
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Verniks kaseosa ada, jaringan lemak
bawah kulit sedikit, tulang tengkorak lunak dan mudah bergerak, muka seperti
boneka (doll-like), abdomen buncit, tali pusat tebal dan segar, menangis lemah,
tonus otot hipotoni, dan kulit tipis, merah dan transparan.<o:p></o:p></div>
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<!--[if !supportLists]-->3)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Bayi small for date sama dengan bayi dengan
retardasi pertumbuhan intrauterin.<o:p></o:p></div>
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<!--[if !supportLists]-->4)<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Bayi prematur kurang sempurna pertumbuhan
alat-alat dalam tubuhnya, karena itu sangat peka terhadap gangguan pernafasan,
infeksi, trauma kelahiran, hipotermi dan sebagainya.<o:p></o:p></div>
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Pada bayi kecil untuk masa kehamilan (<i>small
for date</i>) alat-alat dalam tubuh lebih berkembang dibandingkan dengan bayi
prematur BB sama, karena itu akan lebih mudah hidup diluar rahim, namun tetap
lebih peka terhadap infeksi dan hipotermi dibandingkan bayi matur dengan BB
normal.<o:p></o:p></div>
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<br /></div>
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<b>Prognosis BBLR<o:p></o:p></b></div>
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Kemaitan perinatal
pada bayi berat badan lahir rendah 8 kali lebih besar dari bayi normal pada
umur kehamilan yang sama.<o:p></o:p></div>
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Prognosis akan
lebih buruk lagi bila berat badan makin rendah. Angka kematian yang tinggi
etrutama disebabkan oleh seringnya dijumpai kelainan komplikasi neonatal
seperti asfiksia, aspirasi, pneumonia, perdarahan intrakranial, dan
hipoglikemia. Bila bayi ini selamat kadang-kadang dijumpai kerusakan pada
syaraf dan akan terjadi gangguan bicara, IQ yang rendah dan gangguan lainnya.
(Mochtar Rustam : 450).<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; text-align: justify;">
<b>Penanganan</b><o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Mempertahankan
suhu dengan ketat<o:p></o:p></div>
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BBLR mudah mengalami hipotermia, oleh
sebab itu suhu tubuhnya harus dipertahankan dengan ketat.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Mencegah infeksi
dengan ketat<o:p></o:p></div>
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BBLR sangat rentan akan infeksi,
perhatian prinsip-prinsip pencegahan infeksi termasuk mencuci tangan sebelum
memegang bayi.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pengawasan
nutrisi / ASI<o:p></o:p></div>
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Refleks menelan BBLR belum sempurna,
oleh sebab itu pemberian nutrisi harus di lakukan dengan cermat.<o:p></o:p></div>
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</span>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Penimbangan
ketat<o:p></o:p></div>
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Perubahan BB mencerminkan kondisi
gizi/nutrisi bayi dan erat kaitannya dengan daya rahan tubuh, oleh sebab itu
penimbangan BB harus dilakukan dengan ketat.<o:p></o:p></div>
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<!--[if gte vml 1]><v:rect id="_x0000_s1027" style='position:absolute;
left:0;text-align:left;margin-left:54pt;margin-top:58.65pt;width:5in;height:57.05pt;
z-index:251656192'/><![endif]--><!--[if !vml]--><span style="height: 82px; left: 0px; margin-left: 71px; margin-top: 77px; mso-ignore: vglayout; position: absolute; width: 486px; z-index: 251656192;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="82" style="background: white; border: .75pt solid black; vertical-align: top;" width="486"><!--[endif]--><!--[if !mso]--><span style="left: 0pt; mso-ignore: vglayout; position: absolute; z-index: 251656192;">
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td><!--[endif]-->
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Kapasitas lambung
BBLR sangat kecil sehingga minum harus sering diberikan tiap jam.
Perhatikan apakah selama pemberian minum bayi menjadi cepat lelah, menjadi
biru, atau perut membesar/kembung.<o:p></o:p></div>
</div>
<!--[if !mso]--></td>
</tr>
</tbody></table>
</span><!--[endif]--><!--[if !mso & !vml]--> <!--[endif]--><!--[if !vml]--></td>
</tr>
</tbody></table>
<!--[endif]-->Kebutuhan cairan untuk BBL
120-150 ml/kf/hari atau 100-120 cal/kg/hari. Pemberian dilakukan secara
bertahap sesuai kemampuan bayi untuk sesegera mungkin mencukupi kebutuan
cairan/kalori.<o:p></o:p><br />
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; text-align: justify;">
(YBP-SP: Buku Acuan Nasional Pelayanan
Kesehatan Maternal dan Neonatal, hal: 133-139)<o:p></o:p></div>
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<br /></div>
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<br /></div>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
</span></b>
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<b>KONSEP DASAR ASUHAN KEBIDANAN<o:p></o:p></b></div>
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<br /></div>
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<!--[if !supportLists]--><b>A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Definisi<o:p></o:p></b></div>
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Asuhan kebidanan
adalah aktifitas dan interaksi yang dilakukan oleh Bidan kepada klien yang
membutuhkan atau memempunyai permasalahan dalam bidang pengetahuan.<o:p></o:p></div>
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Dalam memberikan
asuhan kebidanan pada klien, Bidan menggunakan metode pendekatan pemecahan
masalah dengan difokuskan pada suatu proses sistematis dan analisis dalam
memberikan asuhan kebidanan. Kita menggunakan 7 langkah manajemen kebidanan
menurut Varney yaitu :<o:p></o:p></div>
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<!--[if !supportLists]-->I.<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Pengkajian
data<o:p></o:p></div>
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<!--[if !supportLists]-->II.<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Identifikasi
diagnosa dan masalah<o:p></o:p></div>
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<!--[if !supportLists]-->III.<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Identifikasi
diagnosa dan masalah potensial<o:p></o:p></div>
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<!--[if !supportLists]-->IV.<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Identifikasi
kebutuhan segera<o:p></o:p></div>
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<!--[if !supportLists]-->V.<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Intervensi/pengembangan
rencana menyeluruh<o:p></o:p></div>
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<!--[if !supportLists]-->VI.<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Implementasi<o:p></o:p></div>
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<!--[if !supportLists]-->VII.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Evaluasi<o:p></o:p></div>
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<br /></div>
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<!--[if !supportLists]--><b>B.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Manajemen Kebidanan Varney<o:p></o:p></b></div>
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<!--[if !supportLists]--><b>I.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Pengkajian
Data<o:p></o:p></b></div>
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Pengkajian merupakan langkah awal
untuk mendapatkan data dengan langkah mengumpulkan semua data-data yang
dibutuhkan untuk mengevaluasi keadaan pasien melalui anamnesa, pemeriksaan
penunjang dan diklarifikasi sebagai data subyektif dan obyektif.<o:p></o:p></div>
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<!--[if !supportLists]-->a.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Data subyektif<o:p></o:p></div>
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Adalah suatu data yang diperoleh
dengan melakukan wawancara langsung baik kepada pasien atau keluarganya.<o:p></o:p></div>
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Data subyektif terdiri dari anamnesa
terhadap pasien mulai dari keluhan utama, kebiasaan sehari-hari sampai Riwayat
kehamilan dan kelahirannya..<o:p></o:p></div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Anamnesa<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Umur bayi dan
orang tua<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Tanggal dan
jam bayi dilahirkan<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Jenis kelamin
bayi<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Berat badan
dan panjang badan bayi untuk mengetahui status nutrisi bayi<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Agama<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pendidikan
orang tua<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pekerjaan
orang tua<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Alamat orang
tua<o:p></o:p></div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Riwayat penyakit kehamilan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
Untuk mengetahui penyakit yang pernah
diderita Ibu ketika hamil dimasa lalu maupun sekarang agar tindakan medis yang
diambul tepat dan aman untuk bayi dan ibunya.<o:p></o:p></div>
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<!--[if !supportLists]-->3.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Kebiasaan waktu hamil<o:p></o:p></div>
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Aktifitas yang dilakukan klien sewaktu
hamil seperti makanan dan minuman yang dikonsumsi, obat-obatan/jamu, kebiasaan
merokok, dll.<o:p></o:p></div>
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<!--[if !supportLists]-->4.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Riwayat persalinan sekarang<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Jenis
persalinan : normal / SC / episiotomi<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Ditolong oleh : Dukun
/ Bidan / Dokter<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Lama
persalinan<o:p></o:p></div>
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<!--[if !supportLists]-->a.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Kala I<o:p></o:p></div>
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Dimulai
sejak terjadinya kontraksi uterus dan pembukaan serviks mencapai pembukaan
lengkap (10 cm) dibagi menjadi :<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Fase laten<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l4 level4 lfo8; tab-stops: list 90.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Pembukaan
serviks < 4 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l4 level4 lfo8; tab-stops: list 90.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Dimulai sejak
awal kontraksi yang menyebabkan penipisan dan pembukaan serviks secara
bertahap.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l4 level4 lfo8; tab-stops: list 90.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Berlangsung <span style="font-family: Symbol; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">±</span> 8 jam.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l4 level3 lfo8; tab-stops: list 72.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Fase aktif<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l20 level4 lfo9; tab-stops: list 90.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Frekuensi dan
lama kontraksi meningkat (kontraksi adekuat jika terjadi > 8 x dalam waktu
10 menit dan berlangsung 40 detik)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l20 level4 lfo9; tab-stops: list 90.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Pembukaan
serviks <span style="font-family: Symbol; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">³</span> 4 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 156.0pt 168.0pt; text-align: justify;">
Dibagi lagi
menjadi :<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l20 level5 lfo9; tab-stops: list 90.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Periode akselerasi = <span style="font-family: Symbol; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">Æ</span> 3-4 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l20 level5 lfo9; tab-stops: list 90.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Periode dilatasi max = <span style="font-family: Symbol; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">Æ</span> 4-9 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l20 level5 lfo9; tab-stops: list 90.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Periode deselerasi = <span style="font-family: Symbol; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">Æ</span> 9-10 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l4 level2 lfo8; tab-stops: list 71.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Kala II<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 156.0pt 168.0pt; text-align: justify;">
Dimulai dari
pembukaan lengkap sampai lahirnya seluruh badan bayi.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l4 level5 lfo8; tab-stops: list 72.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Ketuban pecah
spontan/amniotomi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l4 level5 lfo8; tab-stops: list 72.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Komplikasi
persalinan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l4 level5 lfo8; tab-stops: list 72.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Untuk
mengetahui keadaan abnormal pada bayi dan Ibu.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l4 level5 lfo8; tab-stops: list 72.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Keadaan BBL<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 156.0pt 168.0pt; text-align: justify;">
Nilai Apgar
Score, normal : 7-10<o:p></o:p></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l4 level5 lfo8; tab-stops: list 72.0pt left 156.0pt 168.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Resusitasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 156.0pt 168.0pt; text-align: justify;">
Dilakukan
jika bayi mengalami kesulitan bernafas setelah 60 detik pasca persalinan.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 16.15pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.0pt; mso-list: l18 level3 lfo7; tab-stops: list 35.0pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Data Obyektif<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
Adalah data pengkajian yang dilakukan
dengan cara melakukan pemeriksaan secara langsung kepada pasien dengan tujuan
untuk mengetahui keadaan pasiennya sekarang.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l19 level1 lfo10; tab-stops: list 36.0pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Pemeriksaan fisik<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
Bertujuan untuk mengetahui keadaan
fisik klien, pemeriksaan ini dilakukan secara “head to toe”<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.0pt; mso-list: l19 level2 lfo10; tab-stops: list 53.0pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]-->a.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Tanda-tanda vital<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; tab-stops: 138.0pt 144.0pt; text-align: justify; text-indent: -91.0pt;">
Keadaan umum : Baik<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; tab-stops: 138.0pt 144.0pt; text-align: justify; text-indent: -91.0pt;">
Suhu : normal 36 <sup>0</sup>C, suhu rektal 36,5 –
37,8 <sup>0</sup>C<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; tab-stops: 138.0pt 144.0pt; text-align: justify; text-indent: -91.0pt;">
Pernafasan : BBL bernafas tidak teratur dengan jumlah
pernafasan 30-80 x/menit, dengan rata-rata <span style="font-family: Symbol; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">±</span> 40 x/menit<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; tab-stops: 138.0pt 144.0pt; text-align: justify; text-indent: -91.0pt;">
Nadi : BBL frekuensinya 110-160 x/menit dan rata-rata <span style="font-family: Symbol; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;">±</span> 130 x/menit<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; tab-stops: 138.0pt 144.0pt; text-align: justify; text-indent: -91.0pt;">
BB sekarang : Bayi aterm dengan BBL > 2500 gr<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.0pt; mso-list: l19 level2 lfo10; tab-stops: list 53.0pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Pemeriksaan fisik secara sistematis<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.0pt; text-align: justify;">
Dilakukan dengan cara inspeksi,
palpasi, auskultasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Kepala<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level4 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Pemeriksaan
kesimetrisan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level4 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Adanya
kelainan cephal hematoma, caput succep daneum, anenchepalus, hidrocepalus,
meningokel.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Ubun-ubun<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.0pt; text-align: justify;">
Periksa aturannya<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l16 level4 lfo11; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Sutura
frontalis dextra + sinistro<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l16 level4 lfo11; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Sutura corona
(sel mahkota)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l16 level4 lfo11; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Sutura
lamdoidea (sela lamda)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l16 level4 lfo11; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Sutura
sagitolis (sela panah)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Muka<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.0pt; text-align: justify;">
Adanya kelainan seperti tidak
mengerutnya dahi/menutup mata sebelah, sudut bibir tertarik ke satu sisi
(paralysis wajah).<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Mata<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l7 level4 lfo12; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
pupil, sclera, conjungtiva<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l7 level4 lfo12; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Tanda-tanda
inspeksi seperti pus<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Telinga<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l21 level4 lfo13; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
kesimterisan dengan menarik garis antara telinga dan mata bayi.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Hidung<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l21 level4 lfo13; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
adanya pernafasan cuping hidung<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l21 level4 lfo13; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
kesimetrisan hidung kanan dan kiri<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Mulut<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l2 level4 lfo14; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
adanya labiopalatoskizis<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l2 level4 lfo14; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa bibir
dan palatum<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l2 level4 lfo14; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Refleks hisap
dan menoleh dinilai dengan mengamati bayi pada saat menyusu<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Leher<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l17 level4 lfo15; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
adanya pembengkakan kelenjar tiroid dan limfe.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Dada<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l17 level4 lfo15; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
bentuk dada<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l17 level4 lfo15; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Puting susu
menonjol (pada ♀)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l17 level4 lfo15; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Dengarkan
bunyi nafas dan jantung<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Tali pusat<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l1 level4 lfo16; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
penonjolan disekitar tali pusat pada saat bayi menangis.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l1 level4 lfo16; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Adanya
perdarahan tali pusat atau tidak<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l1 level4 lfo16; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Tali pusat
lembek pada saat bayi menangis<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Punggung<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l6 level4 lfo17; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
adanya spina bifida/meningokel<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Ekstrimitas<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l6 level4 lfo17; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
adanya kelainan pada bagian jari :<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l6 level5 lfo17; tab-stops: list 89.0pt left 168.0pt 174.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Mikro amelia : jari
pendek-pendek<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l6 level5 lfo17; tab-stops: list 89.0pt left 168.0pt 174.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Polidaktili : jumlah
jari > 5<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l6 level5 lfo17; tab-stops: list 89.0pt left 168.0pt 174.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Amelia : tidak
punya jari<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 174.0pt; mso-list: l6 level5 lfo17; tab-stops: list 89.0pt left 168.0pt 174.0pt; text-align: justify; text-indent: -103.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Sindaktili : jari
seperti bebek, antara satu dan yang lain disatukan dengan sebuah selaput<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 204.0pt; mso-list: l6 level5 lfo17; tab-stops: list 89.0pt left 168.0pt 174.0pt; text-align: justify; text-indent: -133.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Andaktili : jumlah
jari < 5<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l6 level4 lfo17; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Periksa
adanya kelainan pada kaki<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l14 level1 lfo18; tab-stops: list 89.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pes varus :
kaki mengarah kedalam, seperti huruf “O”<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l14 level1 lfo18; tab-stops: list 89.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pes valgus :
kaki mengarah keluar, seperti huruf “X”<o:p></o:p></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Refleks<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l14 level2 lfo18; tab-stops: list 89.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Refleks moro<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Refleks memeluk, terjadi jika menepuk
tangan, bayi akan kaget yang ditandai dengan pergerakan tangan secara spontan.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l14 level2 lfo18; tab-stops: list 89.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Refleks
rooting<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Refleks menoleh dengan menyentuh pipi
bayi maka, bayi akan menoleh kesumber rangsangan.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l14 level2 lfo18; tab-stops: list 89.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Refleks
walking<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Refleks berjalan, terjadi jika bayi
diletakkan diperut Ibu, maka bayi akan merangkak menuju puting susu Ibu (tanpa
digendong)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l14 level2 lfo18; tab-stops: list 89.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Refleks
graphs/planter<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Refleks tangan menggenggam, dilakukan
dengan merangsang tangan bayi dengan jari kita, maka bayi akan menggenggam jari
tangan kita.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l14 level2 lfo18; tab-stops: list 89.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Refleks
sucking<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Refleks menghisap, terlihat pada saat
bayi menyusu ibunya.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l14 level2 lfo18; tab-stops: list 89.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Refleks
tonickneck<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Refleks mengangkat kepala, secara
spontan ketika bayi ditengkurapkan diatas perut Ibu untuk menyusu.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Antropometri<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; text-align: justify;">
Lingkaran kepala dibagi :<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l19 level5 lfo10; tab-stops: list 89.0pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]-->a.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->SOB (Sub Occipito Bregmatica)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Pengukuran mulai Sub Occipito – UUB,
normalnya = 32 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l19 level5 lfo10; tab-stops: list 89.0pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]-->b.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->FO (Fronto Occipito)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Pengukuran mulai pangkal
hidung-belakang kepala, normalnya = 34 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; mso-list: l19 level5 lfo10; tab-stops: list 89.0pt; text-align: justify; text-indent: -17.0pt;">
<!--[if !supportLists]-->c.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->MO (Mento Occipito)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 89.0pt; text-align: justify;">
Pengukuran mulai dagu-belakang kepala,
normalnya = 35 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 107.0pt; mso-list: l19 level6 lfo10; tab-stops: list 107.0pt left 180.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Lingkar dada = normalnya
32 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 107.0pt; mso-list: l19 level6 lfo10; tab-stops: list 107.0pt left 180.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Lila = normalnya 6-9,5 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.0pt; mso-list: l19 level3 lfo10; tab-stops: list 71.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Eliminasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l19 level7 lfo10; tab-stops: list 90.0pt left 150.0pt 162.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Miksi : sudah keluar apa belum<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l19 level7 lfo10; tab-stops: list 90.0pt left 150.0pt 162.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">Ø<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Mekonium : sudah keluar apa belum<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level2 lfo7; tab-stops: list 46.35pt; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>II.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Identifikasi
Diagnosa dan Masalah<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
Untuk menentukan diagnosa / masalah
berdasarkan data subyektif dan data obyektif.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level2 lfo7; tab-stops: list 46.35pt; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>III.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Identifikasi
Diagnosa dan Masalah Potensial<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
Untuk menentukan diagnosa dan masalah
potensial sesuai dengan diagnosa dan masalah yang sudah diidentifikasi.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level2 lfo7; tab-stops: list 46.35pt; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>IV.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Identifikasi
Kebutuhan Segera<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
Untuk mengidentifikasi perlunya
tindakan segera untuk Bidan/Dokter guna dikonsultasikan/ditangani dengan
anggota tim kesehatan yang lain sesuai dengan kondisi klien.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level2 lfo7; tab-stops: list 46.35pt; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>V.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Intervensi<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
Menyusun rencana yang menyeluruh
dengan rasional, meliputi :<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.85pt; mso-list: l15 level1 lfo19; tab-stops: list 37.85pt left 246.0pt 264.0pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Terapi dan asuhan 4. Kolaborasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.85pt; mso-list: l15 level1 lfo19; tab-stops: list 37.85pt left 246.0pt 264.0pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->2.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Pendidikan kesehatan 5. Rujukan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.85pt; mso-list: l15 level1 lfo19; tab-stops: list 37.85pt left 246.0pt 264.0pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Konseling 6. Tindak lanjut<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 46.35pt; mso-list: l18 level2 lfo7; tab-stops: list 46.35pt; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>VI.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Implementasi<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
Melaksanakan rencana asuhan secara
menyeluruh seperti yang telah diuraikan pada langkah intervensi<o:p></o:p></div>
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<!--[if !supportLists]--><b>VII.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Evaluasi<o:p></o:p></b></div>
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Dilakukan evaluasi keaktifan dari
asuhan yang diberikan<o:p></o:p></div>
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S : Menggambarkan pendokumentasian hasil pengumpulan data klien melalui
wawancara langsung Px/keluarga.<o:p></o:p></div>
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O : Pendokumentasian hasil pemeriksaan fisik, pemeriksaan penunjang.<o:p></o:p></div>
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A : Pendokumentasian hasil analisis dan interpretasi dalam suatu identitas.<o:p></o:p></div>
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P : Menggambarkan pendokumentasian dari perencanaan dan evaluasi
berdasarkan assesment.<o:p></o:p></div>
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<br /></div>
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<br /></div>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
</span></b>
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<b>BAB III<o:p></o:p></b></div>
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<b>TINJAUAN KASUS<o:p></o:p></b></div>
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<b>ASUHAN KEBIDANAN<o:p></o:p></b></div>
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<b>PADA BAYI Ny “</b><b><span lang="EN-US">D</span></b><b>” UMUR 1 HARI DENGAN BBLR<o:p></o:p></b></div>
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<b>DI</b><b><span lang="EN-US"> PAVILIUN ANGGREK RSUD </span></b><b>JOMBANG<o:p></o:p></b></div>
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<!--[if !supportLists]--><b>I.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Pengkajian
Data<o:p></o:p></b></div>
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Tanggal : <span lang="EN-US">07</span> Juni 20<span lang="EN-US">11</span> <o:p></o:p></div>
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Jam : <span lang="EN-US">09</span>.00 WIB<o:p></o:p></div>
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<!--[if !supportLists]--><b>A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Data Obyektif<o:p></o:p></b></div>
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Nama Bayi : Bayi Ny “S”<o:p></o:p></div>
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Umur : 1 hari<o:p></o:p></div>
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Tgl/jam/lahir : <span lang="EN-US">06</span> Juni 20<span lang="EN-US">11</span>/<span lang="EN-US">22.00WIB/</span>normal (spontan belakang kepala)<o:p></o:p></div>
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Jenis kelamin : Laki-laki (♂)<o:p></o:p></div>
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<br /></div>
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Nama : Ny “<span lang="EN-US">D</span>” Nama Suami : Tn “<span lang="EN-US">I</span>”<o:p></o:p></div>
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Umur : 2<span lang="EN-US">9</span> tahun Umur : 2<span lang="EN-US">9</span> tahun<o:p></o:p></div>
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Agama : Islam Agama : Islam<o:p></o:p></div>
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Suku/Bangsa : Jawa/Indonesia Suku/Bangsa : Jawa/Indonesia<o:p></o:p></div>
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Pendidikan : SLTP Pendidikan : SLTP<o:p></o:p></div>
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Pekerjaan : - Pekerjaan : Swasta<o:p></o:p></div>
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Alamat : <span lang="EN-US">Keboan,Ngusikan </span> Alamat :<span lang="EN-US">Keboan,Ngusikan<o:p></o:p></span></div>
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<!--[if !supportLists]--><b>B.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Anamnesa<o:p></o:p></b></div>
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<!--[if !supportLists]-->1.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Keluhan utama<o:p></o:p></div>
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Bayi Ny “<span lang="EN-US">D</span>”
lahir secara normal dan tidak ada keluhan. Tanggal : <span lang="EN-US">06</span>-06-20<span lang="EN-US">11</span> Jam : <span lang="EN-US">22</span>.<span lang="EN-US">00</span> WIB.<o:p></o:p></div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Riwayat kehamilan<o:p></o:p></div>
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Ibu mengatakan ini kehamilan yang
pertama dengan usia kehamilan 38 minggu dan Ibu memeriksakan kehamilannya di
Bidan.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Riwayat
pranatal<o:p></o:p></div>
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Trimester I : Ibu mengatakan mual muntah biasa<o:p></o:p></div>
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Trimester II : Ibu mengatakan tidak mengalami keluhan<o:p></o:p></div>
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Trimester III : Ibu mengatakan sering kencing<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Riwayat natal<o:p></o:p></div>
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Bayi Ny “<span lang="EN-US">D</span>”
lahir tanggal : <span lang="EN-US">22</span> Juni 20<span lang="EN-US">11</span> Jam : <span lang="EN-US">22</span>.<span lang="EN-US">00</span> WIB<o:p></o:p></div>
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Panjang
badan : 4<span lang="EN-US">9</span> cm<o:p></o:p></div>
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Berat badan : 2<span lang="EN-US">2</span>30 gr<o:p></o:p></div>
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Lingkar
kepala<o:p></o:p></div>
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SOB : 32 cm<o:p></o:p></div>
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FO : 34 cm<o:p></o:p></div>
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MO : 3<span lang="EN-US">5</span> cm<o:p></o:p></div>
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Lingkar dada : 3<span lang="EN-US">4</span> cm<o:p></o:p></div>
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Li<span lang="EN-US">ngkar abdomen</span> : <span lang="EN-US">24</span> cm<o:p></o:p></div>
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Apgar score : <span lang="EN-US">4</span>-<span lang="EN-US">6<o:p></o:p></span></div>
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Ditolong
oleh : Bidan<o:p></o:p></div>
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<br /></div>
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<b><span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US;">Tanda<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US;">0<o:p></o:p></span></b></div>
</td>
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<b><span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US;">1<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US;">2<o:p></o:p></span></b></div>
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<b><span lang="EN-US" style="font-size: 11.0pt; mso-ansi-language: EN-US;">Jumlah nilai<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Menit<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">1<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Frekuensi jantung <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) tidak ada<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) < 100<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) < 100<o:p></o:p></span></div>
</td>
<td rowspan="5" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.3pt;" width="62">
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<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">4<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Usaha bernafas<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) tidak ada<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) lambat tak teratur<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) menagis kuat<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.25pt;" valign="top" width="120">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Tonus otot<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) lumpuh<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 105.3pt;" valign="top" width="140">
<div class="MsoNormal" style="text-align: justify;">
<span lang="SV" style="font-size: 10.0pt; mso-ansi-language: SV;">(</span><span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;"> </span><span lang="SV" style="font-size: 10.0pt; mso-ansi-language: SV;">) eks. Flexi sedikit <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.7pt;" valign="top" width="121">
<div class="MsoNormal" style="tab-stops: 17.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) gerakan aktif<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.25pt;" valign="top" width="120">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Reflex<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) tidak bereaksi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 105.3pt;" valign="top" width="140">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) gerakan </span><span lang="SV" style="font-size: 10.0pt; mso-ansi-language: SV;">sedikit</span><span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.7pt;" valign="top" width="121">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) menangis <o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.25pt;" valign="top" width="120">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Warna<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) biru pucat<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 105.3pt;" valign="top" width="140">
<div class="MsoNormal" style="tab-stops: 17.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( )
tubuh kemerahan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 20.75pt; tab-stops: 13.95pt; text-align: justify; text-indent: -20.75pt;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;"> tangan
& kaki<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.7pt;" valign="top" width="121">
<div class="MsoNormal" style="tab-stops: 17.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) kemerahan <o:p></o:p></span></div>
</td>
</tr>
<tr>
<td rowspan="5" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.7pt;" width="46">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Menit<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">5<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.25pt;" valign="top" width="120">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Frekuensi jantung <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) tidak ada<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 105.3pt;" valign="top" width="140">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) < 100<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.7pt;" valign="top" width="121">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) < 100<o:p></o:p></span></div>
</td>
<td rowspan="5" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 46.3pt;" width="62">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">6<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.25pt;" valign="top" width="120">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Usaha bernafas<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) tidak ada<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 105.3pt;" valign="top" width="140">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) lambat tak teratur<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.7pt;" valign="top" width="121">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) menagis kuat<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.25pt;" valign="top" width="120">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Tonus otot<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) lumpuh<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 105.3pt;" valign="top" width="140">
<div class="MsoNormal" style="text-align: justify;">
<span lang="SV" style="font-size: 10.0pt; mso-ansi-language: SV;">( ) eks.
Flxi sedikit <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.7pt;" valign="top" width="121">
<div class="MsoNormal" style="tab-stops: 17.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) gerakan aktif<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.25pt;" valign="top" width="120">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Reflex<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) tidak bereaksi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 105.3pt;" valign="top" width="140">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) gerakan </span><span lang="SV" style="font-size: 10.0pt; mso-ansi-language: SV;">sedikit</span><span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.7pt;" valign="top" width="121">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) menangis <o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.25pt;" valign="top" width="120">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">Warna<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) biru pucat<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 105.3pt;" valign="top" width="140">
<div class="MsoNormal" style="tab-stops: 17.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) tubuh kemerahan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 13.95pt; tab-stops: 20.75pt; text-align: justify; text-indent: -13.95pt;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;"> tangan
& kaki<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.7pt;" valign="top" width="121">
<div class="MsoNormal" style="tab-stops: 17.0pt; text-align: justify;">
<span lang="EN-US" style="font-size: 10.0pt; mso-ansi-language: EN-US;">( ) kemerahan <o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 120.0pt 132.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.85pt; mso-list: l11 level3 lfo20; tab-stops: list 37.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->3.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Riwayat kesehatan<span lang="EN-US"> ibu</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US"> Ibu G1Poooo UK 37 minggu Let
SU/Observasi inpartu+KPP(11 Jam)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.85pt; mso-list: l11 level3 lfo20; tab-stops: list 37.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->4.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Riwayat kesehatan sekarang<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US">Pasien datang (kiriman
dari ponek) dengan spontan KU jelek,sesak +,waktu lahir tidak langsung
menangis,dan odem pada skrotum.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.85pt; mso-list: l11 level3 lfo20; tab-stops: list 37.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->5.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Riwayat kesehatan keluarga<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
Ibu mengatakan dalam keluarga tidak
ada yang menderita penyakit menurun seperti : kencing manis, hipertensi (darah
tinggi) asma dan tidak mempunyai penyakit menular seperti : TBC, penyakit
kuning serta tidak mempunyai penyakit menahun, seperti : jantung.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 37.85pt; mso-list: l11 level3 lfo20; tab-stops: list 37.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->6.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Kebiasaan sehari-hari<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l11 level4 lfo20; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Makan : 3
x/sehari dengan porsi nasi 1 piring, lauk, sayur, susu, buah.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Obat-obatan/jamu
: -<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Merokok : -<o:p></o:p></div>
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<br /></div>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
</span></b>
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<!--[if !supportLists]--><b>C.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Pemeriksaan Fisik<o:p></o:p></b></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pemeriksaan
umum<o:p></o:p></div>
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Keadaan umum : <span lang="EN-US">Lemah<o:p></o:p></span></div>
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Suhu : 36<sup><span lang="EN-US">8</span></sup><sup> 0</sup>C<o:p></o:p></div>
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Pernapasan : <span lang="EN-US">60</span> x/menit<o:p></o:p></div>
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HR : <span lang="EN-US">160</span> x/menit<o:p></o:p></div>
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BB : 2<span lang="EN-US">2</span>30 gram<o:p></o:p></div>
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PB : 4<span lang="EN-US">9</span> cm<o:p></o:p></div>
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Lingkar
kepala<o:p></o:p></div>
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SOB : 32 cm<o:p></o:p></div>
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FO : 34 cm<o:p></o:p></div>
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MO : 3<span lang="EN-US">5</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Lingkar dada : 33
cm<o:p></o:p></div>
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Lila<span lang="EN-US"> abdomen</span> : <span lang="EN-US">24</span> cm<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Pemeriksaan
fisik secara sistematis<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Kepala : Simetris,
rambut lurus pendek, tidak ada lesi, tidak ada caput.<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Ubun-ubun : Ubun-ubun
besar dan kecil masih cekung<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Muka :<span lang="EN-US"> Putih
pucat</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l0 level2 lfo21; tab-stops: list 54.0pt left 126.0pt 138.0pt; text-align: justify; text-indent: -102.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Mata : Simetris, konjungtiva merah muda, sklera putih<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Telinga : Simetris,
tidak ada serumen, tidak ada benjolan<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Kulit : Merah, akral hangat<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Mulut : Bibir
Simetris, tidak sumbing, mukosa bibir lembab, tidak ada stomatitis, lidah merah
muda<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Leher : Tidak
ada pembengkakan kelenjar tiroid dan vena jugularis.<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Dada : Simetris
kanan, kiri<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Tali pusat : Tidak
ada infeksi, basah, masih terbungkus kasa<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Punggung : Simetris,
tidak ada benjolan dan lesi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l0 level2 lfo21; tab-stops: list 54.0pt left 126.0pt 138.0pt 192.0pt 204.0pt; text-align: justify; text-indent: -102.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Ekstrimitas : Tangan : Simetris,
jari lengkap<o:p></o:p></div>
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Kaki : Simetris, jari kaki lengkap<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l0 level2 lfo21; tab-stops: list 54.0pt left 126.0pt 138.0pt 192.0pt 204.0pt; text-align: justify; text-indent: -102.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Genetalia : Bersih,
testis sudah turun di skrotum<span lang="EN-US">(odem)</span>,penis berlubang<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l0 level2 lfo21; tab-stops: list 54.0pt left 126.0pt 138.0pt 192.0pt 204.0pt; text-align: justify; text-indent: -102.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Anus : Berlubang.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo21; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Refleks<o:p></o:p></div>
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Refleks moro : <span lang="EN-US">lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 138.0pt 150.0pt; text-align: justify;">
Refleks
rooting : <span lang="EN-US">lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 138.0pt 150.0pt; text-align: justify;">
Refleks
sucking : <span lang="EN-US">lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 138.0pt 150.0pt; text-align: justify;">
Refleks
graphs : <span lang="EN-US">lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 138.0pt 150.0pt; text-align: justify;">
Refleks
tonik neck : <span lang="EN-US">lemah<o:p></o:p></span></div>
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Refleks
walking : <span lang="EN-US">lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo21; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Antropometri<o:p></o:p></div>
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Lingkar
kepala<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
SOB : 32 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
FO : 34 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
MO : 3<span lang="EN-US">5</span> cm<o:p></o:p></div>
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Lingkar dada : 3<span lang="EN-US">4</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Lila<span lang="EN-US"> abdomen</span> : <span lang="EN-US">24</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo21; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]-->Eliminasi<o:p></o:p></div>
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Miksi : Sudah keluar, warna putih, tgl : <span lang="EN-US">06</span> Juni 20<span lang="EN-US">11</span>, jam : <span lang="EN-US">22</span>.<span lang="EN-US">25</span>
WIB.<o:p></o:p></div>
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Mekonium : Sudah keluar, warna hijau kehitaman, tgl<span lang="EN-US"> 06 </span>Juni
20<span lang="EN-US">11</span>, jam <span lang="EN-US">23</span>.<span lang="EN-US">05</span>
WIB.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l11 level1 lfo20; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>II.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Interpretasi
Data<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 324.0pt; text-align: justify;">
Tanggal : <span lang="EN-US">07</span>-06-<span lang="EN-US">2011</span> Jam
: <span lang="EN-US">11</span>.00 WIB<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 36.0pt 48.0pt; text-align: justify; text-indent: -48.0pt;">
Dx : Bayi Ny “<span lang="EN-US">d</span>” umur 1 hari dengan BBLR<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 36.0pt 48.0pt; text-align: justify; text-indent: -48.0pt;">
Ds : <span lang="EN-US">Bayi lahr
sungsang,tidak langsung menangis,sisa ketuban bercampur darah.<o:p></o:p></span></div>
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Do : KU : <span lang="EN-US">Lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Suhu : 36<sup><span lang="EN-US">8</span></sup><sup> 0</sup>C<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Pernapasan : <span lang="EN-US">60</span>x/menit<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
HR : <span lang="EN-US">160</span> x/menit<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
BB : 2<span lang="EN-US">2</span>30 gram<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
PB : 4<span lang="EN-US">9</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Lingkar
kepala<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
SOB : 32 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
FO : 34 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
MO : 3<span lang="EN-US">5</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Lingkar dada : 3<span lang="EN-US">4</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Lila<span lang="EN-US"> abdomen</span> : <span lang="EN-US">24</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Kulit :<span lang="EN-US"> Putih
pucat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; tab-stops: 126.0pt 138.0pt; text-align: justify;">
Akral : Hangat<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 60.0pt 66.0pt; text-align: justify;">
Masalah : <span lang="EN-US">Hipotermi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 60.0pt 66.0pt 84.0pt; text-align: justify;">
Kebutuhan : <span lang="EN-US">Pembebasan jalan nafas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 60.0pt 66.0pt 84.0pt; text-align: justify;">
- Kehangatan
(Bouding attachmen/skin to skin)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84.0pt; mso-list: l19 level4 lfo10; tab-stops: list 84.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->ASI eks<span lang="EN-US">klusif</span><o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 48.0pt; tab-stops: 36.0pt 48.0pt 96.0pt 108.0pt; text-align: justify; text-indent: -48.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l11 level1 lfo20; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>III.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Identifikasi
Masalah dan Diagnosa Potensial<o:p></o:p></b></div>
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Dx potensial : bayi Ny “<span lang="EN-US">D</span>”
dengan hipotermia<span lang="EN-US"><o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l11 level1 lfo20; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>IV.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Identifikasi
Kebutuhan Akan Tindakan Segera<o:p></o:p></b></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Kehangatan<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->ASI eksklusif<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Pencegahan
hipotemi</span><o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Kolaborasi
dengan Dr.Spesialis anak</span><o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Observasi
TTV</span><o:p></o:p></div>
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<br /></div>
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<!--[if !supportLists]--><b>V.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Rencana
Asuhan Menyeluruh (Intervensi)<o:p></o:p></b></div>
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Dx : Bayi Ny “<span lang="EN-US">D</span>” umur 1 hari dengan BBLR<o:p></o:p></div>
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Tujuan : Setelah dilakukan asuhan kebidanan diharapkan bayi dapat tumbuh
dengan baik dan terhindar dari berbagai penyakit yang akan memperparah kondisi
BBLR<o:p></o:p></div>
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Kriteria : - Bayi
mampu tumbuh dengan baik dan sehat<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Bayi tidak
mengalami gangguan atau terkena penyakit<o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->TTV dalam
batas normal<o:p></o:p></div>
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Suhu : 36,5
<sup>0</sup>C – 37,5 <sup>0</sup>C<o:p></o:p></div>
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Nadi : 100-120
x/menit<o:p></o:p></div>
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RR : 40-60
x/menit<o:p></o:p></div>
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<b>Intervensi</b><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.85pt; mso-list: l11 level5 lfo20; tab-stops: list 19.85pt; text-align: justify; text-indent: -19.85pt;">
<!--[if !supportLists]-->1.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]--><span lang="EN-US">Lakukan cuci tangan sebelum dan
sesudah memegang bayi</span><o:p></o:p></div>
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R/ : <span lang="EN-US">Untuk pencegahan infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]-->2.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]-->Membungkus bayi<span lang="EN-US">/member kehangatan pada bayi</span><o:p></o:p></div>
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R/ <span lang="EN-US">untuk mencegah hipotermi<o:p></o:p></span></div>
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<!--[if !supportLists]-->3.<span style="font-size: 7pt; line-height: normal;"> </span><!--[endif]--><span lang="EN-US">Memposisikan ekstensi</span><o:p></o:p></div>
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<span lang="EN-US">R/
Melonggarkan jalan nafas</span>.<span lang="EN-US"><o:p></o:p></span></div>
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<span lang="EN-US">4
Memberikan O2<o:p></o:p></span></div>
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<span lang="EN-US">R/
Pola nafasnya efektif<o:p></o:p></span></div>
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<span lang="EN-US">5 Observas TTV/4jam<o:p></o:p></span></div>
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<span lang="EN-US">R/
Mengetahui keadaaan umum bayi<o:p></o:p></span></div>
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<span lang="EN-US">6 Pemberian ASI eksklusif<o:p></o:p></span></div>
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<span lang="EN-US">R/
memenuhi kebutuhan nutrisi bayi<o:p></o:p></span></div>
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<span lang="EN-US">7 Perawata bayi sehari-hari<o:p></o:p></span></div>
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<span lang="EN-US">R/ memenuhi kebutuhan personal hygine bayi<o:p></o:p></span></div>
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<span lang="EN-US">8 Menimbang berat badan setiap hari<o:p></o:p></span></div>
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<span lang="EN-US">R/ Mengetahui bayi dehidrasi atau tidak.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 18.0pt 30.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l11 level1 lfo20; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>VI.<span style="font-size: 7pt; font-weight: normal; line-height: normal;">
</span></b><!--[endif]--><b>Implementasi<o:p></o:p></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; width: 590px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.4pt;" width="87">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>Hari/Tgl<o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 337.25pt;" width="450">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>Kegiatan<o:p></o:p></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.15pt;" width="54">
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<b>TTD<o:p></o:p></b></div>
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<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.4pt;" valign="top" width="87">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Selasa</span> <o:p></o:p></div>
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<span lang="EN-US">07</span>-06-<span lang="EN-US">11<o:p></o:p></span></div>
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Jam<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">09</span>.<span lang="EN-US">11</span> WIB<o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 337.25pt;" valign="top" width="450">
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; mso-list: l11 level6 lfo20; tab-stops: list 18.6pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]-->Me<span lang="EN-US">ncuci tangan dengan sabun dan air
yang mengalir</span><o:p></o:p></div>
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<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Membungkus bayi dengan gedong dan meletakkannya dibawah sinar lampu</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; mso-list: l11 level6 lfo20; tab-stops: list 18.6pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Memposisikan kepala bayi ekstensi dan menengadahkan kepala bayi</span>.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; mso-list: l11 level6 lfo20; tab-stops: list 18.6pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Memberikan O2 dengan selang nasal kanul,2 ml</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; mso-list: l11 level6 lfo20; tab-stops: list 18.6pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Observasi TTV</span><o:p></o:p></div>
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<span lang="EN-US">HR :138x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; text-align: justify;">
<span lang="EN-US">RR :40x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; text-align: justify;">
<span lang="EN-US">S :36 C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; mso-list: l11 level6 lfo20; tab-stops: list 18.6pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Memberikan ASI melalui sonde 8X10cc</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; mso-list: l11 level6 lfo20; tab-stops: list 18.6pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Perawatan bayi sehari-hari(mengganti popok BAK_BAB,memandikan
bayi,perawatan tali pusat)</span><o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.6pt; mso-list: l11 level6 lfo20; tab-stops: list 18.6pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]-->-<span style="font-size: 7pt; line-height: normal;">
</span><!--[endif]--><span lang="EN-US">Menimbang berat badan bayi (2200gram)</span><o:p></o:p></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 40.15pt;" valign="top" width="54">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l11 level1 lfo20; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;">
<!--[if !supportLists]--><b>VII.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Evaluasi<o:p></o:p></b></div>
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Tanggal : <span lang="EN-US">07</span>-06-<span lang="EN-US">2011</span> Jam
: <span lang="EN-US">13</span>.00 WIB<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 24.0pt 30.0pt; text-align: justify;">
S : -<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 24.0pt 30.0pt 102.0pt 114.0pt; text-align: justify;">
O : KU : <span lang="EN-US">Lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 102.0pt 114.0pt; text-align: justify;">
Suhu : 36<sup>9 0</sup>C<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 102.0pt 114.0pt; text-align: justify;">
BB : 2<span lang="EN-US">2</span>00 gram<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 102.0pt 114.0pt; text-align: justify;">
PB : 4<span lang="EN-US">9</span> cm<o:p></o:p></div>
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Lingkar
kepala<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 102.0pt 114.0pt; text-align: justify;">
SOB : 32 cm<o:p></o:p></div>
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FO : 34 cm<o:p></o:p></div>
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MO : 3<span lang="EN-US">5</span> cm<o:p></o:p></div>
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Lingkar dada : 3<span lang="EN-US">4</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 102.0pt 114.0pt; text-align: justify;">
Lila<span lang="EN-US"> abdomen</span> : <span lang="EN-US">24</span> cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 24.0pt 30.0pt 96.0pt 108.0pt; text-align: justify;">
A : Bayi Ny “<span lang="EN-US">D</span>”
umur <span lang="EN-US">1</span> hari dengan BBLR<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 24.0pt 30.0pt 48.0pt 108.0pt; text-align: justify;">
P : - <span lang="EN-US">Mencuci tangan sebelum dan sesudah
melakukan tindakan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 24.0pt 30.0pt 48.0pt 108.0pt; text-align: justify;">
- <span lang="EN-US">ASI eksklusif 8x10CC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 24.0pt 30.0pt 48.0pt 108.0pt; text-align: justify;">
- <span lang="EN-US">thermoregulasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 24.0pt 30.0pt 48.0pt 108.0pt; text-align: justify;">
- <span lang="EN-US">Observasi TTV/4jam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>BAB V<o:p></o:p></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>PENUTUP<o:p></o:p></b></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l12 level1 lfo23; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b>A.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Kesimpulan<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
Bayi baru lahir dapat dibagi menjadi
dua yaitu bayi normal (sehat) yang memerlukan perawatan biasa dan bayi gawat
(high risk baby) yaitu yang memerlukan penanggulangan khusus.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
Dinilai dari landasan teori dalam
kasus ini telah diuraikan bahwa bayi BBLR adalah bayi baru lahir yang berat
badannya saat lahir kurang dari 2500 gram. Dan disebutkan pula bahwa BBLR
sangat rentan terhadap hipotermi dan infeksi, dari kasus yang telah diikaji dan
telah dilakukan penatalaksanaan yang adekuat ternyata tidak jauh berbeda dengan
teori yaitu Bayi Berat Lahir Rendah (BBLR) adalah bayi yang berat badannya
kurang dari 2500 gram, tetapi dari kasus bayi Ny “S” tidak menderita hipotermi
ataupun infeksi karena tenaga kesehatan/Bidan melakukan pemantauan ketat pada
bayi dan juga telah dilakukan penanganan pada BBLR dengan baik. Dan tenaga
kesehatan (Bidan) juga telah menangani bayi sesuai dengan yang telah dijelaskan
pada teori yaitu mempertahankan suhu tubuh bayi, mencegah infeksi, pengawasan
nutrisi/ASI eksklusif dan penimbangan BB bayi dengan ketat.<o:p></o:p></div>
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<br /></div>
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<!--[if !supportLists]--><b>B.<span style="font-size: 7pt; font-weight: normal; line-height: normal;"> </span></b><!--[endif]--><b>Saran<o:p></o:p></b></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b>Petugas
Kesehatan (Bidan)<o:p></o:p></b></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Bidan yang profesional harus mampu mengambil
tindakan cepat jika ada masalah yang muncul.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Mampu memberikan nasehat-nasehat apa yang harus
dilakukan pasien dalam menghadapi masalah kebidanan.<o:p></o:p></div>
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</span></span><!--[endif]--><b>Bagi
Institusi Pendidikan<o:p></o:p></b></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Sebagai acuan dalam memberikan materi/mata ajar
untuk Mahasiswa.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Sebagai masukan terhadap kemungkinan adanya
kekurangan dalam pembelajaran kepada Mahasiswa.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><b>Bagi
Mahasiswa<o:p></o:p></b></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Sebagai acuan atau perbandingan yang harus
dipelajari dan diteliti kembali.<o:p></o:p></div>
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<!--[if !supportLists]--><span style="font-family: Wingdings; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">F<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]-->Diharapkan dengan adanya Asuhan Kebidanan ini
Mahasiswa mampu merealisasikan dalam praktek dilapangan<o:p></o:p></div>
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<br /></div>
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<br /></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><br clear="all" style="page-break-before: always;" />
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<b>DAFTAR PUSTAKA<o:p></o:p></b></div>
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Mochtar, Rustam, Prof. Dr. 1998. <i>Sinopsis
Obstetri Jilid I,</i> Jakarta : EGC<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 12.0pt; margin-left: 53.85pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -53.85pt;">
<i>Buku Acuan Nasional Pelayanan Kesehatan Maternal
dan Neonatal,</i> 2001. Jakarta :
YBP-SP<o:p></o:p></div>
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Wiknjosastro, Hanifa, 2005. <i>Ilmu Kebidanan,</i>
Jakarta : YBP-SP<o:p></o:p></div>
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Syaifuddin, Abdul Bari Prof Dr. 2002. <i>Buku
Panduan Praktis Pelayanan Kesehatan Maternal dan Neonatal, </i>Jakarta:YBP-SP <o:p></o:p></div>
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<!--[endif]--><b> </b><br />putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-85986426569722495542012-06-12T02:53:00.003-07:002012-06-12T02:53:41.471-07:00Please....Hargai Aku<br />
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><b>Hargai Aku_ ARMADA</b></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Seringkali kau merendahkan ku</i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Melihat dengan sebelah matamu<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Aku bukan siapa-siapa<span style="color: #eeeeee;"><br /></span></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Selalu saja kau anggap ku lemah<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Merasa hebat dengan yang kau punya<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Kau sombongkan itu semua</i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Coba kau lihat dirimu dahulu<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Sebelum kau nilai kurangnya diriku<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Apa salahnya hargai diriku<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Sebelum kau nilai siapa diriku</i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Seringkali kau merendahkan ku (kau merendahkan ku)<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Melihat dengan sebelah matamu<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Aku bukan siapa-siapa</i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Coba kau lihat dirimu dahulu<br /></i></span></div>
<div style="background-color: white; line-height: 24px;">
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Sebelum kau nilai kurangnya diriku</i></span></div>
<div style="background-color: white; line-height: 24px;">
</div>
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Apa salahnya hargai diriku<br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Sebelum kau nilai siapa diriku</i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Coba kau lihat dirimu dahulu<br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Sebelum kau nilai kurangnya diriku<br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Apa salahnya hargai diriku<br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Sebelum kau nilai siapa diriku<br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i>Sebelum kau nilai siapa diriku</i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"><i><br /></i></span><br />
<br />putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-35568506785698776992012-06-11T07:05:00.000-07:002012-06-11T07:08:41.840-07:00ASUHAN KEBIDANAN PADA BAYI BARU LAHIR<br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">ASUHAN KEBIDANAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">PADA BAYI </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">Ny “</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">L</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">” </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">UMUR 1 HARI<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">DENGAN BCB SC BBLN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">DI</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;"> RUANG RGP RSIA MUSLIMAT</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;"> </span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">JOMBANG<span style="mso-spacerun: yes;">
</span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: IN; mso-fareast-language: IN;">Disusun oleh :<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-size: 14.0pt; mso-ansi-language: IN; mso-fareast-language: IN;">Nur Alfi Abida<o:p></o:p></span></u></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: IN; mso-fareast-language: IN;">NIM.7209010<o:p></o:p></span></b></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: IN; mso-fareast-language: IN;">PROGRAM STUDI D III KEBIDANAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: IN; mso-fareast-language: IN;">FAKULTAS ILMU KESEHATAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: IN; mso-fareast-language: IN;">UNIVERSITAS PESANTREN TINGGI DARUL<span style="mso-spacerun: yes;"> </span>‘ULUM<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: IN; mso-fareast-language: IN;">JOMBANG</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; mso-fareast-language: IN;"><o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; mso-ansi-language: IN; mso-fareast-language: IN;">2011<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">KATA PENGANTAR<o:p></o:p></span></b></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Puji syukur kepada
Allah SWT. yang mana berkat rahmat, taufik serta hidayah-Nyalah, sampai
akhirnya Asuhan Kebidanan ini dapat disusun dan terselesaikan.<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Sholawat serta salam
tak lupa kita panjatkan kepada junjungan kita Nabi Besar Muhammad SAW, yang
telah membawa kita dari zaman kegelapan menuju zaman yang terang benerang yakni
Addinul Islam Wal’alimin.<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Pada penyusunan Asuhan
Kebidanan ini dapat terselesaikan tak jauh dari berbagai pihak yang telah
memberikan dukungan baik secara langsung maupun tidak langsung pada penulis.
Pada akhirnya ada tepat kiranya penulis menyampaikan penghargaan yang
setinggi-tingginya dan terima kasih yang sebesar-besarnya kepada:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Bpk. Dr. H. M. Zulfikar As’ad
Umar, MMR, selaku Dekan Fakultas Ilmu Kesehatan Universitas Pesantren Tinggi
Darul ‘Ulum Jombang<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Ibu Hj. Sabria Dwi
Prihartini,SKM. Selaku Direktur Prodi D-III Kebidanan FIK Universitas Pesantren
Tinggi Darul ‘Ulum Jombang<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Ibu Ninik Azizah, SST, selaku
Pembimbing Akademik<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Ibu Richa darismaya Amd.Keb dan
Ibu Virnalisa damayanti selaku pembimbing ruangan <o:p></o:p></span></div>
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<span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-bidi-font-weight: bold;">Disadari</span> sepenuhnya bahwa Asuhan
Kebidanan ini masih jauh dari kesempurnaan, sehingga kritik dan saran dari
pembaca sekalian kami harapkan.<o:p></o:p></span></div>
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<span lang="EN-US">Semoga Asuhan Kebidanan ini dapat bermanfaat bagi
pembaca dan pada penulis khususnya. Amin ….<o:p></o:p></span></div>
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<span lang="EN-US">Jombang,10 November 2011<o:p></o:p></span></div>
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<span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Nur Alfi Abida</span><span style="mso-ansi-language: IN; mso-bidi-font-weight: bold;"><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">BAB I<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">1.1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Latar Belakang <o:p></o:p></span></b></div>
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<span lang="EN-US">Bayi baru lahir dapat dibagi
menjadi<span style="mso-spacerun: yes;"> </span>2. (1) Bayi Normal (sehat)
memerlukan perawatan bisaa. (2) Bayi Gawat (High Risk Baby) memerlukan
penanggulangan khusus seperti adanya asfiksia dan pendarahan. Pada umumnya,
kelahiran bayi normal cukup ditolong oleh bidan dengan tanggung jawab penuh
terhadap keselamatan ibu dan bayi. Pada kelahiran abnormal, yang memerlukan
pertolongan spesialis, bayi baru lahir diurus oleh bidan, dan bila di rumah
sakit yang dilengkapi dengan unit kesehatan bayi, hendaknya ditangani oleh
dokter anak.<o:p></o:p></span></div>
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<span lang="EN-US">Dalam beberapa dasawarsa ini
perhatian terhadap janin yang mengalami gangguan pertumbuhan dalam kandungan
sangat meningkat. Hal ini disebabkan masih tingginya angka kematian parinatal
dan neonatal karena masih banyak bayi menjadi dewasa ia akan mengalami gangguan
pertumbuhan baik fisik maupun mental.<o:p></o:p></span></div>
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<span lang="EN-US">Walaupun sebagian besar proses
persalinan terfokus pada ibu, tetapi karena proses tersebut merupakan
pengeluaran hasil kehamilan (bayi) maka penatalaksanaan persalinan abru dapat
dikatakan berhasil apabila selain ibunya, bayi yang dilahirkan juga berada dalam
kondisi yang optimal. Memberikan asuhan segera, aman dan bersih untuk bayu baru
lahir merupakan bagian esensial asuhan bayi baru lahir.<o:p></o:p></span></div>
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<span lang="EN-US">Maka pelayanan kebidanan selayaknya
dilaksanakan berdasarkan teori yang dapat dipetanggungjawabkan dan berdasarkan
kenyataan. Dengan demikian penulis ingin melakukan pengkajian dengan asuhan
kebidanan pada BBL normal</span><span style="mso-ansi-language: IN;">.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">1.2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Tujuan Umum<o:p></o:p></span></b></div>
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<span lang="EN-US">Menerapkan dan mengembangkan pola
piker secara ilmiah ke dalam proses asuhan kebidanan nyata serta mendapatkan
pengalaman dalam memecahkan masalah Bayi Baru Lahir.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">1.3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Tujuan Khusus<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Melakukan pengkajian data<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Mengidentifikasi diagnosa,
masalah dan kebutuhan<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Mengantisipasi masalah
potensial<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Mengidentifikasi kebutuhan
segera<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Menyusun rencana tindakan yang
akan dilakukan<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Melaksanakan rencanan tindakan
yang telah ditetapkan<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Mengevaluasi pelaksanaan asuhan
keperawatan<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">BAB II<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">LANDASAN TEORI<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Asuhan Segera Bayi Baru
Lahir <o:p></o:p></span></b></div>
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<span lang="EN-US">Asuhan segera pada bayi baru lahir
adalah asuhan yang diberikan kepada bayi tersebut selam jam pertama setelah
kelahira. Sebagian besar bayi yang lahir akan menunjukan usaha pernafasan
spontan dengan sedikit bantuan atau gangguan. Aspek-aspek penting dari asuhan
segera bayi yang baru lahir:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Jagalah agar bayi tetap kering dan hangat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Usahakan adanya kontak antara kulit bayi dan kulit ibunya sesegera
mungkin, segera setelah melahirkan badan bayi:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Sambil secara cepat menilai pernafasannya, letakkan bayi dengan
handuk di atas perut ibu<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Dengan kain bersih dan kering atau kasa lap darah atau lender dari
wajah bayi untuk mencgah jalan udaranya kehalang. Periksa ulang pernafasan
bayi.<o:p></o:p></span></div>
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<span lang="EN-US">Catatan : <span style="mso-tab-count: 1;"> </span>sebagian besar bayi akan menangis atau bernafas secara spontan
dalam waktu 30 detik setelah lahir.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Bila bayi tersebut menangis
atau bernafas (terlihat dari pergerakan dada paling sedikit 30 x/menit),
biarkan bayi tersebut dengan ibunya <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Bila bayi tersebut tidak
bernafas dalam waktu 30 detik, SEGERALAH CARI BANTUAN dan mulailah
langkah-langkah resusitasi bayi tersebut. <o:p></o:p></span></div>
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<span lang="EN-US">Persiapan kebutuhan resusitasi untuk setiap bayi dan siapkan
rencana untuk meminta bantuan, khususnya bila ibu tersebut memiliki riwayat
eklampsia perdarahan, persalinan lama atau macet, persalinan dini atau
infeksi.<o:p></o:p></span></div>
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</tr>
</tbody></table>
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<br /></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 35.85pt; mso-list: l1 level1 lfo4; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Klem dan potong tali pusat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Klemlah tali pusat dengan 1
buah klem sambil melindungi bayi dari guntingan dengan tangan kiri anda<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 53.85pt; mso-list: l10 level1 lfo5; tab-stops: list 53.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pertahankan kebersihan pada
saat memotong tali pusat. Ganti sarung tangan anda bila ternyata sudah kotor.
Potonglah tali pusatnya dengan pisau atau gunting steril atau disinfeksi
tingkat tinggi (DTT)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Periksa tali pusat setiap 15
menit. Apabila masih terjadi perdarahan lakukan pengikatan ulang yang lebih
ketat.<o:p></o:p></span></div>
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<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 378.0pt;" valign="top" width="504">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Jangan mengoleskan salep apapun, atau zat lain ke tampuk tali
pusat. Hindarilah pembungkusan tali pusat. Tampuk tali pusat yang tidak
tertutup akan mongering dan puput lebih cepat dengan komplikasi yang lebih
sedikit.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; mso-list: l1 level1 lfo4; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Jagalah bayi agar tetap hangat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pastikan bayi tersebut tetap
hangat dan terjadi kontak antara kulit bayi dengan kulit ibu.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Gantilah handuk/kain yang
basah, dan bungkus bay tersebut dengan selimut dan jangan lupa memastikan bahwa
kepala telah terlindungi dengan baik untuk mencegah terjadinya keluarnya panas
tubuh.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pastikan bayi tetap hangat
dengan memeriksa telapak bayi setiap 15 menit.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Apabila telapak bayi terasa
dingin, periksalah suhu axila bayi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Apabila bayi kurang dari 36,5
segeralah hangatkan bayi tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Kontak dini dengan ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.85pt; mso-list: l10 level1 lfo5; tab-stops: list 53.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Berikan bayi kepada ibunya
secepat mungkin. Kontak dini antara ibu dan bayi penting untuk:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Kehangatan mempertahankan panas
yang benar pada bayi baru lahir.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Ikatan batin dan pemberian ASI<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Doronglah ibu untuk menyusui
bayinya apabila bayi telah “siap” (dengan menunjukkan refleks rooting). Jangan
paksakan bayi untuk menyusu.<o:p></o:p></span></div>
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<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 378.0pt;" valign="top" width="504">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Bila memungkinkan jangan pisahkan ibu dengan bayinya, dan biarkan
bayi bersama ibunya paling sedikit satu jam setelah persalinan.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; mso-list: l1 level1 lfo4; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Pernafasan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.7pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Sebagian besar bayi akan bernafas
secara spontan. Pernafasan bayi sebaiknya diperiksa secara teratur untuk
mengetahui adanya masalah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.7pt; mso-list: l10 level1 lfo5; tab-stops: list 53.7pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Keringkan bayi dengan selimut
atau handuk yang hangat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.7pt; mso-list: l10 level1 lfo5; tab-stops: list 53.7pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Jika bayi tidak segera bernafas,
lakukan hal-hal berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Keringkan bayi dengan selimut
atau handuk yang hangat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 71.85pt; mso-list: l10 level2 lfo5; tab-stops: list 71.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Gosoklah punggung bayi dengan
lembut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 53.7pt; mso-list: l10 level1 lfo5; tab-stops: list 53.7pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Jika bayi belum mulai bernafas
setelah beberapa detik. Lakukan resusitasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Apabila bayi sianosis (kulit
biru) atau sukar bernafas (frekuensi pernafasan kurang dari 30 atau lebih dari
60 kali/menit). Berilah oksigen pada bayi dengan masker.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; mso-list: l1 level1 lfo4; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Perawatan mata <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Obat mata eritomisin 0,5 atau
tetrasiklin 1% dianjurkan untuk pencegahan penyakit mata karena klamidia
(penyakit menular seksual). Yang lazim dipakai adalah larutan perak nitrat atau
Neosporin dan langsung diteteskan pada mata bayi segera setelah lahir.<o:p></o:p></span></div>
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<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 378.0pt;" valign="top" width="504">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Jangan tinggalkan ibu dan bayi seorang diri kapanpun.<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
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<br /></div>
<div class="MsoNormal" style="margin-left: 17.85pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l6 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Asuhan Bayi Baru Lahir<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Dalam waktu 24 jam, bila bayi tidak
mengalami masalah apapun, berikanlah asuhan berikut:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Lanjutkan
pengamatan pernafasan, warna dan aktifitasnya.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pehatikan suhu
tubuh bayi<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Hindari memandikan bayi hingga
sedikitnya enam jam, dan hanya setelah itu jika tidak terdapat masalah medis
dan jika suhunya 36,5 <sup>O</sup>C atau lebih<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; mso-list: l10 level2 lfo5; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Bungkus bayi dengan kain yang
kering dan hangat, kepala bayi harus tertutup<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pemeriksaan fisik
bayi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;">
<span lang="EN-US">Lakukan pemeriksaan fisik yang lebih lengkap. Ketika
memeriksa BBL ingat butir-butir penting berikut:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Gunakan tempat yang hangat dan
bersih untuk pemeriksaan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; mso-list: l0 level1 lfo6; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Cuci tangan sebelum dan sesudah
pemeriksaan, gunakan sarung tangan dan bertindak lembut pada saat menangani
bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; mso-list: l0 level1 lfo6; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Lihat, dengarkan dan rasakan
tiap-tiap daerah, dimulai dari kepala dan berlanjut secara sistematik menuju
jari-jari kaki<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.85pt; mso-list: l0 level1 lfo6; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Jika ditemukan faktor resiko
atau masalah, carilah bantuan lebih lanjut yang memang diperlukan<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Rejam hasil pengamatan (dan
setiap tindakan yang diperlukan bantuan lebih lanjut)<o:p></o:p></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Berikan vitamin K<o:p></o:p></span></b></div>
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<span lang="EN-US">Untuk mencegah terjadinya perdarahan karena defisiensi
vitamin K pada BBL, lakukan hal-hal berikut: <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Semua BBL normal dan cukup
bulan perlu diberikan vitamin K per oral 1 mg/hari selama 3 hari<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Bayi resiko tinggi diberi
vitamin K paenteral dengan dosis 0,5 hmg IM<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Identifikasi bayi
<o:p></o:p></span></b></div>
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<span lang="EN-US">Alat pengenal untuk memudahkan identifikasi bayi perlu
dipasang segera pasca persalinan. Alat pengenal yang efektif harus diberikan
kepada setiap BBL dan harus tetap ditempatkan sampai waktu bayi dipulangkan.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Alat yang digunakan hendaknya
kebal air, dengan tepi yang halus tidak mudah melukai, tidak mudah sobek dan
tidak mudah lepas<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Pada alat/gelang identifikasi
harus tercantum<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Nama (bayi, ibunya)<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Tanggal lahir<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Nomor bayi<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Jenis kelamin<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Unit kelamin <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Disetiap tempat harus diberi
tanda dengan mencantumkan nama, tanggal lahir, dan nomor identifikasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Sidik telapak bayi, kaki bayi
dan sidik jari ibu harus dicetak di catatan yang tidak mudah hilang. Ukurlah
berat lahir, panjang bayi, lingkar kepala, lingkar perut, dan catat dalam rekam
medis<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Perawatan tali pusat<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Perhatikan sisa tali pusat
dalam keadaan terbukan agar terkena udara dan ditutupi dengan kain bersih
secara longgar<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Lipatlah popok di bawah sisa
tali pusat<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Jika tali pusat terkena kotoran
atau tinaj, cuci dengan sabun dan air bersih, dan keringkan betul-betul<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Dalam waktu 24 jam dan sebelum ibu danbayi dipulangkan
kerumah berikan imunisasi: BCG, polio oral, dan hepatitis B<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Ajarkan tanda-tanda bahaya bayi
pada orang tua agar merujuk bayinya segera untuk perawatan lebih lanjut. Jika
ditemui tanda-tanda tersebut.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Ajarkan pada orang tua cara
merawat bayi mereka dan perawatan harian untuk bayi baru lahir:<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Beri ASI sesuai dengan
kebutuhan setiap 2 -3 jam (paling sedikit setiap 4 jam), mulai dari hari
pertama<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Pertahankan agar bayi selalu
dengan ibu<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Jaga bayi dalam keadaan bersih,
hangat, kering, dengan mengganti popok dan selimut sesuai dengan keperluan,
pastikan bayi tidak terlalu panas dan terlalu dingin (dapat menyebabkan
dehidrasi, ingat bahwa kemampuan pengaturan suhu bayi masih dalam perkembangan.
Apa saja yang dimasukkan ke dalam mulut bayi harus bersih dan kering.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Jagalah tali pusat dalam
keadaan bersih dan kering<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Peganglah, sayangi dan nikmati
kehidupan bersama bayi<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Awasi masalah dan kesulitan
pada bayi dan minta bantuan jika perlu <o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Jaga keamanan bayi terhadap
trauma dan penyakit/infeksi<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Ukur suhu tubuh bayi jika
tampak sakit atau menyusui kurang baik<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Tanda-tanda bahaya yang harus
diwaspadai pada bayi baru lahir:<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Pernafasan sulit atau lebih
dari 60 x/menit<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Kehangatan – terlalu panas >
38 <sup>O</sup>C atau terlalu dingin < 36 <sup>O</sup>C<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Warna – kuning (terutama pada
24 jam pertama) biru, pucat atau memar<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Pemberian makanan - hisapan
lemah, mengantuk berlebihan, banyak muntah.<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Tali pusat – merah, bengkak,
keluar cairan, bau busuk berdarah<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Infeksi – suhu meningkat,
merah, bengkak, keluar cairan (nanah), bau busuk, pernafasan sulit<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Tinja/kemih – tidak berkemih
dalam 24 jam, tinja lembek, sering, hijau tua, ada lender, atau darah pada
tinja<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Aktifitas – menggigil, atau
tangis tidak bisaa, sangat mudah tersinggung, lemas, terlalu mengantuk,
lunglai, kejang halus, tidak bisa tenang, menangis terus menerus<o:p></o:p></span></div>
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<span lang="EN-US">=> cari pertolongan medis segera jika timbul hal
diatas <=<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pencegahan Kehilangan
Panas <o:p></o:p></span></b></div>
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<span lang="EN-US">Hepotermi mudah terjadi pada bayi
yang tubuhnya dalam keadaan basah/tidak segera dikeringkan dan diselimuti
walaupun berada di dalam ruangan yang relatif hangat.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Mekanisme kehilangan panas<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span lang="EN-US">Evaporasi <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>jalan
utama bayi kehilangan panas, kehilangan panas dapat terjadi karena penguapan
cairan ketuban pada permukaan tubuh oleh panas<span style="mso-spacerun: yes;">
</span>tubuh bayi sendiri karena setelah lahir, tubuh bayi tidak segera dikeringkan
atau diselimuti.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 117.0pt; mso-list: l10 level1 lfo5; tab-stops: list 53.85pt left 108.0pt 117.0pt; text-align: justify; text-indent: -81.15pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Konduksi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kehilangan panas tubuh bayi
melalui kontak langsung antara tubuh bayi dg permukaan yg dingin, meja tmpat
tidur/timbangan yang temperaturnya lebih rendah dari tubuh bayi melalui
mekanisme kondisi apabila bayi diletakkan di atas benda-benda tersebut.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 117.0pt; mso-list: l10 level1 lfo5; tab-stops: list 53.85pt left 108.0pt 117.0pt; text-align: justify; text-indent: -81.15pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Konveksi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kehilangan panas yang
terjadi saat bayi terpapar udara sekitar yang lebih dingin. Kehilangan juga
dapat terjadi jika terjadi konveksi aliran udara dari kipas angina, hembusan
udara melalui ventilasi/pendingin ruangan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 117.0pt; mso-list: l10 level1 lfo5; tab-stops: list 53.85pt left 108.0pt 117.0pt; text-align: justify; text-indent: -81.15pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Radiasi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kehilangan panas yang
terjadi Karen bayi di tempatkan di dekat benda-benda yang mempunayi suhu tubuh
lebih rendah dari suhu tubuh bayi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 35.85pt; tab-stops: 108.0pt 117.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 35.85pt; mso-list: l1 level1 lfo4; tab-stops: list 35.85pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Mencegah kehilangan panas :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; mso-list: l6 level3 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Keringkan bayi dengan seksama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Pastikan tubuh bayi dikeringkan segera setelah lahir,
untukmencegah kehilangan panas yang disebabkan oleh evaporasi cairan ketuban
pada tubuh bayi. Keringkan bayi dengan handuk atau kain yang telah disiapkan di
atas perut ibu. Mengeringkan dengan cara menyeka tubuh bayi, juga merupakan
rangsangan taktil untuk membantu bayi memulai pernafasannya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; mso-list: l6 level3 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Selimuti bayi pada bagian
kepala<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Pastikan bagian kepala bayi ditutupi/diselimuti setiap
saat, bagian kepala bayi memiliki luas permukaan yang relative luas dan bayi
akan cepat kehilangan panas jika bagian tersebut tidak ditutupi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; mso-list: l6 level3 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Selimuti bayi dengan
selimut/kain bersih dan hangat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Segera setelah mergeringkan tubuh bayi dan memotong tali
pusat, ganti handk/kain yang hangat, kering dan bersih. Kain basah di dekat
tubuh bayi dapat menyerap panas tubuh bayi melalui proses radiasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; mso-list: l6 level3 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Anjurkan ibu untuk memeluk
bayinya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Pelukan ibu pada tubuh bayi dapat menjaga kehangatan
tubuh dan mencegah kehilangan panas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; mso-list: l6 level3 lfo3; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Jangan segera
memandikan/menimbang BBL<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Bayi sebaiknya dimandikan (sedikitnya) 6 jam setelah
lahir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;">
<br /></div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l6 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Tinjauan Kasus Varney<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo9; tab-stops: list 45.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengkajian <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span lang="EN-US">Yaitu sekumpulan data yang dilakukan oleh petugas
kesehatan kepada pasien. Namun apabila pasien dalam keadaan koma, maka
wawancara bisa dilakukan oleh keluarga, pengantar atau pendamping pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span lang="EN-US">Data yang tercantum dalam pengkajian:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l6 level4 lfo3; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Data Subyektif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span lang="EN-US">Adalah suatu data yang diperoleh dengan melakukan
wawancara langsung baik kepada pasien atau keluarganya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span lang="EN-US">Data subyektif sendiri dari anamnesa terhadap pasien
melalui dari keluhan utama, kebiasaan sehari-hari sampai riwayat kehamilan dan
kelahirannya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l16 level1 lfo10; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Anamnesa <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l16 level2 lfo10; tab-stops: list 99.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Umur bayi dan orang tua<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l16 level2 lfo10; tab-stops: list 99.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Tnggal dan jam bayi dilahirkan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l16 level2 lfo10; tab-stops: list 99.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Jenis kelamin bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l16 level2 lfo10; tab-stops: list 99.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Berat badan dan panjang badan bayi, untuk mengetahui status nutrisi
bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l16 level2 lfo10; tab-stops: list 99.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Agama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l16 level2 lfo10; tab-stops: list 99.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Pendidikan orang tua<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l16 level1 lfo10; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat penyakit kehamilan <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Untuk mengetahui penyakit yang pernah diderita ibu
ketika hamil di masa lalu maupun sekarang agar tindakan medis yang diambil
tepat dan aman untuk bayinya dan ibunya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l16 level1 lfo10; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Kebiasaan waktu hamil <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Aktifitas yang dilakukan klien sewaktu hamil seperti
makanan dan minuman beralkohol, atau minuman-minuman lainnya yang dikonsumsi
saat hamil, obat-obatan/jamu, kebiasaan merokok dan lain-lain.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l16 level1 lfo10; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat persalinan sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l9 level1 lfo11; tab-stops: list 99.0pt left 189.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Jenis persalian<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>normal/seksio sesaria/episiotomi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l9 level1 lfo11; tab-stops: list 99.0pt left 189.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Ditolong oleh<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>dukun/bidan/dokter<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l9 level1 lfo11; tab-stops: list 99.0pt left 189.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Lama persalinan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; mso-list: l16 level3 lfo10; tab-stops: list 117.0pt left 189.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Kala I<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 189.0pt 198.0pt; text-align: justify;">
<span lang="EN-US">Dimulai sejak terjadinya konstaksi
uterus dan pembukaan serviks mencapai pembukaan lengkap (10 dibagi menjadi):<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 135.0pt; mso-list: l10 level1 lfo5; tab-stops: list 135.0pt left 189.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Fase laten<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Arial Black","sans-serif";">○</span><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>pembukaan serviks < 4 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; mso-list: l11 level1 lfo12; tab-stops: 189.0pt 198.0pt list 216.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">dimulai sejak awal kontraksi
yang menyebabkan penipisan dan pembukaan servik secara bertahap<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; mso-list: l11 level1 lfo12; tab-stops: 189.0pt 198.0pt list 216.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">berlangsung <u>+</u> 8 jam <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 135.0pt; mso-list: l10 level1 lfo5; tab-stops: list 135.0pt left 189.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Fase aktif<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Arial Black","sans-serif";">○</span><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>frekuensi dan lama
kontraksi meningkat (kontraksi adekuat jika terjadi lebih > 8 x dalam waktu
10 dan berlangsung 40) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 189.0pt 198.0pt; text-align: justify;">
<span lang="EN-US">Dibagi mejadi:<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;"> </span>Periode akselerasi => </span><span lang="EN-US" style="font-family: "Wingdings 2"; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Wingdings 2";">p</span></span><span lang="EN-US"> 3 – 4 cm <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; mso-list: l10 level1 lfo5; tab-stops: 189.0pt 198.0pt list 216.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Periode dilatasi max => </span><span lang="EN-US" style="font-family: "Wingdings 2"; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Wingdings 2";">p</span></span><span lang="EN-US"> 4 – 9 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; mso-list: l10 level1 lfo5; tab-stops: 189.0pt 198.0pt list 216.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Periode deselerasi => </span><span lang="EN-US" style="font-family: "Wingdings 2"; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: "Wingdings 2";"><span style="mso-char-type: symbol; mso-symbol-font-family: "Wingdings 2";">p</span></span><span lang="EN-US"> 9 – 10 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; tab-stops: 189.0pt 198.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 117.0pt; mso-list: l16 level3 lfo10; tab-stops: list 117.0pt left 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Kala II<o:p></o:p></span></div>
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<span lang="EN-US">Dimulai dari pembukaan lengkap sampai
lahirnya seluruh badan bayi <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Ketuban pecah;
spontan/amniotomi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Komplikasi persalinan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Untuk mengetahui keadaan
abnormal bayi dan ibu <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; mso-list: l9 level1 lfo11; tab-stops: list 99.0pt left 189.0pt 198.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Keadaan BBL<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; tab-stops: 189.0pt 198.0pt; text-align: justify;">
<span lang="EN-US">Nilai apgar score. <st1:place w:st="on"><st1:city w:st="on">Normal</st1:city></st1:place> : 7 - 10<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Resusitasi <o:p></o:p></span></div>
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<span lang="EN-US">Dilakukan jika bayi mengalami
kesulitan bernafas setelah 60 detik pasca persalinan<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l6 level4 lfo3; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Data Obyektif <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span lang="EN-US">Adalah data pengkajian yang dilakukan dengan cara
melakukan pemeriksaan secara langsung kepada pasien dengan tujuan untuk
mengetahui keadaan pasiennya sekarang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l6 level5 lfo3; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pemeriksaan fisik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Bertujuan untuk mengetahui keadaan fisik pasien,
pemeriksaan ini dilakukan secara “head to toe”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0cm; mso-list: l3 level2 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Tanda-tanda vital <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; tab-stops: 189.0pt 198.0pt; text-align: justify; text-indent: -96.0pt;">
<span lang="EN-US">Keadaan
umum<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>baik<o:p></o:p></span></div>
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<span lang="EN-US">Suhu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>BBL bernafas tidak teratur 30-80 x/menit, dengan rata-rata <u>+</u>
40 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; tab-stops: 189.0pt 198.0pt; text-align: justify; text-indent: -96.0pt;">
<span lang="EN-US">Nadi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>BBL frekuensinya 110 – 160 x/menit dengan rata-rata <u>+</u> 130
x/menit<o:p></o:p></span></div>
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<span lang="EN-US">BB
sekarang<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>bayi aterm dengan BB > 2.500 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0cm; mso-list: l3 level2 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: 0cm;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pemeriksaan fisik secara
sistematis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; text-align: justify;">
<span lang="EN-US">Dilakukan dengan cara inspeksi, palpasi, auskultasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Kepala<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa kesemetrisan, adanya kelainan cepal haematoma,
caput succedaneumanen chepalus, hidrocepalus, meningokel.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Ubun-ubun <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; tab-stops: 216.0pt 234.0pt; text-align: justify;">
<span lang="EN-US">Periksa suturanya<span style="mso-tab-count: 1;"> </span>=><span style="mso-tab-count: 1;"> </span>sutura
fiontalis dextra + sinistra <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; tab-stops: 216.0pt 234.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 2;"> </span>sutura coronaria (sela mahkota)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; tab-stops: 216.0pt 234.0pt; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 2;"> </span>sutura lamboidea (sela lamda)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; tab-stops: 216.0pt 234.0pt; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 2;"> </span>sutura sagitalis (sela panah) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Muka <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Adanya kelainan seperti tidak mengerutnya dahi/menutup
mata sebelah sudut bibir tertarik ke satu sisi (paralysis wajah)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Mata <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa pupil, sclera, conjungtiva<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Tanda-tanda infeksi seperti pus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Telinga <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa kesemetrisan dengan menarik garis antara telinga
dan mata bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Hidung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa adanya pernafasan cuping hidung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa kesemetrisan hidung kanan dan kiri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Mulut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa adanya bibir sumbing/labiopalatos kizis <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa bibir dan palatum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Reflek hisap dan menoleh dinilai dengan mengamati bayi
pada saat menyusui <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Leher<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa adanya pembengkakan kelenjar teroid dan limfe<o:p></o:p></span></div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Dada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa bentuk dada<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Putting susu menonjol (pada </span><span lang="EN-US" style="font-family: "Arial Narrow","sans-serif";">♀</span><span lang="EN-US">)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Dengarkan bunyi nafas dan jantung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Tali pusat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa penonjolan di sekitar tali pusat pada saat bayi
menangis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Adanya perdarahan tali pusat atau tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Tali pusat lembek pada saat bayi menangis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Punggung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa adanya spina bitida/meningokel<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Ekstremitas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa adanya kelainan pada bagian jari:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; mso-list: l6 level7 lfo3; tab-stops: list 138.0pt left 216.0pt 225.0pt; text-align: justify; text-indent: -105.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Mikro Amelia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>jumlah
jari < 5<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; mso-list: l6 level7 lfo3; tab-stops: list 138.0pt left 216.0pt 225.0pt; text-align: justify; text-indent: -105.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Polidaktili<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>jumlah
jari > 5<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; mso-list: l6 level7 lfo3; tab-stops: list 138.0pt left 216.0pt 225.0pt; text-align: justify; text-indent: -105.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Amelia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tidak punya
jari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; mso-list: l6 level7 lfo3; tab-stops: list 138.0pt left 216.0pt 225.0pt; text-align: justify; text-indent: -105.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Sindaktili<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>jari
seperti bebek, antara satu dan yang lain disatukan oleh sebuah selaput.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Periksa adanya kelainan pada kaki<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify;">
<span lang="EN-US">Pes varus<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>mengarah
kedalam, seperti huruf “O”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify;">
<span lang="EN-US">Pes valgus<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>mengarah
keluar, seperti huruf “X”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Genetalia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -69.0pt;">
<span lang="EN-US">Kelamin </span><span lang="EN-US" style="font-family: "Arial Narrow","sans-serif";">♂<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span><span lang="EN-US">testis berada di skrotum atau tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -69.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 2;"> </span>Penis berlubang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -69.0pt;">
<span lang="EN-US">Kelamin </span><span lang="EN-US" style="font-family: "Arial Narrow","sans-serif";">♀<span style="mso-tab-count: 1;"> </span>:</span><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>vagina berlubang atau tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -69.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 2;"> </span>Uretra berlubang atau
tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -69.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 2;"> </span>Labia mayora menutupi
labia minora atau tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Anus <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Periksa adanya atresia ani/anus imperforate dengan
melakukan colok anus menggunakan temperatur rectal <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Reflek <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 261.0pt; mso-list: l4 level1 lfo13; tab-stops: list 138.0pt left 252.0pt 261.0pt; text-align: justify; text-indent: -141.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Reflek moro<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>reflek memeluk, terjadi jika menepuk tangan, bayi akan kaget yang
ditandai dengan pengerakan tangan spontan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 261.0pt; mso-list: l4 level1 lfo13; tab-stops: list 138.0pt left 252.0pt 261.0pt; text-align: justify; text-indent: -141.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Reflek rooting<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>reflek
menoleh, dengan menyentuh pipi bayi maka bayi akan menoleh kesumber rangsangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 261.0pt; mso-list: l4 level1 lfo13; tab-stops: list 138.0pt left 252.0pt 261.0pt; text-align: justify; text-indent: -141.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Reflek walking<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>reflek
berjalan, terjadi jika bayi diletakkan di perut ibu maka bayi akan merangkak
menuju putting susu ibu (tanpa digendong)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 261.0pt; mso-list: l4 level1 lfo13; tab-stops: list 138.0pt left 252.0pt 261.0pt; text-align: justify; text-indent: -141.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Reflek graphs/planter<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>reflek
tangan menggenggam, dilakukan dengan merangsang tangan bayi dengan jari kita,
maka bayi akan menggenggam jari tangan kita<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 261.0pt; mso-list: l4 level1 lfo13; tab-stops: list 138.0pt left 252.0pt 261.0pt; text-align: justify; text-indent: -141.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Reflek sucking<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>reflek
hisap (menghisap) terlihat pada saat bayi menyusu ibunya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 261.0pt; mso-list: l4 level1 lfo13; tab-stops: list 138.0pt left 252.0pt 261.0pt; text-align: justify; text-indent: -141.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Reflek tonick neck<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>refleks mengangkat
kepala, secara spontan ketika bayi ditengkurapkan di atas perut ibu untuk
menyusu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Antopometri <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; text-align: justify;">
<span lang="EN-US">Lingkar kepala dibagi:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l2 level1 lfo14; tab-stops: list 138.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">(SOB) => Sub Occipita
Bregmatica <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; text-align: justify;">
<span lang="EN-US">pengukurannya mulai Sub Occipita – Uub, normalnya =<span style="mso-spacerun: yes;"> </span>32 cm <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l2 level1 lfo14; tab-stops: list 138.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">(FO) => Sub Fronto Occipita <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; text-align: justify;">
<span lang="EN-US">pengukurannya mulai pangkal hidung belakang kepala,
normal =<span style="mso-spacerun: yes;"> </span>34 cm <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l2 level1 lfo14; tab-stops: list 138.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">(MO) => Mento Occipita<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; text-align: justify;">
<span lang="EN-US">pengukurannya mulai dagu belakang kepala, normal =<span style="mso-spacerun: yes;"> </span>35 cm <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 120.0pt; mso-list: l6 level6 lfo3; tab-stops: list 120.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Eliminasi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l7 level1 lfo15; tab-stops: list 138.0pt left 198.0pt 207.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Miksi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>sudah keluar apa
belum dalam 24 jam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l7 level1 lfo15; tab-stops: list 138.0pt left 198.0pt 207.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Mekontun<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>sudah keluar apa belum
dalam 24 jam<o:p></o:p></span></div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo9; tab-stops: list 45.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Identifikasi Diagnosa dan Masalah <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span lang="EN-US">Untuk menentukan diagnosa/masalah berdasarkan data
subyektif dan data obyektif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo9; tab-stops: list 45.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Identifikasi Diagnosa dan Masalah Potensial<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span lang="EN-US">Untuk menentukan diagnosa dan diagnosa pontensial sesuai
dengan diagnosa dan masalah yang sudah diidentifikasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo9; tab-stops: list 45.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Identifikasi Kebutuhan Segera<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span lang="EN-US">Untuk mengidentifikasi perlunya tindakan segera atau
bidan/dokter guna dikonsultasikan/ditangani bersama dengan anggota tim
kesehatan yang lain sesuai dengan kondisi klien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo9; tab-stops: list 45.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Intervensi <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span lang="EN-US">Menyusun rencana yang menyeluruh dengan rasional
meliputi:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l2 level2 lfo14; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Terapi dan asuhan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l2 level2 lfo14; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pendidikan kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l2 level2 lfo14; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Konseling<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l2 level2 lfo14; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Kolaborasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l2 level2 lfo14; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Rujukan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l2 level2 lfo14; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Tindak lanjut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo9; tab-stops: list 45.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Implementasi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<span lang="EN-US">Melaksanakan rencana asuhan secara menyeluruh seperti
yang telah diuraikan pada langkah V.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l3 level1 lfo9; tab-stops: list 45.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Evaluasi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.1pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Dilakukan evaluasi keefektifan dari
asuhan yang diberikan mengacu pada kriteria hasil, menggunakan format SOAP
yaitu :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 69.0pt; tab-stops: 54.0pt 60.0pt; text-align: justify; text-indent: -24.0pt;">
<span style="mso-ansi-language: IN;">S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>data
yang didapat dari pernyataan klien secara langsung<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 69.0pt; tab-stops: 54.0pt 60.0pt; text-align: justify; text-indent: -24.0pt;">
<span style="mso-ansi-language: IN;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>data
yang diperoleh dari hasil observasi dan pemeriksaan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 69.0pt; tab-stops: 54.0pt 60.0pt; text-align: justify; text-indent: -24.0pt;">
<span style="mso-ansi-language: IN;">A<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>pernyataan
yang terjadi antara S dan O<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 69.0pt; tab-stops: 54.0pt 60.0pt; text-align: justify; text-indent: -24.0pt;">
<span style="mso-ansi-language: IN;">P<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>perencanaan
yang ditentukan sesuai dengan permasalahan yang terjadi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">BAB III<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">ASUHAN KEBIDANAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pada Bayi Ny. “L” Umur 1
hari<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Dengan BCB SC BBLN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Di Ruang RGP( Rawat Gabung
Parsial)<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>RSIA MUSLIMAT<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">JOMBANG<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l2 level3 lfo14; tab-stops: list 27.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengkajian <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;">
<span lang="EN-US">No Reg<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>06-24-68<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;">
<span lang="EN-US">Ruang<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>RGP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;">
<span lang="EN-US">Tanggal<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>25 Oktober 2011<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;">
<span lang="EN-US">Jam<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>11.00 WIB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level4 lfo10; tab-stops: list 45.0pt left 126.0pt 135.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Identitas/Biodata <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 126.0pt 135.0pt; text-align: justify;">
<span lang="EN-US">Nama bayi <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span><st1:place w:st="on"><st1:city w:st="on">Bayi</st1:city> <st1:state w:st="on">Ny</st1:state></st1:place>.
“L”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 126.0pt 135.0pt; text-align: justify;">
<span lang="EN-US">Umur<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>1 hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 126.0pt 135.0pt; text-align: justify;">
<span lang="EN-US">Tgl/jam/lahir<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>25
Oktober 2011<span style="mso-tab-count: 1;"> </span>pukul : 10.22<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 126.0pt 135.0pt; text-align: justify;">
<span lang="EN-US">Jenis kelamin <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Perempuan
(</span><span lang="EN-US" style="font-family: "Arial Narrow","sans-serif";">♀)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 126.0pt 135.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial Narrow","sans-serif";">Berat
badan lahir<span style="mso-tab-count: 1;"> </span>: 3340 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 126.0pt 135.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial Narrow","sans-serif";">Panjang
Badan<span style="mso-tab-count: 1;"> </span>: 50cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 126.0pt 135.0pt; text-align: justify;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 50.4pt; width: 540px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 198.0pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Nama Ibu<span style="mso-tab-count: 1;"> </span>: Ny Lucky<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Umur<span style="mso-tab-count: 1;"> </span>: 28 thn<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Agama<span style="mso-tab-count: 1;"> </span>: Islam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Suku/Bangsa<span style="mso-tab-count: 1;"> </span>: Jawa/Indonesia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Pendidikan<span style="mso-tab-count: 1;"> </span>: S1<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Pekerjaan<span style="mso-tab-count: 1;"> </span>: PNS<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Alamat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Tembelang<o:p></o:p></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 207.0pt;" valign="top" width="276">
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Nama Ayah<span style="mso-tab-count: 1;"> </span>: Tn. Anom<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Umur<span style="mso-tab-count: 1;"> </span>: 34 thn<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Agama<span style="mso-tab-count: 1;"> </span>: Islam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Suku/Bangsa<span style="mso-tab-count: 1;"> </span>: Jawa/Indonesia<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Pendidikan<span style="mso-tab-count: 1;"> </span>: S1<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<span lang="EN-US">Pekerjaan<span style="mso-tab-count: 1;"> </span>: Wiraswasta<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.6pt; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 126.0pt 135.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level4 lfo10; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Anamnesa <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l19 level1 lfo16; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Keluhan Utama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span lang="EN-US">-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l19 level1 lfo16; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat Kehamilan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span lang="EN-US">Ibu mengatakan ini kehamilan yang kedua dengan usia
kehamilan 40 minggu dan ibu memeriksakan kehamilannya pada bidan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l19 level2 lfo16; tab-stops: list 81.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat prenatal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">Trisemester I<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu
mengatakan mual dan muntah biasa<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">Trisemester II<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu
mengatakan tidak mengalami keluhan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 162.0pt 171.0pt; text-align: justify;">
<span lang="EN-US">Trisemester III<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu
mengatakan seling kencing <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l19 level1 lfo16; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat Persalinan sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<st1:place w:st="on"><st1:city w:st="on"><span lang="EN-US">Bayi</span></st1:city><span lang="EN-US"> <st1:state w:st="on">Ny</st1:state></span></st1:place><span lang="EN-US">. “L” lahir tanggal : 25-10-2011<span style="mso-tab-count: 1;"> </span>jam
: 10.22wib<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Jenis Persalinan<span style="mso-tab-count: 1;"> </span>:
SC( sexcid Caesar) a/i LTP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Ditolong oleh<span style="mso-tab-count: 1;"> </span>:
Dokter Obgyn : dr.Teguh SpOG.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Lama Persalinan<span style="mso-tab-count: 1;"> </span>:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Kala 1<span style="mso-tab-count: 1;"> </span>:-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Kala 2<span style="mso-tab-count: 1;"> </span>:-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Ketuban Pecah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Warna :
keruh<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Komplikasi Persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l19 level1 lfo16; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat Neonatal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Keluhan Utama :-<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat Penyakit Sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Bayi lahir secara sexsio caesarea dengan berat lahir
3340 gr , mendapat perawatan diruaang RGT<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l13 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Keadaan Bayi baru lahir<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Lahir<span style="mso-tab-count: 1;"> </span>:SC<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">BBL<span style="mso-tab-count: 1;"> </span>:3340 gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">ASI/PASI:+/+<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<span lang="EN-US">Nilai Score down :0-<4<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-bottom-style: none; border-collapse: collapse; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; margin-left: 5.4pt; width: 571px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.05pt;" width="37">
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<b><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">No<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.15pt;" width="86">
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<b><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Penilaian<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 94.8pt;" width="126">
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<b><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">0<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.85pt;" width="137">
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<b><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">1<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.45pt;" width="127">
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<b><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">2<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.05pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<b><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Jumlah nilai<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.05pt;" valign="top" width="37">
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">1.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">2.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">3.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">4.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="tab-stops: 171.0pt 180.0pt; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">5.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 64.15pt;" valign="top" width="86">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Frekuensi nafas<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 55.5pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Retraksi<span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Sianosis<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Air entry<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Merintih<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 94.8pt;" valign="top" width="126">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">þ</span></span><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"> < 60 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">þ</span></span><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"> Tidak ada retraksi<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">þ</span></span><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"> Tidak sianosis<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">þ</span></span><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"> Udara masuk bilateral baik<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-family: Wingdings; font-size: 10.0pt; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">þ</span></span><span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"> Tidak merintih<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 102.85pt;" valign="top" width="137">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">60-80 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Retraksi ringan<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Sianosis hilang dengan O<sub>2<o:p></o:p></sub></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Penurunan ringan udara masuk<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Dapat didengar dengan
stetoskop<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.45pt;" valign="top" width="127">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">> 80 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Retraksi berat<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Sianosis menetap walau
diberi O<sup>2</sup><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Tidak ada udara masuk<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: justify;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Dapat didengar tanpa alat
bantu<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 43.05pt;" width="57">
<div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; tab-stops: 171.0pt 180.0pt; text-align: center;">
<span style="font-size: 10.0pt; mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">< 4<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84.15pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84.15pt; text-align: justify;">
<span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Penilaian klinik :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 149.6pt; tab-stops: 140.25pt 149.6pt; text-align: justify; text-indent: -65.45pt;">
<span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Skor < 4<span style="mso-tab-count: 1;"> </span>=<span style="mso-tab-count: 1;"> </span>tidak
ada gawat nafas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 149.6pt; tab-stops: 140.25pt 149.6pt; text-align: justify; text-indent: -65.45pt;">
<span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Skor 4-7<span style="mso-tab-count: 1;"> </span>=<span style="mso-tab-count: 1;"> </span>gawat
nafas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 149.6pt; tab-stops: 140.25pt 149.6pt; text-align: justify; text-indent: -65.45pt;">
<span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Skor > 7<span style="mso-tab-count: 1;"> </span>=<span style="mso-tab-count: 1;"> </span>ancaman
gagal nafas (pemeriksaan gas darah harus dilakukan)</span><span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l19 level1 lfo16; tab-stops: list 63.0pt left 140.25pt 149.6pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="mso-fareast-language: EN-GB;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Riwayat Imunisasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 140.25pt 149.6pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Belum mendapatkan pelayanan Imunisasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l19 level1 lfo16; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat kesehatan ibu <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span lang="EN-US">Ibu mengatakan tidak pernah menderita penyakit menurun,
seperti: kencing manis, tekanan darah tinggi, asma dan tidak mempunyai penyakit
menular seperti: TBC, penyakit kuning, serta tidak mempunyai penyakit menahun:
jantung.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l19 level1 lfo16; tab-stops: list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Riwayat kesehatan keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<span lang="EN-US">Ibu mengatakan tidak pernah menderita penyakit turunan,
seperti: DM; hipertensi, dan tidak mempunyai penyakit menular seperti: TBC,
penyakit kuning, dan juga tidak mempunyai penyakit menahun: jantung.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84.0pt; mso-list: l17 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pemeriksaan Umum<o:p></o:p></span></div>
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<span lang="EN-US">Keadaan umum<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>baik <span style="mso-tab-count: 1;"> </span>lingkar kepala <span style="mso-tab-count: 1;"> </span>SOB: 30cm<span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 135.0pt 144.0pt 243.0pt; text-align: justify;">
<span lang="EN-US">Suhu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>36,7 <sup>O</sup>C<span style="mso-tab-count: 2;"> </span>MO:
31 cm<span style="mso-spacerun: yes;"> </span>FO : 29cm<span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 135.0pt 144.0pt; text-align: justify;">
<span lang="EN-US">Penafasan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>64
x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 135.0pt 144.0pt; text-align: justify;">
<span lang="EN-US">HR<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>> 120
x/menit<o:p></o:p></span></div>
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<span lang="EN-US">BB sekarang<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>2400
gr<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 135.0pt 144.0pt; text-align: justify;">
<span lang="EN-US">PB<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>46 cm <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 135.0pt 144.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 135.0pt 144.0pt; text-align: justify;">
<span lang="EN-US">b.Pemeriksaan fisik<o:p></o:p></span></div>
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<span lang="EN-US">inspeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Kepala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>semetris, tidak tampak chepal haematoma dan
caput succedaneum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Ubun-ubun <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ubun-ubun besar dan kecil ada, tidak ada
penyusupan pada suturanya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Muka<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>semetris, tidak tamap icterus dan sionosis <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Mata <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>semetris, conjugtiva merah muda dan sclera
putih<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Hidung<span style="mso-tab-count: 1;"> </span>: semetris,
tidak tampak pernafasan cuping hidung<span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Telinga<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span> semetris, tidak ada serumen, lubang telinga
tampak dari luar<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Kulit<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kemerahan, tidak icterus dan sionosis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Mulut<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>simetris bibir bawah dan atas terbentuk, tidak
tampak adanya cabiopola toskizis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Leher<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>semetris, tidak tampak pembesaran kelenjari
tiroid dan pembendungan venajugularis<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Dada<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>simetris, areola terbentuk dengan baik tidak
terdengan pernafasan ronchi dan wheezing<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Tali pusat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tidak ada infeksi basah, tidak berbau<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Punggung<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>simetris, tidak benjolan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Genetalia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>labia mayora menutupi labia minora<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Anus <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>anus tampak berlubang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Akral<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>hangat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Ekstrimitas<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>ekstrimitas atas dan bawah simetris tidak
tampak kelainan kongenita<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; mso-list: l16 level6 lfo10; tab-stops: list 90.0pt left 153.0pt 162.0pt; text-align: justify; text-indent: -90.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US">Kaki<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>bergerak aktif, secara bersamaan kaki, dan
tangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; tab-stops: 153.0pt 162.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 162.0pt; tab-stops: 153.0pt 162.0pt; text-align: justify;">
<span lang="EN-US">Palpasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; mso-list: l18 level1 lfo20; tab-stops: 153.0pt 162.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Kepala<span style="mso-tab-count: 1;"> </span>:tidak terdapat pembengkakan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; mso-list: l18 level1 lfo20; tab-stops: 153.0pt 162.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Leher<span style="mso-tab-count: 1;"> </span>:tidak terdapat pembengkakan kelenjar tyroid,vena jugularis,
kelenjar limfe.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; mso-list: l18 level1 lfo20; tab-stops: 153.0pt 162.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Telinga<span style="mso-tab-count: 1;"> </span>:Tidak terdapat nyeri tekan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; mso-list: l18 level1 lfo20; tab-stops: 153.0pt 162.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>:Tidak terdapat hepatomegaly<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; tab-stops: 153.0pt 162.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; tab-stops: 153.0pt 162.0pt;">
<span lang="EN-US">Auskultasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; mso-list: l18 level1 lfo20; tab-stops: 153.0pt 162.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Dada<span style="mso-tab-count: 1;"> </span>:tidak terdengar wheezing maupun ronchi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; mso-list: l18 level1 lfo20; tab-stops: 153.0pt 162.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Abdomen<span style="mso-tab-count: 1;"> </span>:Bising usus normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 198.0pt; tab-stops: 153.0pt 162.0pt; text-align: justify;">
<span lang="EN-US">Reflek<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -117.0pt;">
<span lang="EN-US">Reflek
moro<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>(+) baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -117.0pt;">
<span lang="EN-US">Reflek
rooting<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>(+)baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -117.0pt;">
<span lang="EN-US">Reflek
sucking<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>(+)baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -117.0pt;">
<span lang="EN-US">Reflek
tonick neck<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>(-)belum kelihatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -117.0pt;">
<span lang="EN-US">Reflek
graf<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>(+)baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify; text-indent: -117.0pt;">
<span lang="EN-US">Antopometri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 180.0pt 189.0pt; text-align: justify;">
<span lang="EN-US">Lingkar kepala<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>SOB:
30 cm, FO: 33cm, MO: 32cm <o:p></o:p></span></div>
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<span lang="EN-US">Lingkar dada<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>34
cm<span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 126.0pt 135.0pt 180.0pt 189.0pt; text-align: justify;">
<span lang="EN-US">Lingkar lengan
atas<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>11cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 126.0pt 135.0pt 180.0pt 189.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span lang="EN-US">Eliminasi <o:p></o:p></span></div>
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<span lang="EN-US">Miksi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<o:p></o:p></span></div>
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<span lang="EN-US">meconeum<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US">Data Penunjang<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pemeriksaan golongan darah ibu
: O<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US">Pemeriksaan golongan darah
anak: O<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Interprestasi <o:p></o:p></span></b></div>
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<span lang="EN-US">Tanggal :25-11-2011<o:p></o:p></span></div>
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<span lang="EN-US">Jam<span style="mso-tab-count: 1;"> </span>:11.30
WIB<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Dx<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span><st1:place w:st="on"><st1:city w:st="on">Bayi</st1:city> <st1:state w:st="on">Ny</st1:state></st1:place>. “L” Umur 1 hari dengan BCB SC BBLN<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Ds<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Do<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>KU<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>baik<span style="mso-tab-count: 1;"> </span>BB
: 3340 gr<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>36,5<span style="mso-tab-count: 1;"> </span>PB
: 50 cm<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>RR<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>40x/menit<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;">
</span>HR<span style="mso-tab-count: 1;"> </span>: 124x/menit
<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>Gerakannya
kuat<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>Bayi
sudah bisa menetek<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>Ibu
Kooperatif<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Kebutuhan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;"> </span>ASI ekslusif<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Termoregulasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Observasi TTV<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Personal Hygiene<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Kolaborasi dengan spesialis anak<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 27.0pt; mso-list: l2 level3 lfo14; tab-stops: list 27.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Identifikasi Masalah dan Diagnosa Potensial<o:p></o:p></span></b></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Diagnosa potensial <span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Masalah potensial<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Identifikasi Kebutuhan Akan Tindakan Segera<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><o:p> </o:p></span></div>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Merencanakan Asuhan Yang menyeluruh (Intervensi)<o:p></o:p></span></b></div>
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<span lang="EN-US">Dx<span style="mso-tab-count: 1;"> </span>: By Ny
“L” umur 1hari dengan BCB SC BBLN<o:p></o:p></span></div>
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<span lang="EN-US">Tuj<span style="mso-tab-count: 1;"> </span>:
Setelah dilakukan asuhan kebidanan selama 1 x 24 jam diharapkan keadaan bayi
baik , tetap dalam keadaan normal dan sehat , tidak mengalami komplikasi
seperti asfiksia , icterus , hipotermi , dll<o:p></o:p></span></div>
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<span lang="EN-US">Kriteria:<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><span style="mso-tab-count: 2;"> </span>-<span style="mso-tab-count: 1;"> </span></span><span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">Frekuensi nafas<span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><span style="mso-tab-count: 1;"> </span></span><span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">:30-60 x/menit<o:p></o:p></span></div>
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<span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><span style="mso-tab-count: 2;"> </span>-<span style="mso-tab-count: 1;"> </span>Denyut jantung<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>100-160 x/menit<o:p></o:p></span></div>
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<span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><span style="mso-tab-count: 2;"> </span>-<span style="mso-tab-count: 1;"> </span>Frekuensi nadi perifer<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>120-150
x/menit<o:p></o:p></span></div>
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<span style="mso-ansi-language: IN; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><span style="mso-tab-count: 2;"> </span>-<span style="mso-tab-count: 1;"> </span>Suhu tubuh<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>36,5-37,2 <sup>0</sup>C</span><span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><o:p></o:p></span></div>
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<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><span style="mso-tab-count: 2;"> </span>-<span style="mso-tab-count: 1;"> </span>Akral Hangat<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><span style="mso-tab-count: 2;"> </span>-<span style="mso-tab-count: 1;"> </span>Bayi bisa minum ASI<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;"><span style="mso-tab-count: 2;"> </span>-<span style="mso-tab-count: 1;"> </span>Warna kulit kemerahan<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Intervensi<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Lakukan pendekatan terapeutik
dengan ibu dan keluarga<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">R/ <span style="mso-tab-count: 1;"> </span>Untuk menjalani komunikasi yang baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 160%; margin-left: 45.0pt; mso-list: l2 level4 lfo14; tab-stops: list 45.0pt left 63.0pt; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Cuci tangan sebelum dan sesudah
memegang bayi<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">R/ <span style="mso-tab-count: 1;"> </span>Dengan mencuci tangan dapat
mencegah infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Lakukan perawatan tali pusat<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">R/ <span style="mso-tab-count: 1;"> </span>Menjaga agar tali pusat tetap
kering dan tidak terjadi infeksi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Latihan minum ASI dan ajarkan cara
memberikan ASI (meneteki) yang benar<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">R/ <span style="mso-tab-count: 1;"> </span>Bayi mendapat nutrisi yang cukup
dan ibu mengerti tentang cara meneteki yang benar<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Beri kehangatan pada Bayi<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">R/ <span style="mso-tab-count: 1;"> </span>Agar bayi tidak hipotermi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Kolaborasi dengan spesialis anak<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">R/<span style="mso-tab-count: 1;"> </span>Penanganan lebih efektif dan efisien<o:p></o:p></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 140%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
</span></b>
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<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Implementasi <o:p></o:p></span></b></div>
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<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
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<b><span lang="EN-US">Tanggal/<o:p></o:p></span></b></div>
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<b><span lang="EN-US">Jam<o:p></o:p></span></b></div>
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<b><span lang="EN-US">Kegiatan<o:p></o:p></span></b></div>
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<b><span lang="EN-US">TTD<o:p></o:p></span></b></div>
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<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 72.55pt;" valign="top" width="97">
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<span lang="EN-US">25-10-2011<o:p></o:p></span></div>
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<span lang="EN-US">11.30<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US">16.00<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US">17.00<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -2.85pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 72.0pt 81.0pt; text-align: center;">
<span lang="EN-US">17.30<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US">18.00<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 297.0pt;" valign="top" width="396">
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">1.Melakukan pendekatan terapiutik
pada ibu dan keluarga dengan cara menyapa ramah dan sopan, memperkenalkan
diri , menjelaskan tujuan yang akan dilakukan .<o:p></o:p></span></div>
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<span lang="EN-US">2.Mencuci tangan sebelum dan sesudah
memegang bayinya dengan 13 langkah:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Buka kran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Basuh tangan dengan air bersih & mengalir<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Tuangkan sabun secukupnya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Ratakan sabun dengan kedua telapak tangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Gosok punggung dan sela-sela jari tangan kiri dengan tangan kanan dan
lakukan sebaliknya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Gosok kedua telapak tangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Sisi dalam jari-jari kedua tangan saling mengunci<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Gosokkan dengan memutar ujung jari-jari tangan kanan ditelapak tangan
kiri dan lakukan sebaliknya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Gosokkan dengan memutar ujung jari-jari tangan kanan ditelapak tangan
kiri dan lakukan sebaliknya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Gosok dengan memutar ujung jari-jari tangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Gosok pergelangan tangan kiri<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Bilas kedua tangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 13.3pt; text-align: justify;">
<span lang="EN-US" style="mso-fareast-font-family: "MS Mincho"; mso-fareast-language: EN-GB;">-Menutup kran dengan menggunakan siku <o:p></o:p></span></div>
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<span lang="EN-US">-Mengelap<o:p></o:p></span></div>
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<span lang="EN-US">3.Melakukan perawatan tali pusat
dengan cara:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">-membungkus tali pusat dengan kasa
steril<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">-diganti setiap kali mandi/jika basah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">4.Membantu ibu meneteki yang benar
dengan cara:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">-menempelkan perut bayi keperut ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">-mendekatkan putingsusu kemulut bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">-menempelkan putting susu kebibir
bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">-saat bayi sudah membuka mulut lebar
, masukkan seluruh putting dan areola kemulut bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 140%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.6pt; margin-right: -2.85pt; margin-top: 0cm; tab-stops: 12.6pt; text-align: justify;">
<span lang="EN-US">-menyendawakan bayi dengan meletakkan
bayi dibahu ibu dan menepuk punggungnya.<o:p></o:p></span></div>
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<span lang="EN-US">5.Memberi kehangatan pada bayi dengan
cara:<o:p></o:p></span></div>
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<span lang="EN-US">-Memberi lampu<o:p></o:p></span></div>
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<span lang="EN-US">-Dibedong<o:p></o:p></span></div>
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<span lang="EN-US">-Kepala bayi ditutupi<o:p></o:p></span></div>
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<span lang="EN-US">6.Melakukan advis dokter dengan hasil<o:p></o:p></span></div>
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<span lang="EN-US">-Injeksi neo K 1mg secara IM<o:p></o:p></span></div>
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<span lang="EN-US">-Tetes mata<o:p></o:p></span></div>
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<br /></div>
</td>
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</td>
</tr>
</tbody></table>
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<br /></div>
<div class="MsoNormal" style="line-height: 140%; margin-left: 27.0pt; mso-list: l2 level3 lfo14; tab-stops: list 27.0pt; text-align: justify; text-indent: -27.0pt;">
<!--[if !supportLists]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><!--[endif]--><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Evaluasi <o:p></o:p></span></b></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Tanggal 26 oktober
2011 <span style="mso-tab-count: 1;"> </span>Jam : 15.00 WIB<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">S<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span>: -<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">O<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>KU<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>baik<span style="mso-tab-count: 3;"> </span><o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>S<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 1;"> </span>36,9<sup>O</sup>C<span style="mso-tab-count: 3;"> </span>RR:48x/m<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>BB
<span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span>3340
gr<span style="mso-tab-count: 3;"> </span>HR:120x/m<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>Akral
<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>hangat<span style="mso-tab-count: 2;"> </span><o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>Kulit<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>kemerahan
<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>Reflek
hisap baik<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>Bayi
sudah pandai minum ASI<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>Ibu
kooperatif mau meneteki bayinya<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">A<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span><st1:place w:st="on"><st1:city w:st="on">Bayi</st1:city>
<st1:state w:st="on">Ny</st1:state></st1:place>. “L” umur 2 hari <span style="mso-spacerun: yes;"> </span>dengan BCB SC BBLN<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">P<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>- <span style="mso-tab-count: 1;"> </span>Perawatan
bayi sehari hari<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Latihan ASI<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Tetap menjaga kehangatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="EN-US" style="font-family: "Arial","sans-serif"; mso-bidi-font-weight: bold; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="EN-US" style="mso-bidi-font-weight: bold;">Observasi TTV<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>Tabel
Perkembangan<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Tanggal : 27-10-2011<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Jam<span style="mso-tab-count: 1;"> </span>:21.00<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">S:-<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">O:K/U :baik<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>Kes:
Composmentis<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>TTV
: S:37 C<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 2;"> </span>RR:
46x/m<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">-Ibu kooperatif mau meneteki
bayinya<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">-Bayi sudah pandai minum ASI<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">A:By NY “L” umur 3hari BCB SC BBLN
dengan keadaan umum baik<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">P:-Intervensi dihentikan , bayi
KRS<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>-ASI
Ekslusiv sampai 6bulan<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>-Personal
Hygiene<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span>-Follow
up 1 minggu lagi 3 oktober 2-11 atau jika ada keluhan<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-tab-count: 1;"> </span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span></b><span lang="EN-US" style="font-family: "Arial Rounded MT Bold","sans-serif"; font-size: 16.0pt; line-height: 150%;"><o:p></o:p></span></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-66217390420554001552012-06-11T06:38:00.000-07:002012-06-11T06:56:44.046-07:00ASUHAN KEBIDANAN (ASKEB) IBU HAMIL TRIMESTER III<br />
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ASUHAN
KEBIDANAN<o:p></o:p></div>
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PADA
Ny “S” GɪP<span style="font-family: 'Cambria Math', serif;">₀₀₀₀₀</span> UK 38 MINGGU, ATERM ,
TUNGGAL, HIDUP,<o:p></o:p></div>
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LETAK
KEPALA,INTRA UTERI, JALAN LAHIR NORMAL<o:p></o:p></div>
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DENGAN
KEADAAN UMUM IBU DAN JANIN BAIK<o:p></o:p></div>
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DI
BPM SUHARTINI SUWONO , BANDUNG KENCUR<o:p></o:p></div>
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JOMBANG<o:p></o:p></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14pt;"><img alt="Description: C:\Users\TOSHIBA\Documents\Images\logo\Akbid.jpg" height="227" src="file:///C:/Users/alphy/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" v:shapes="Picture_x0020_1" width="242" /></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"><o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Disusun oleh :<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-size: 14pt;">Nur Alfi Abida<o:p></o:p></span></u></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">NIM.7209010<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">PROGRAM STUDI D III KEBIDANAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">FAKULTAS ILMU KESEHATAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">UNIVERSITAS PESANTREN TINGGI DARUL ‘ULUM<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">JOMBANG<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">2011<o:p></o:p></span></b></div>
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<span style="font-size: 20pt; line-height: 115%;">Kata Pengantar<o:p></o:p></span></div>
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Assalamualaikum wr,wb<o:p></o:p></div>
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Puji syukur kehadirat Allah SWT, yang mana berkat rahmat
, taufik serta hidayahNYA , sampai akhirnya asuhan kebidanan ini dapat disusun
dan diselesaikan .<o:p></o:p></div>
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Shalawat serta salam tak lupa kita panjatkan kepada
junjungan kita nabi besar Muhammad SAW yang telah membawa kita dari zaman
kegelapan menuju zaman yang terang benderang yaitu Dinul Islam.<o:p></o:p></div>
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Pada penyusunan
Asuhan Kebidanan ini dapat terselesaikan
tak jauh dari berbagai pihak yang telah memberikan dukungan baik secara
langsung maupun tidak langsung pada penulis.<o:p></o:p></div>
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Pada akhirnya pada tempat
kiranya penulis menyampaikan terimakasih yang sebesar-besarnya kepada :<o:p></o:p></div>
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1.Ayah dan ibu tercinta , yang selalu memotivasi <o:p></o:p></div>
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2.Ibu Hj.Sabrina Dwi Prihartini , SKM selaku kepala prodi
DIII Kebidanan FIK UNIPDU<o:p></o:p></div>
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3.Ibu Suhartini Suwono Amd.Keb, selaku pembimbing di BPM<o:p></o:p></div>
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4.Ibu Ninik Azizah SST selaku dosen dan pembimbing.<o:p></o:p></div>
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5.Pihak pasien, keluarga serta teman-teman yang membantu
dalam penyusunan Asuhan Kebidanan ini.<o:p></o:p></div>
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Semoga Asuhan Kebidanan
ini dapat bermanfaat bagi pembaca pada umumnya dan penulis pada khususnya.<o:p></o:p></div>
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Amin<o:p></o:p></div>
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Wassalamualaikum, wr,wb<o:p></o:p></div>
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Jombang,03
Juni 2011<o:p></o:p></div>
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Penyusun<o:p></o:p></div>
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<b>BAB I</b><b><span style="font-size: 16pt;"><o:p></o:p></span></b></div>
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<b>PENDAHULUAN<o:p></o:p></b></div>
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<b>1.1<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Latar Belakang<o:p></o:p></b></div>
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Asuhan antenatal (Antenatal Care)
meliputi pengawasan terhadap kehamilan untuk mendapatkan informasi mengenai
kesehatan umum ibu, menegakan secara dini penyakit yang menyertai kehamilan,
menegakkan secara dini komplikasi kehamilan dan menetapkan resiko kehamilan
(resiko tinggi, resiko meragukan, atau resiko rendah). Asuhan antenatal juga
untuk menyiapkan persalinan menuju kelahiran bayi yang baik (<i>well born baby</i>)
dan kesehatan ibu yang baik (<i>well health mother</i>) mempersiapkan pemeliharaan
bayi dan laktasi, memfasilitasi pulihnya kesehatan ibu yang optimal pada saat
akhir kala nifas.<o:p></o:p></div>
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Dalam praktek kedua istilah <i>well
born body</i> dan <i>well health mother</i> dipakai tanpa beda, dalam arti
lebih luas pengawasan antenatal berarti mempersiapkan pasangan baru meningkat
menjadi orang tua yang efektif, meningkatkan pengertian bahwa keluarga adalah
bagian dari masyarakat, mencari faktor sosial budaya yang dapat mempengaruhi
tumbuh kembang dan kesehatan umum ibu hamil, dan meningkatkan pengertian tentang
merencanakan keluarga dan keluarga berencana, untuk meningkatkan kesejahteraan
umum keluarga. Selain makna tersebut pengawasan antenatal menanamkan hubungan
seksual yang sehat untuk meningkatkan keharmonisan keluarga dan menghindari
penyakit inflamasi panggul dan infertilitas.<o:p></o:p></div>
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Diera globalisasi saat ini yang terus
menerus menghadapi siatuasi yang mengandalkan IPTEK, yang membuat bidan serta
klien (ibu hamil dan melahirkan) semakin kritis terhadap mutu pelayanan
kesehatan/kebidanan. Dengan demikian pelayanan kebidanan yang hanya
mengandalkan pengalaman maupun kepercayaan tidak dianjurkan karena tidak dapat
dipertanggung jawabkan. Apalagi jika kita mengevaluasi Angka Kematian Ibu (AKI)
dan Angka Kematian Bayi (AKB) yang masih tinggi (th 1997 yaitu 334/100.000
kelahiran hidup) maka pelayanan kebidanan selayaknya dilaksanakan berdasarkan
teori yang dapat dipertanggung jawabkan dan berdasarkan realita.<o:p></o:p></div>
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<b>1.2<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Tujuan<o:p></o:p></b></div>
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Dalam melakukan praktek klinik
kebidanan, mahasiswa mampu melaksanakan asuhan kebidanan pada kasus ibu hamil
normal maupun abnormal dengan lebih banyak menimba ilmu baik secara teori
maupun lapangan.<o:p></o:p></div>
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Setelah melakukan asuhan kebidanan
diharapkan mahasiswa dapat :<o:p></o:p></div>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Mengerti serta memahami teori kehamilan fisiologis<o:p></o:p></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Melakukan pengkajian pada kasus yang ada<o:p></o:p></div>
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3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Mengidentifikasi diagnosa/masalah kebidanan
berdasarkan data subyektif dan obyektif<o:p></o:p></div>
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4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menentukan masalah potensial yang mungkin terjadi<o:p></o:p></div>
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5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menentukan kebutuhan segera<o:p></o:p></div>
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6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Merencanakan tindakan yang akan dilakkan untuk
menangani kasus yang ada<o:p></o:p></div>
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7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Melaksanakan perencanaan yang telah ditentukan<o:p></o:p></div>
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8.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Mendokumentasikan secara benar<o:p></o:p></div>
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<b>1.3<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Batasan Masalah<o:p></o:p></b></div>
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Menyiapkan seoptimal mungki fisik dan
mental ibu dan anak selama kehamilan, persalinan dan nigas, sehingga didapatkan
ibu dan anak sehat.<o:p></o:p></div>
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<b>BAB II<o:p></o:p></b></div>
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<b>LANDASAN TEORI<o:p></o:p></b></div>
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<b>1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Pengkajian<o:p></o:p></b></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kehamilan adalah pertemuan persenyawaan antara sel
telur (ovum) dan sel mani (sperma)<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kehamilan lamanya 280 hari atau 40 minggu ata 10
bulan (<i>lunar month</i>).<o:p></o:p></div>
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1)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kehamilan yang berlangsung antara 23-36 minggu
disebut kehamilan premature.<o:p></o:p></div>
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2)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kehamilan yang berlangsung antara 37-42 minggu
disebut kehamilan matur.<o:p></o:p></div>
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3)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Sedangkan bila kehamilan terjadi lebih dari 34
minggu disebut post matur<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Proses kehamilan merupakan mata rantai yang
berkesinambungan dan terdiri dari <o:p></o:p></div>
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1)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Ovulasi atau pelepasan ovum<o:p></o:p></div>
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2)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Terjadi imigrasi sperma dan ovum<o:p></o:p></div>
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3)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Terjadi konsepsi dan pertumbuhan zigot<o:p></o:p></div>
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4)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Terjadi nidasi (implantasi pada uterus)<o:p></o:p></div>
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5)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Terjadi pembentukan plasenta<o:p></o:p></div>
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6)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tumbuh kembang hasil konsepsi sampai aterm<o:p></o:p></div>
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d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menurut tuanya kehamilan dibagi atas 3 triwulan
(trimester) yaitu :<o:p></o:p></div>
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1)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kehamilan trimester pertama : 0-12 minggu<o:p></o:p></div>
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2)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kehamilan trimester kedua : 12-28 minggu<o:p></o:p></div>
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3)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kehamilan trimester ketiga : 28-40 minggu<o:p></o:p></div>
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(Muchtar, Rustam, Sinopsis Obstetri)<o:p></o:p></div>
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<b>2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Tanda dan Gejala Kehamilan<o:p></o:p></b></div>
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<b>2.1<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Tanda-tanda persumtif<o:p></o:p></b></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Aminorea (tidak dapat haid)<o:p></o:p></div>
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Wanita harus mengetahui tanggal hari
pertama haid terakhir (HPHT) agar dapat ditaksir umur kehamilan dan taksiran
tanggal persalinan (TTP)<o:p></o:p></div>
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<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Cara
penghitungan menggunakan rumur Naegele :<o:p></o:p></div>
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TTP = (HT hari pertama + 7), (bulan HT - 3)
dan (tahun HT + 1)<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Mual dan mutah (<i>nausca dan vomiting</i>)<o:p></o:p></div>
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Biasanya terjadi pada bulan-bulan
pertama kehamilan hingga akhir trimester pertama karena terjadi pada pagi hari
maka disebut <i>“Morning Sickness”</i>, dan bila mual dan muntah terlalu sering
disebut hiperemesis.<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Ngidam (ingin makanan khusus)<o:p></o:p></div>
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Ibu hamil sering meminta makanan atau
minuman tertentu terutama pada bulan-bulan trimester pertama.<o:p></o:p></div>
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d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tidak tahan dengan bau-bauan<o:p></o:p></div>
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e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pingsan (<i>sinkope</i>)<o:p></o:p></div>
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Terjadi gangguan sirkulasi kedaerah
kepala (<i>central</i>) menyebabkan iskemia saluran saraf pusat dan menimbulkan
pingsan menghilang setelah 16 minggu.<o:p></o:p></div>
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f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tidak ada selera makan (<i>anoreksia</i>)<o:p></o:p></div>
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Hanya timbul pada trimester pertama
kehamilan, kemudian nafsu makan timbul kembali.<o:p></o:p></div>
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g.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Lelah (<i>fatigue</i>)<o:p></o:p></div>
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h.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Payudara membesar, tegang dan sedikit nyeri
disebabkan pengaruh estrogen dan progesteron yang merangsang duktus dan alveoli
payudara, kelenjar motgomery terlihat lebih membesar.<o:p></o:p></div>
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i.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Miksi sering<o:p></o:p></div>
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Kandung kemih tertekan oleh tahim yang
membesar, gejala ini akan hilang pada trimester kedua kehamilan dan pada
trimester ketiga atau akhir, kehamilan akan muncul lagi karena kandung kemih
ditekan oleh kepala janin.<o:p></o:p></div>
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j.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Konstipasi/Obstipasi<o:p></o:p></div>
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Karena tonus otot-otot usus menurun
oleh pengaruh hormon steroid<o:p></o:p></div>
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k.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pigmentasi kulit<o:p></o:p></div>
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Karena pengaruh hormon kortikosteroid
plasenta dijumpai dimuka (<i>cloasma gravidarum</i>) areola payudara, leher,
dan dinding perut (linea nigra : grisea)<o:p></o:p></div>
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l.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Apulis :
hipertrofi dari papil gusi<o:p></o:p></div>
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m.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemekaran vena-vena (varices)<o:p></o:p></div>
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Dapat terjadi pada kaki, baris dan
vulva biasanya dijumpai pada trimester III<o:p></o:p></div>
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<br /></div>
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<b>2.2<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Tanda-Tanda Kemungkinan Hamil<o:p></o:p></b></div>
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<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;">Perut membesar
(pembesaran perut sesuai dengan usia kehamilan)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;">Uterus membesar
(terjadi perubahan dalam bentuk besar, dan konsistensi dari rahim)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;">Tanda hegar
(otot uterus lembek)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;">Tanda chadwick
(serviks dan vagina menjadi kebiruan)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;">Broxton-Hick
(kontraksi-kontraksi uterus bila dirangsang)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;">Teraba ballotement<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l6 level1 lfo5; tab-stops: list 36.0pt; text-align: justify;">Reaksi kehamilan
positif<o:p></o:p></li>
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<b>2.3<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Tanda-Tanda Tidak Pasti<o:p></o:p></b></div>
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<li class="MsoNormal" style="line-height: 150%; mso-list: l29 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;">Amenore (tidak
haid)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l29 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;">Morning sickness
(mual-mual dipagi hari)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l29 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;">Sering kencing<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l29 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;">Pembesaran
payudara<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l29 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;">Membesarnya
perut<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l29 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;">Pergerakan anak
yang pertama (<i>Quickening</i>)<o:p></o:p></li>
</ol>
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<b>2.4<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Tanda-Tanda Pasti Kehamilan (Tanda Positif)<o:p></o:p></b></div>
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<li class="MsoNormal" style="line-height: 150%; mso-list: l32 level1 lfo7; tab-stops: list 36.0pt; text-align: justify;">Gerakan janin
yang dapat dilihat atau dirasa atau diraba, juga bagian-bagian janin (20
minggu)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l32 level1 lfo7; tab-stops: list 36.0pt; text-align: justify;">Terdengar detak
jantung janin (18-20 minggu)<o:p></o:p></li>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Didengar dengan stetoskop-miniral leannec<o:p></o:p></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Dicatat dan didengar dengan alat doppler<o:p></o:p></div>
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3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Dicatat dengan feto-elektro kardiogram<o:p></o:p></div>
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4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Dilihat pada ultra sonografi<o:p></o:p></div>
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<li class="MsoNormal" style="line-height: 150%; mso-list: l32 level1 lfo7; tab-stops: list 36.0pt; text-align: justify;">Terlihat
tulang-tulang janin dalam foto rongent<o:p></o:p></li>
</ol>
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<b>2.5<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Reaksi Kehamilan Sebagai Tanda Kemungkinan Hamil<o:p></o:p></b></div>
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<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo8; tab-stops: list 36.0pt; text-align: justify;">Reaksi Galli
Mainini<o:p></o:p></li>
</ol>
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5 ml urine pertama pagi hari wanit
diduga hamil disuntikkan kedalam ruang limfe dibawah kulit perut kodok bufo
jantan. Setelah jam air kencing kodok
tersebut diperiksa. Bila waktu hamil akan ditemukan sel-sel spermatozoa pada
air kencing kodok.<o:p></o:p></div>
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<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo8; tab-stops: list 36.0pt; text-align: justify;">Reaksi Friedmon<o:p></o:p></li>
</ol>
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Menggunakan kelinci betina yang telah
diasingkan selama 2 minggu dari kelinci jantan. Lima ml urine pagi hari wanit
disuntikkan dalam vana telinga kelinci selama 2 hari berturut-turut. Sesudah 24
jam dilakukan padarotomi. Bila positif akan ditemukan karpora rura etlutea pada
ovarium kelinci.<o:p></o:p></div>
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<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo8; tab-stops: list 36.0pt; text-align: justify;">Reaksi
Ascheim-Zondek<o:p></o:p></li>
</ol>
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Menggunakan 5 tikus putih betina
imatur, urine pagi hari wanita di suntikkan subkutan 0,4 ml, enam kali dalam
sehari. Kehamilan positif bila ditemukan korpora rubra et lutea pada oarium
tikus.<o:p></o:p></div>
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</span><br />
<ol start="4" style="margin-top: 0cm;" type="1"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
<li class="MsoNormal" style="line-height: 150%; mso-list: l2 level1 lfo8; tab-stops: list 36.0pt; text-align: justify;">Reaksi
Imunologik<o:p></o:p></li>
</span></ol>
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</span>
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Untuk mengetahui ada tidaknya
chorionik guna dotropin (HCG) dalam urine. Dasarnya ialah antibody, HCG
bersifat antigen cara yang banyak digunakan adalah <i>“Hemo aggglutination”</i>
kadar terendah yang dapat dideteksi ialah 0,5 satuan HCG per ml (tes Evan),
kadar HCG 500 satuan perhari baru dijumpai setelah 20 hari pembuahan. Tes yang
dikenal antara lain tes pregnostiocon, tes gravindex, tes evan (paling
sensitif)<o:p></o:p></div>
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<br /></div>
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<b>3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Diagnosis Banding Kehamilan <o:p></o:p></b></div>
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3.1<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Hamil palsu (Pseudocyesis = kehamilan spurra)
gejala hampir sama dengan kehamilan, bahkan wanit merasakan gerakan janin.
Namun pada pemeriksaan uterus tidak membesar. Tanda-tanda kehamilan lain reaksi
kehamilan negatif.<o:p></o:p></div>
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3.2<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Mioma uteri : perut dan rahim membesar namun pada
perabaan, rahim terasa padat, kadang kala berbenjol-benjol. Tanda kehamilan
negatif dan tidak dijumpai tanda-tanda kehamilan lainnya.<o:p></o:p></div>
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3.3<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kista ovarii : perut membesar bahkan makin
bertambah besar namun pada pemeriksaan dalam rahim teraba sebesar biasa. Reaksi
kehamilan negatif, tanda-tanda kehamilan negatif juga.<o:p></o:p></div>
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3.4<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span> Kandung
kemih penuh dan terjadi tetensi urin : pada pemasangan kateter keluar banyak
air kencing.<o:p></o:p></div>
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3.5<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Hematometra : uterus membesar karena terisi darah
yang disebabkan himen imperforata, stenosis vagina atau serviks.<o:p></o:p></div>
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<br /></div>
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<b>4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Jadwal Pemeriksaan Kehamilan<o:p></o:p></b></div>
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Kunjungan antenatal untuk pemantauan
dan pengawasan kesejahteraan ibu dan anak minimal 4 kali selama kehamilan dalam
waktu :<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Trimester I : 1 x kunjungan (sebelum 14 minggu)<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Trimester II : 1x kunjungan (14-28 minggu)<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Trimester III : 2 x kunjungan (28-36 minggu dan
sesudah minggu ke 36)<o:p></o:p></div>
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Namun demikian dirasakan ibu hamil
untuk memeriksa kehamilannya dengan jadwal sebagai berikut :<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemeriksaan pertama kali yang ideal adalah sedini
mungkin ketika haidnya terlambat 1 bulan<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Usia kehamilan < 28 minggu (7 bulan) : 4 minggu
sekali kunjungan<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Usia kehamilan 26-36 minggu (7-9 bulan) : 2 minggu
sekali kunjungan<o:p></o:p></div>
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<br /></div>
<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span></b>
<br />
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<b>5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Menentukan Umur Kehamilan dan BB Janin Dalam
Kandungan<o:p></o:p></b></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l30 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;">Menghitung dari
tanggal haid terakhir (HPHT)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l30 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;">Ditambahkan 4,5
bulan dari waktu ibu merasa janin hidup <i>“Feeling Life”</i> (<i>Quckening</i>)<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l30 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;">Menurut
Spiegelberg : dengan jalan mengukur tinggu fundus uteri dari simpisis maka
diperoleh tabel :<o:p></o:p></li>
</ol>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>22-28 minggu 24-25
cm diatas simpisis<o:p></o:p></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>28 minggu 26,7
cm diatas simpisis<o:p></o:p></div>
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3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>30 minggu 29,5-30
diatas simpisis<o:p></o:p></div>
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4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>32 minggu 29,5-30
diatas simpisis<o:p></o:p></div>
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5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>34 minggu 31
cm diatas simpisis<o:p></o:p></div>
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6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>36 minggu 32
cm diatas simpisis<o:p></o:p></div>
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7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>38 minggu 33
cm diatas simpisis<o:p></o:p></div>
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8.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>40 minggu 37,7
diatas simpisis<o:p></o:p></div>
<ol start="4" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l30 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;">Menurut Mac
Donald : adalah modifikasi spegelbelg yaitu jarak fundus sampai simpisis
dalam cm dibagi 3,5 merupakan tuanya kehamilan dalam bulan<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l30 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;">Menurut Ahlfeld
: ukuran kepala bokong = panjang anak sebenarnya. Bila diukur jarak
kepala-bokong janin adalah 20 cm, maka tua kehamilan adalah 8 bulan.<o:p></o:p></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l30 level1 lfo12; tab-stops: list 36.0pt; text-align: justify;">Rumus
johnson-Tausk : BB = (MD-12) x 155<o:p></o:p></li>
</ol>
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BB = berat badan : MD = jarak simpisis
– fundus uteri<o:p></o:p></div>
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<br /></div>
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<b>6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Pemeriksaan Ibu Hamil<o:p></o:p></b></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l37 level1 lfo13; tab-stops: list 36.0pt; text-align: justify;">Anamnesa<o:p></o:p></li>
</ol>
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1)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Anamnesa identitas istri dan suami : nama, umur,
agama, pekerjaan, alamat dan sebagainya<o:p></o:p></div>
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2)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Anamnesa umum<o:p></o:p></div>
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a)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tentang keluhan-keluhan, nafsu makan, tidur,
miksi, defekasi, perkawinan dan sebagainya<o:p></o:p></div>
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b)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tentang haid kapan mendapat haid terakhir (HT).
Bila hari pertama haid terakhir diketahui, maka dapat dijabarkan taksiran
tanggal persalinan memakai rumus Naegel = hari + 7, bulan – 3 dan tahun + 1<o:p></o:p></div>
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TTP = hari + 7, bulan – 3, tahun + 1
HT<o:p></o:p></div>
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c)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tentang kehamilan, persalinan, keguguran dan
kehamilan ektopik atau kehamilan mola sebelumnya.<o:p></o:p></div>
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<br />
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3)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Inspeksi dan pemeriksaan fisik diagnostik<o:p></o:p></div>
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Pemeriksaan seluruh tubuh secara baik
dan lege artis : tekanan darah, nadi, suhu, pernafasan, jantung, paru-paru dan
sebagainya.<o:p></o:p></div>
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4)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Perkusi<o:p></o:p></div>
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Tidak begitu banyak artinya kecuali
bila ada sesuatu indikasi.<o:p></o:p></div>
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5)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Palpasi<o:p></o:p></div>
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Ibu hamil disuruh terlentang, kepala
dan bahu sedikit lebih tinggi dengan memakai bantal. Pemeriksa berdiri
disebelah kanan ibu hamil. Dengan sikap normal lakukanlah palpasi bimanual
terutama pada pemeriksaan perut dan payudara.<o:p></o:p></div>
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Palpasi perut untuk menentukan <o:p></o:p></div>
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a)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Besar dan konsistensi rahim<o:p></o:p></div>
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b)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Bagian-bagian janin, letak, presentasi<o:p></o:p></div>
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c)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Gerakan janin<o:p></o:p></div>
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d)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kontraksi rahim Braxton-Hick dan his<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
Cara palpasi ada bermacam-macam<o:p></o:p></div>
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a)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menurut leopold dengan variasi<o:p></o:p></div>
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b)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menurut Knebel<o:p></o:p></div>
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c)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menurut Budin<o:p></o:p></div>
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d)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Menurut Ahlfeld<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify;">
Manuver palpasi menurut leopold :<o:p></o:p></div>
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a)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Leopold I : - Pemeriksa
menghadap kearah muka ibu hamil<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menentukan
tinggu fundus uteri dan bagian dalam fundus<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Kosistensi
uterus<o:p></o:p></div>
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b)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Variasi menurut Knebel :<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menentukan
letak kepala atau bokong dengan satu tangan di fundus dan tangan lain diatas
simpisis<o:p></o:p></div>
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c)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Leopold II : - Menentukan
batas samping rahim kanan – kiri<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menentukan
letak punggung janin<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Pada letak
lintang, tentukan dimana kepala janin<o:p></o:p></div>
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d)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Variasi menurut Budin<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menentukan
letak punggung dengan satu tangan menekan di fundus<o:p></o:p></div>
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e)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Leopold III : - Menentukan
bagian terbawah janin<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Apakah bagian
terbawah tersebut sudah masuk atau masuk goyang.<o:p></o:p></div>
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f)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Variasi menurut Ahlfeld :<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menentukan
letak punggung dengan pinggir tangan kiri diletakkan tegak ditengah perut<o:p></o:p></div>
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g)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Leopold IV : - Pemeriksa
menghadap ke arah kaki ibu hamil<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Bisa juga
menentukan bagian terbawah janin apa dan berapa jauh sudah masuk pintu atas
panggul.<o:p></o:p></div>
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6)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Auskultasi<o:p></o:p></div>
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Menggunakan
stetoskop monoral (stetoskop obstetrik) untuk mendengar Denyut Jantung Janin
(DJJ) cara menghitung DJJ :<o:p></o:p></div>
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a)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Dari janin : - DJJ
pada bulan ke 4-5<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Bising tali
pusat<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Gerakan
tendengan janin<o:p></o:p></div>
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b)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Dari Ibu : - Bising
rahim (uterine souffle)<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Bising aorta<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Peristaltik
usus<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 174.0pt; text-align: justify;">
Cara menghitung DJJ<o:p></o:p></div>
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a)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Setiap menit misalnya 140 x/menit<o:p></o:p></div>
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b)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Dihitung 3x5 detik secara beraturan dengan cara
ini dapat diketahui teratur tidaknya contoh :<o:p></o:p></div>
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11 12 12<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
DJJ = 4x (11 + 12 + 13) = 136 x /menit<o:p></o:p></div>
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c)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemeriksan dalam<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; mso-list: l16 level4 lfo16; tab-stops: list 90.0pt left 174.0pt; text-align: justify; text-indent: -18.0pt;">
1)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Vagina toucher (VT)<o:p></o:p></div>
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2)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Rectal toucher (RT)<o:p></o:p></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
Tabel hubungan tua kehamilan (bulan), besar uterus
dan tinggi fundus uteri<o:p></o:p></div>
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<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
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<b><span style="font-size: 11pt; line-height: 150%;">No<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.6pt;" width="85"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b><span style="font-size: 11pt; line-height: 150%;">Akhir bulan<o:p></o:p></span></b></div>
</td>
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<b><span style="font-size: 11pt; line-height: 150%;">Besar uterus<o:p></o:p></span></b></div>
</td>
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<b><span style="font-size: 11pt; line-height: 150%;">Tinggu fundus uteri<o:p></o:p></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 19.8pt;" valign="top" width="26"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: .9pt; margin-right: -5.65pt; margin-top: 0cm;">
<span style="font-size: 11pt; line-height: 150%;">1.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">2.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">3.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">4.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">5.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">6.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">7.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">8.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">9.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">10.<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">4 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">8 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">12 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">16 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">20 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">24 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">28 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">32 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">36 Bulan<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">40 Bulan<o:p></o:p></span></div>
</td>
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<span style="font-size: 11pt; line-height: 150%;">Lebih besar
dari biasa<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Telur bebek<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Telur angsa<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Kepala bayi<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Kepala dewasa<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Kepala dewasa<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Kepala dewasa<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Kepala dewasa<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Kepala dewasa<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Kepala dewasa<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Belum teraba
(palpasi)<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Dibelakang
simpisis<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">1-2 jari
diatas simpisis<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Pertengahan
simpisis pusat<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">2-3 jari
dibawah pusat<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Kira-kira
setinggi pusat<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">2-3 jari
diatas pusat<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Pertengahan
pusat, procesus xgphordeus<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">3 jari dibawah
Px atau sampai setinggi Px<o:p></o:p></span></div>
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<span style="font-size: 11pt; line-height: 150%;">Sama dengan kehamilan
8 bulan namun melebar kesamping<o:p></o:p></span></div>
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<span style="height: 965px; left: -25px; position: relative; top: 0px; width: 646px; z-index: 251659264;"><img height="965" src="file:///C:/Users/alphy/AppData/Local/Temp/msohtmlclip1/01/clip_image003.png" v:shapes="_x0000_s1027 _x0000_s1028 _x0000_s1029 _x0000_s1030 _x0000_s1031 _x0000_s1032 _x0000_s1033 _x0000_s1034 _x0000_s1035 _x0000_s1036 _x0000_s1037 _x0000_s1038 _x0000_s1039 _x0000_s1040 _x0000_s1041 _x0000_s1042 _x0000_s1043 _x0000_s1044 _x0000_s1045 _x0000_s1046 _x0000_s1047 _x0000_s1048 _x0000_s1049 _x0000_s1050 _x0000_s1051 _x0000_s1052 _x0000_s1053 _x0000_s1054 _x0000_s1055 _x0000_s1056 _x0000_s1057 _x0000_s1058 _x0000_s1059 _x0000_s1060 _x0000_s1061 _x0000_s1062 _x0000_s1063 _x0000_s1064 _x0000_s1065 _x0000_s1066" width="646" /></span><b><o:p> </o:p></b></div>
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<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
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<b>KONSEP DASAR ASUHAN KEBIDANAN<o:p></o:p></b></div>
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<b>1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Definisi<o:p></o:p></b></div>
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Asuhan kebidanan adalah aktifitas atau
interaksi yang dilakukan oleh bidan kepada klien yang membutuhkan atau
mempunyai permasalahan dalam bidang pengetahuan<o:p></o:p></div>
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Dalam memberikan asuhan kebidanan pada
klien, bidan menggunakan metode pendekatan dan pemecahan masalah dengan
difokuskan pada suatu proses sistematis dan analisis dalam memberikan asuhan
kebidanan. Kita menggunakan 7 langkah management kebidanan menurut Varney,
yaitu :<o:p></o:p></div>
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I.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Pengkajian<o:p></o:p></div>
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II.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Identifikasi
diagnosa, masalah dan kebutuhan<o:p></o:p></div>
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III.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Identifikasi
diagnosa, dan masalah potensial<o:p></o:p></div>
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IV.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Identifikasi
kebutuhan segera<o:p></o:p></div>
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V.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Intervensi/pengembangan
rencana<o:p></o:p></div>
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VI.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Implementasi<o:p></o:p></div>
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VII.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Evaluasi<o:p></o:p></div>
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<br /></div>
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<b>2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Management Kebidanan Varney<o:p></o:p></b></div>
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I.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Pengkajian
Data<o:p></o:p></div>
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A.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Data Subyektif<o:p></o:p></div>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Biodata<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Nama ibu dan suami<o:p></o:p></div>
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Ditanyakan nama dengan tujuan agar
dapat mengenal / memanggil penderita atau ibu dan tidak keliru dengan
penderita-penderita yang lain.<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Usia ibu dan Suami<o:p></o:p></div>
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Hal ini terutama untuk mengetahui
keadaan ibu, terutama pada kehamilan pertma kali atau primipara. Apakah ibu itu
termasuk primipara biasa atau primipara tua, atau untuk mengetahui apakah ibu
mempunyai resiko tinggi atau tidak (umur < 16 tahun atau 35 tahun).<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Agama<o:p></o:p></div>
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Hal ini ditanyakan berhubungan dengan
perawatan penderita atau kepercayaan klien dalam beragama. Dalam keadaan yang
gawat ketika memberikan pertolongan dan perawatan dapat diketahui dengan siapa
harus berhubungan, misalnya pada Islam memanggil kyai, agama kristen memanggil
pendeta/pastur.<o:p></o:p></div>
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d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pendidikan<o:p></o:p></div>
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Untuk mengetahui tingkat pengetahuan
ibu dan suami sebagai dasar dalam memberikan KIE.<o:p></o:p></div>
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e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pekerjaan<o:p></o:p></div>
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Yang ditanyakan pekerjaan suami dan
ibu sendiri. Menanyakan pekerjaan ini untuk mengetahui bagaimana taraf hidup
dan sosial ekonomi penderita itu agar nasehat kita nanti sesuai.<o:p></o:p></div>
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f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Suku bangsa<o:p></o:p></div>
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Untuk mengetahui statistik tentang
kehamilan. Mungkin juga untuk menentukan prognosa kehamilan dengan melihat
keadaan panggul. Misal wanita Asia dan Afrika biasanya mempunyai panggul bundar
dan normal bagi persalinan dan biasanya wanita dan berat panggulnya ukuran
melintang lebih panjang tetapi ukuran muka belakang lebih kecil.<o:p></o:p></div>
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g.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Alamat<o:p></o:p></div>
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Untuk mengetahui ibu itu tinggal
dimana, menjaga kemungkinan bila ada ibu yang namanya bersamaan. Ditanyakan
alamatnya agar dapat dipastikan ibu yang mana yang hendak ditolong.<o:p></o:p></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Status perkawinan<o:p></o:p></div>
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Ditanyakan kepada ibu itu berapa lama
dan berapa kali kawin. Ini untuk membantu menentukan bagaimana keadaan alat
kelamin dalam ibu tersebut.<o:p></o:p></div>
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3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Keluhan utama<o:p></o:p></div>
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Keluhan yang dirasakan oleh klien saat
ini atau yang menyebabkan klien datang ke RS.<o:p></o:p></div>
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4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat kebidanan<o:p></o:p></div>
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Ditanyakan tentang keadaan menstruasi
yang lalu kapankah menarche terjadi pada ibu, waktu umur berapa? Untuk
mengetahui keadaan kelamin dalam, normal atau tidak. Apakah kalau datang
menstruasi terasa amat sakit? Berapa lama menstruasi? Bagaimana keluarnya?
Kapan menstruasi yang akhir? Keterangan ini digunakan untuk membantu diagnosa
lamanya kehamilan dan untuk menduga kapankah kira-kira anak akan dilahirkan.<o:p></o:p></div>
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<br />
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5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat kehamilan, persalinan dan nifas yang lalu<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kehamilan : Untuk mengetahui apakah ibu sebelumnya pernah
hamil berapa, saat hamil ada resiko atau penyakit kehamilan atau tidak.<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Persalinan : Meliputi jenis persalinan ditolong siapa dimana
dan bagaimana keadan bayi persalinan (BB/PB) waktu persalinan ada penyakit atau
tidak.<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Nifas : Meliputi ada tidaknya penyakit/gangguan selama
masa nifas dan laktasi.<o:p></o:p></div>
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Bagaimana penyakit
waktu kehamilan, persalian dan nifas yang kita dapat diantisipasi dengan segera
oleh petugas kesehatan sehingga komplikasi tidak terjadi.<o:p></o:p></div>
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6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat kehamilan sekarang<o:p></o:p></div>
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Untuk mengetahui apakah ibu pernah
memeriksakan kehamilannya, dimana, sudah berapa kali, keluhan saat hamil muda
dan tua, mendapatkan suntik TT berapa kali, penyuluhan apa saja yang pernah
didapat.<o:p></o:p></div>
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7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat kesehatan yang lalu<o:p></o:p></div>
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Untuk mengetahui apakah ibu pernah
menderita penyakit salah satu faktor predisposisi misal : myoma uteri.<o:p></o:p></div>
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8.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat kesehatan keluarga<o:p></o:p></div>
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Untuk mengetahui apakah dikeluarga
mempunyai penyakit menurun dan menahun maupun menular.<o:p></o:p></div>
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9.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola kebiasaan sehari-hari<o:p></o:p></div>
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Untuk mengetahui kebiasaan ibu yang
dilakukan ibu selama hamil dan saat hamil<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola nutrisi<o:p></o:p></div>
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Hal-hal yang ditanyakan bagaimana
nafsu makannya, berapa kali makannya dalam sehari, jumlah minumnya, ditanyakan
pola-pola makan selama hamil karena makanan dan minuman merupakan salah satu
faktor penting didalam pertumbuhan dan perkembangan janin serta mempertahankan
kondisi klien.<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola eliminasi<o:p></o:p></div>
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Apakah ibu selama hamil dan sebelum
hamil BAB/BAK ada keluhan atau tidak lancar atau tidak, berapa kali frekuensi
dalam 1 hari.<o:p></o:p></div>
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</span>
<br />
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola aktifitas<o:p></o:p></div>
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Data yang perlu ditanyakan adalah
bagaimana kegiatan sebelum hamil dan saat hamil.<o:p></o:p></div>
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d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola personal hygiene<o:p></o:p></div>
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Yang ditanyakan adalah bagaimana
menjaga kebersihan tubuhnya seperti : berapakali mandi dalam sehari, ganti baju
dalam sehari, gosok gigi dalam sehari, keramas dalam seminggu.<o:p></o:p></div>
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e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola istirahat<o:p></o:p></div>
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Ditanyakan berapa jam tidur siang dan
malam sebelum hamil dan saat hamil.<o:p></o:p></div>
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<br /></div>
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10.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat psikososial<o:p></o:p></div>
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Yang ditanyakan adalah bagaimana
keadaan psikis saat ini, bagaimana hubungan klien dengan keluarga dan tetangga,
bagaimana tentang kehamilannya saat ini.<o:p></o:p></div>
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<br /></div>
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B.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Data Obyektif<o:p></o:p></div>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemeriksaan fisik umum<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Keadaan umum<o:p></o:p></div>
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Untuk mengetahui keadaan secara
keseluruhan yaitu meliputi kesadaran, postur tubuh, ara berjalan, raut wajah.<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tanda-tanda vital<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 83.2pt; text-align: justify;">
Untuk mengetahui/mendeteksi dini
adanya penyulit atau komplikasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.2pt; text-align: justify;">
<br /></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemeriksaan fisik umum<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Inspeksi<o:p></o:p></div>
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Untuk mengetahui kesimetrisan,
kebersihan, serta keabnormalan dan kenormalan pada tubuh yang meliputi :
kepala, muka, mata, hidung, mulut/gigi, telinga, leher, dada/payudara, ketiak,
perut, anus, ekstrimitas.<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Palpasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 83.2pt; text-align: justify;">
Untuk mengetahui ada tidaknya nyeri
tekan, pembesaran kelenjar dan kekonsistensian. Pemeriksaannya meliputi :
leher, dada/payudara, perut.<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Auskultasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 83.2pt; text-align: justify;">
Untuk mengetahui ada tidaknya bunyi
yang normal/abnormal.<o:p></o:p></div>
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<br />
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d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Perkusi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 83.2pt; text-align: justify;">
Untuk mengetahui reflek patella
positif/tidak<o:p></o:p></div>
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<br /></div>
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3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemeriksaan penunjang<o:p></o:p></div>
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Untuk membantu dalam penentuan
diagnosa dan pemberian pengobatan<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo28; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;">
II.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Interpretasi
Data (Identifikasi Diagnosa dan Masalah)<o:p></o:p></div>
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Pada langkah ini
dilakukan identifikasi yang benar terhadap diagnosa dari data subyektif dan
data obyektif kemudian masalah dan kebutuhan saat itu.<o:p></o:p></div>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Diagnosa : G<sub>I</sub> P<sub>00000</sub> UK 38 minggu,
aterm, tunggal, hidup, letak kepala, intra uteri, jalan lahir normal.<o:p></o:p></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Masalah : muncul dari psiko, sosio, spiritual, culture
dan lain-lain<o:p></o:p></div>
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3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kebutuhan : - Istirahat
yang cukup<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Tanda-tanda
bahaya kehamilan TM III<o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Gizi Ibu
hamil<o:p></o:p></div>
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<br /></div>
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III.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Identifikasi
Diagnosa dan Masalah Potensial<o:p></o:p></div>
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Untuk
mengetahui/menentukan diagnosa/masalah potensial berdasarkan interpretasi data
yang benar atas data-data yang telah dikumpulkan.<o:p></o:p></div>
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<br /></div>
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IV.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Identifikasi
Kebutuhan Segera<o:p></o:p></div>
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Untuk mengetahui
tindakan segera yang dibutuhkan untuk menangani adanya komplikasi atau
penyulit.<o:p></o:p></div>
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<br /></div>
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V.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Intervensi<o:p></o:p></div>
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Untuk menentukan tujuan, kriteria dari
diagnosa yang ditentukan kemudian menentukan rencana yang akan dilakukan.<o:p></o:p></div>
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Tujuan : Setelah dilakukan asuhan kebidanan diharapkan
Ibu mengerti dan menerima penjelasan yang diberikan petugas.<o:p></o:p></div>
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Kriteria : Ibu dapat mengulang penjelasan yang diberikan.<o:p></o:p></div>
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Intervensi<o:p></o:p></div>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Lakukan pendekatan terapeutik pada pasien dengan
komunikasi terapeutik<o:p></o:p></div>
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R/ Dengan komunikasi dapat terjalin kerjasama dan
kepercayaan pasien terhadap tenaga kesehatan.<o:p></o:p></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Beri penjelasan tentang keadaan kehamilannya<o:p></o:p></div>
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R/ Penjelasan informasi tentang keadaan
kehamilannya.<o:p></o:p></div>
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<br />
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3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Jelaskan pada pasien tentang bahaya kehamilan TM
III<o:p></o:p></div>
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R/ Menambah pengetahuan dan untuk mengantisipasi
Ibu kapan harus segera ke RS.<o:p></o:p></div>
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4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Beri penjelasan tentang mengkonsumsi menu seimbang
dan manfaatnya<o:p></o:p></div>
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R/ Konsumsi menu seimbanga dapat meningkatkan
daya tahan tubuh dan membantu perkembangan janin.<o:p></o:p></div>
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5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Anjurkan untuk istirahat yang cukup<o:p></o:p></div>
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R/ Istirahat yang cukup bisa membuat sirkulasi
darah menjadi lancar dan membuat relaksasi.<o:p></o:p></div>
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6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Anjurkan Ibu untuk kontrol 1 minggu sekali<o:p></o:p></div>
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R/ Memantau kehamilan baik kondisi kesehatan Ibu
dan janin.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo28; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;">
VI.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Implementasi<o:p></o:p></div>
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Pelaksanaannya sesuai dengan
intervensi<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l19 level2 lfo28; tab-stops: list 1.0cm; text-align: justify; text-indent: -1.0cm;">
VII.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Evaluasi<o:p></o:p></div>
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Mengacu pada kriteria hasil<o:p></o:p></div>
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a)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Ibu memahami dan mengerti penjelasan yang
diberikan petugas.<o:p></o:p></div>
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b)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemeriksaan kehamilan tidak ada kelainan.<o:p></o:p></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 144.0pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
ASUHAN KEBIDANAN<o:p></o:p></div>
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PADA
Ny “S” GɪP<span style="font-family: 'Cambria Math', serif;">₀₀₀₀₀</span> UK 38 MINGGU, ATERM ,
TUNGGAL, HIDUP,<o:p></o:p></div>
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LETAK
KEPALA,INTRA UTERI, JALAN LAHIR NORMAL<o:p></o:p></div>
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DENGAN
KEADAAN UMUM IBU DAN JANIN BAIK<o:p></o:p></div>
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DI
BPM SUHARTINI SUWONO , BANDUNG KENCUR<o:p></o:p></div>
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JOMBANG<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: 10.0pt;">
I.Pengkajian Data<o:p></o:p></div>
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A. Data Subyektif<o:p></o:p></div>
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Tanggal Pengkajian :11 mei 2011<o:p></o:p></div>
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Jam :06.30 WIB<o:p></o:p></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l4 level1 lfo35;">Biodata/Identitas<o:p></o:p></li>
</ol>
<div class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
Nama :Ny ”S” Nama Suami :Tn “W”<o:p></o:p></div>
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Umur :20 tahun Umur :29
tahun<o:p></o:p></div>
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Suku/Bangsa :Jawa/Indonesia Suku/Bangsa :Jawa/Indonesia<o:p></o:p></div>
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Agama :Islam Agama :Islam<o:p></o:p></div>
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Pendidikan :SMA Pendidikan :SMP<o:p></o:p></div>
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Pekerjaan :Tidak Bekerja Pekerjaan :Wiraswasta<o:p></o:p></div>
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Alamat :G.Malang 1 Alamat :G.Malang1<o:p></o:p></div>
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<br /></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l4 level1 lfo35;">Status
Perkawinan<o:p></o:p></li>
</ol>
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Istri Suami<o:p></o:p></div>
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Perkawinan ke : 1 1<o:p></o:p></div>
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Umur Kawin : 19
tahun 22tahun<o:p></o:p></div>
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Lama Kawin : 1tahun 1tahun<o:p></o:p></div>
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<br /></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l4 level1 lfo35;">Keluhan Utama<o:p></o:p></li>
</ol>
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Ibu mengatakan ingin
memeriksakan kehamilannya yang sudah berumur 9 bulan<o:p></o:p></div>
<ol start="4" style="margin-top: 0cm;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l4 level1 lfo35;">Riwayat Kebidanan<o:p></o:p></li>
</ol>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat Menstruasi<o:p></o:p></div>
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<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Menarche :12 tahun<o:p></o:p></div>
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<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Lamanya :7 hari<o:p></o:p></div>
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<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Banyaknya :1-3 hari=1 kotex
penuh, 4-7hari=1/2 kotex<o:p></o:p></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Siklus :28hari<o:p></o:p></div>
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<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Warna :merah tua<o:p></o:p></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Bau :Anyir<o:p></o:p></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>HPHT :1-08-2010<o:p></o:p></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>TP :24-05-2011<o:p></o:p></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<ol start="5" style="margin-top: 0cm;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l4 level1 lfo35;">Riwayat kehamilan, persalinan dan nifas yang
lalu<o:p></o:p></li>
</ol>
<div class="MsoNormalCxSpMiddle" style="line-height: 115%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="TableGrid1" style="border-bottom-style: none; border-collapse: collapse; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; margin-left: -0.6pt; width: 633px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="background: white; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 20.7pt;" width="28"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>No<o:p></o:p></b></div>
</td>
<td style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.2pt;" width="44"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Tgl / lahir<o:p></o:p></b></div>
</td>
<td rowspan="2" style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.2pt;" width="67"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Usia kehamilan<o:p></o:p></b></div>
</td>
<td rowspan="2" style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.3pt;" width="92"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Tempat persalinan<o:p></o:p></b></div>
</td>
<td rowspan="2" style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.3pt;" width="68"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Jenis persalinan<o:p></o:p></b></div>
</td>
<td colspan="2" style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 49.2pt;" width="66"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Komplikasi<o:p></o:p></b></div>
</td>
<td rowspan="2" style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.45pt;" width="57"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Penolong<o:p></o:p></b></div>
</td>
<td colspan="2" style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 89.05pt;" width="119"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Bayi<o:p></o:p></b></div>
</td>
<td colspan="2" style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.3pt;" width="92"><div align="center" class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Nifas<o:p></o:p></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.2pt;" width="44"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Umur<o:p></o:p></b></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 20.5pt;" width="27"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Ibu<o:p></o:p></b></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.7pt;" width="38"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Bayi<o:p></o:p></b></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.2pt;" width="68"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>PB/BB/jenis<o:p></o:p></b></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 37.85pt;" width="50"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Keadaan<o:p></o:p></b></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 37.85pt;" width="50"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Keadaan<o:p></o:p></b></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.45pt;" width="42"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<b>Lactasi<o:p></o:p></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="background: white; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 20.7pt;" valign="top" width="28"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
1.<o:p></o:p></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.2pt;" valign="top" width="44"><div class="MsoNormal" style="line-height: 150%; margin-right: -5.65pt;">
Hamil <o:p></o:p></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 50.2pt;" valign="top" width="67"><div class="MsoNormal" style="line-height: 150%; margin-right: -5.65pt;">
INI<o:p></o:p></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 69.3pt;" valign="top" width="92"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.3pt;" valign="top" width="68"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<span style="height: 40px; left: 0px; margin-left: 56px; margin-top: 50px; position: absolute; width: 148px; z-index: 251661312;">
</span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="40" style="vertical-align: top;" width="148"><span style="left: 0pt; position: absolute; z-index: 251661312;">
</span><br />
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td><div class="shape" style="padding: 3.6pt 7.2pt 3.6pt 7.2pt;" v:shape="Rectangle_x0020_2">
<div class="MsoNormal">
<br /></div>
</div>
</td>
</tr>
</tbody></table>
<span style="left: 0pt; position: absolute; z-index: 251661312;">
</span> </td>
</tr>
</tbody></table>
<o:p></o:p></td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 20.5pt;" valign="top" width="27"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.7pt;" valign="top" width="38"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.45pt;" valign="top" width="57"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 51.2pt;" valign="top" width="68"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 37.85pt;" valign="top" width="50"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 37.85pt;" valign="top" width="50"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 31.45pt;" valign="top" width="42"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -5.65pt; margin-right: -5.65pt; margin-top: 0cm; text-align: center;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<ol start="6" style="margin-top: 0cm;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l4 level1 lfo35; text-align: justify;">Riwayat kehamilan dan persalinan sekarang<o:p></o:p></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 84.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level3 lfo40; tab-stops: list 84.0pt 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Wingdings 2';">a<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span>Hamil ke-1<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 84.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level3 lfo40; tab-stops: list 84.0pt 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Wingdings 2';">a<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span>ANC <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 183.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level4 lfo40; tab-stops: 99.0pt list 144.0pt left 153.0pt 171.0pt 180.0pt; text-align: justify; text-indent: -99.0pt;">
<span style="font-family: 'Courier New';">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Trimester I : 2 x di BPS Hartini S.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 183.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level4 lfo40; tab-stops: 99.0pt list 144.0pt left 153.0pt 171.0pt 180.0pt; text-align: justify; text-indent: -99.0pt;">
<span style="font-family: 'Courier New';">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Trimester II : 1 x di BPS Hartini S.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 183.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level4 lfo40; tab-stops: 99.0pt list 144.0pt left 153.0pt 171.0pt 180.0pt; text-align: justify; text-indent: -99.0pt;">
<span style="font-family: 'Courier New';">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Trimester III : 2 x di BPS Hartini S.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 84.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level3 lfo40; tab-stops: list 84.0pt 117.0pt left 198.0pt 228.0pt 252.0pt 258.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Wingdings 2';">a<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span>Keluhan selama hamil TM I : Mual,
muntah<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 198.0pt 228.0pt 252.0pt 258.0pt; text-align: justify;">
TM II : Tidak ada keluhan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 198.0pt 228.0pt 252.0pt 258.0pt; text-align: justify;">
TM III : Sering kencing, cepat lelah<o:p></o:p></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo35; tab-stops: 198.0pt 228.0pt 252.0pt 258.0pt; text-align: justify; text-indent: -18.0pt;">
7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat kesehatan yang lalu<o:p></o:p></div>
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Ibu mengatakan tidak pernah menderita penyakit
yang menular seperti penyakit kuning, HIV/AIDS, penyakit menahun seperti
jantung, tekanan darah tinggi, dan penyakit menurun seperti kencing manis,
sesak nafas. Serta tidak mempunyai riwayat kembar baik dari pihak ayah maupun
ibu.<o:p></o:p></div>
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8.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Riwayat Kesehatan Keluarga<o:p></o:p></div>
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9.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Ibu mengatakan dalam keluarganya tidak ada yang
menderita penyakit yang menular seperti penyakit kuning, HIV/AIDS, penyakit
menahun seperti jantung, tekanan darah tinggi, dan penyakit menurun seperti kencing
manis, sesak nafas. Serta tidak mempunyai riwayat kembar baik dari pihak ayah
maupun ibu.<o:p></o:p></div>
<ol start="10" style="margin-top: 0cm;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l4 level1 lfo35; text-align: justify;">Riwayat Keluarga Berencana<o:p></o:p></li>
</ol>
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Ibu
mengatakan tidak pernah menggunakan alat Kontrasepsi<o:p></o:p></div>
<ol start="11" style="margin-top: 0cm;" type="1">
<li class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; mso-add-space: auto; mso-list: l4 level1 lfo35; text-align: justify;">Keadaan psikososial<o:p></o:p></li>
</ol>
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<span style="font-family: 'Courier New';">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Kehamilan ini
diharapkan.<o:p></o:p></div>
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<span style="font-family: 'Courier New';">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Ibu dan
keluarga merasa senang dengan kehamilan ini.<o:p></o:p></div>
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<span style="font-family: 'Courier New';">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span>Hubungan
suami istri dan keluarga baik.<o:p></o:p></div>
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12.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Latar belakang sosial budaya<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Ibu tidak pernah minum jamu, tidak minum alkohol
dan tidak merokok<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Acara 2 bulanan<o:p></o:p></div>
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13.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola kebiasaan hidup<o:p></o:p></div>
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a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola Nutrisi<o:p></o:p></div>
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Sebelum hamil : Makan 3 x/hari, sayur, lauk dan nasi<o:p></o:p></div>
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Minum
6-7 gelas sehari (air putih)<o:p></o:p></div>
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Selama hamil : Makan 5-6 x gelas/sehari minum susu.<o:p></o:p></div>
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b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola Eliminasi<o:p></o:p></div>
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Sebelum hamil : BAB 1 x/hari, warna kuning, konsistensi lunak,
bau khas.<o:p></o:p></div>
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BAK 5
x/hari warna kuning jernih, bau khas.<o:p></o:p></div>
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Selama hamil : BAB 1 x/hari warna kuning, konsistensi lunak,
bau khas.<o:p></o:p></div>
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BAK 7
x/hari, warna kuning jernih, bau khas.<o:p></o:p></div>
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c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola aktivitas sehari-hari<o:p></o:p></div>
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Sebelum hamil : melakukan pekerjaan rumah seperti memasak,
mencuci, menyapu.<o:p></o:p></div>
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Selama hamil : sedikit mengurangi pekerjaan rumah sendiri
seperti memasak, mencuci, menyapu.<o:p></o:p></div>
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d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola istirahat atau tidur<o:p></o:p></div>
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Sebelum hamil : Tidur siang <span style="font-family: Symbol;">±</span> 1 jam dan tidur malam <span style="font-family: Symbol;">±</span> 7-8 jam<o:p></o:p></div>
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Selama hamil : Tidur siang <span style="font-family: Symbol;">±</span> 1 jam dan tidur malam <span style="font-family: Symbol;">±</span> 7-8 jam<o:p></o:p></div>
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Pada pola tidur tidak ada gangguan dan
masalah, sehingga kualitas tidur baik<o:p></o:p></div>
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e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola kebersihan diri<o:p></o:p></div>
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Sebelum hamil : Mandi 2 x/hari, ganti pakaian 2 kali sehari,
gosok gigi 2 kali sehari, cuci rebut 2 kali seminggu.<o:p></o:p></div>
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Selama hamil : mandi 3 x/hari, ganti baju 2 kali sehari,
gosok gigi 2 kali sehari, cuci rambut 3 kali seminggu.<o:p></o:p></div>
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f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pola seksual<o:p></o:p></div>
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Sebelum hamil : 2 kali seminggu<o:p></o:p></div>
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Selama hamil : 1 kali seminggu<o:p></o:p></div>
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<br /></div>
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<b>B.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>Data Obyektif<o:p></o:p></b></div>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemeriksaan umum<o:p></o:p></div>
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KU : baik<o:p></o:p></div>
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Kesadaran : composmentis<o:p></o:p></div>
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Keadaan
emosional : stabil<o:p></o:p></div>
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TD : 110/70 mmHg Lila : 23 cm<o:p></o:p></div>
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S : 36,5<sup> 0</sup>C N : 84
x/menit<o:p></o:p></div>
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TB : 153,5 cm RR : 20
x/menit<o:p></o:p></div>
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Sebelum hamil BB : 52 kg<o:p></o:p></div>
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Saat hamil BB 60 kg<o:p></o:p></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Pemeriksaan khusus<o:p></o:p></div>
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a)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Inspeksi<o:p></o:p></div>
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Kepala : Rambut hitam, keriting, tidak rontok, kulit
kepala bersih, tidak ada ketombe.<o:p></o:p></div>
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Muka : Tidak tampak odema dan tidak tampak Cloasma
gravidarum.<o:p></o:p></div>
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Mata : Simetris, Konjungtiva merah muda, sklera putih.<o:p></o:p></div>
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Mulut / gigi : Tidak merah, tidak stomatitis, tidak ada
caries gigi kurang gigi.<o:p></o:p></div>
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Leher : Tidak tampak pembesaran kelenjar tyroid dan
tidak tampak pembesaran vena jugularis.<o:p></o:p></div>
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Payudara : Simetris, puting susu menonjol, terdapat
hyperpigmentasi areola mammae, buah dada membesar, dan bersih, colostrum sudah
keluar.<o:p></o:p></div>
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Abdomen : Terdapat striae gravidarum, striae livida, dan
tidak ada luka bekas operasi.<o:p></o:p></div>
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Genetalia : Bersih, tidak tampak varices, tidak ada
condiloma akuminota.<o:p></o:p></div>
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Anus : Tidak tampak ada haemaroid.<o:p></o:p></div>
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Ekstremitas atas : Simetris, tidak ada gangguan pergerakan dan
tidak oedema.<o:p></o:p></div>
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Ekstremitas bawah : Simetris, tidak ada gangguan pergerakan pada
kedua kaki, tidak tampak ada varices dan tidak tampak odem<o:p></o:p></div>
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b)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Palpasi<o:p></o:p></div>
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Leher : Tidak ada pembesarah kelenjar tyroid, tidak
ada pembesaran limfe dan tidak ada pembendungan vena jugularis<o:p></o:p></div>
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Payudara : Tidak ada benjolan dan tidak ada nyeri tekan.<o:p></o:p></div>
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Dada : Tidak terdapat nyeri tekan.<o:p></o:p></div>
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Abdomen<o:p></o:p></div>
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Leopold<o:p></o:p></div>
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<span style="font-family: Wingdings;">Ä<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span>Leopold I : TFU
: 3 jari bawah prosesus xypoideus (27 cm), teraba lunak dan tidak melenting
(bokong).<o:p></o:p></div>
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<span style="font-family: Wingdings;">Ä<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span>Leopold II : Bagian
kanan teraba keras seperti papan dan bagian kiri teraba bagian kecil janin.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 189.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level6 lfo40; tab-stops: list 99.0pt left 153.0pt 180.0pt 189.0pt list 225.0pt; text-align: justify; text-indent: -108.0pt;">
<span style="font-family: Wingdings;">Ä<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span>Leopold III : Bagian
bawah teraba keras melenting, (kepala) kepala tidak dapat digoyangkan (sudah
masuk PAP).<o:p></o:p></div>
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<span style="font-family: Wingdings;">Ä<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span>Leopold IV : Kepala
belum masuk PAP (konvergen)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; tab-stops: 153.0pt 180.0pt 189.0pt; text-align: justify;">
TBJ =(27-12)x 155=2325 gram<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level5 lfo40; tab-stops: list 81.0pt 180.0pt; text-align: justify; text-indent: -18.0pt;">
c)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Auskultasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
Dada :tidak
terdengar wheezing maupun ronchi <o:p></o:p></div>
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DJJ :(11-12-11) = 136 x/menit.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 81.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level5 lfo40; tab-stops: list 81.0pt 180.0pt; text-align: justify; text-indent: -18.0pt;">
d)<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Perkusi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
Reflek patella (+)/(+)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
Data Pemeriksaan penunjang<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; text-align: justify;">
Pemeriksaan panggul<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 174.0pt 180.0pt; text-align: justify;">
Distansia
Cristarum :25 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 174.0pt 180.0pt; text-align: justify;">
Distansia
spinarum : 24
cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 174.0pt 180.0pt; text-align: justify;">
Lingkar
panggul : 85 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 174.0pt 180.0pt; text-align: justify;">
Pemerikaan
Lab : tidak
dilakukan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 174.0pt 180.0pt; text-align: justify;">
Urine reduksi :
tidak dilakukan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; tab-stops: 174.0pt 180.0pt; text-align: justify;">
Urine albumin :
tidak dilakukan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo40; tab-stops: list 27.0pt 53.85pt; text-align: justify; text-indent: -27.0pt;">
<b>II.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></b><b>INTERPRETASI
DATA<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt; text-align: justify; text-indent: -63.0pt;">
Diagnosa : Ny “S” G<sub>I</sub> P<sub>00000</sub> UK 38 minggu aterm,
tunggal,hidup ,letak kepala, intra uterin, jalan lahir normal dengan keadaan
ibu dan janin baik.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt; text-align: justify; text-indent: -63.0pt;">
Ds : Ibu mengatakan hamil anak pertama dan usia
kehamilan 9 bulan. <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
Do : KU : baik Ukuran
panggul<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
Kesadaran
: composmentis Distansia
cristarum : 25 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
T : 110/70
mmHg Distansia spinarum
: 24 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
N : 84
x/menit Lingkar
panggul : 85 cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
S : 36,5<sup>
0</sup>C<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
R : 20
x/menit<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
DJJ : (11-12-11)
= 136 x/menit<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 198.0pt 204.0pt; text-align: justify; text-indent: -63.0pt;">
BB
sebelum hamil : 52 kg<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 198.0pt 204.0pt; text-align: justify; text-indent: -63.0pt;">
BB
selama hamil : 60 kg<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 198.0pt 204.0pt; text-align: justify; text-indent: -63.0pt;">
Lila : 23 kg<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 192.0pt; tab-stops: 153.0pt 180.0pt 189.0pt; text-align: justify; text-indent: -102.0pt;">
Leopold I : TFU
2 jari bawah prosesus xypoideus (27 cm), teraba lembek dan tidak melenting
(kepala).<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 192.0pt; tab-stops: 153.0pt 180.0pt 189.0pt; text-align: justify; text-indent: -102.0pt;">
Leopold II : Bagian
kanan teraba keras seperti papan dan bagian kiri teraba bagian kecil janin.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 192.0pt; tab-stops: 153.0pt 180.0pt 189.0pt; text-align: justify; text-indent: -102.0pt;">
Leopold III : Bagian
bawah teraba keras melenting, (kepala) kepala dapat digoyangkan (belum masuk
PAP).<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 192.0pt; tab-stops: 153.0pt 180.0pt 189.0pt; text-align: justify; text-indent: -102.0pt;">
Leopold IV : Kepala
belum masuk PAP (Konvergen)<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt 117.0pt 126.0pt 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -63.0pt;">
Masalah : -<o:p></o:p></div>
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Kebutuhan : - Penjelasan
tentang keadaan saat ini<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level2 lfo35; tab-stops: 81.0pt 90.0pt list 108.0pt left 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -18.0pt;">
a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Nutrisi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level2 lfo35; tab-stops: 81.0pt 90.0pt list 108.0pt left 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -18.0pt;">
b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Istirahat<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level2 lfo35; tab-stops: 81.0pt 90.0pt list 108.0pt left 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -18.0pt;">
c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Personal hygiene<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level2 lfo35; tab-stops: 81.0pt 90.0pt list 108.0pt left 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -18.0pt;">
d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Perawatan payudara<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level2 lfo35; tab-stops: 81.0pt 90.0pt list 108.0pt left 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -18.0pt;">
e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Tanda-tanda persalinan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level2 lfo35; tab-stops: 81.0pt 90.0pt list 108.0pt left 252.0pt 288.0pt 297.0pt; text-align: justify; text-indent: -18.0pt;">
f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Kolaborasi<o:p></o:p></div>
<div class="MsoNormal" style="margin-left: 234.0pt; tab-stops: 81.0pt 90.0pt 108.0pt 126.0pt 189.0pt 207.0pt 216.0pt 234.0pt; text-align: justify; text-indent: -207.0pt;">
<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo40; tab-stops: list 27.0pt 53.85pt; text-align: justify; text-indent: -27.0pt;">
<b>III.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>IDENTIFIKASI DIAGNOSA DAN MASALAH<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;">
<b>-<o:p></o:p></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo40; tab-stops: list 27.0pt 53.85pt; text-align: justify; text-indent: -27.0pt;">
<b>IV.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>IDENTIFIKASI KEBUTUHAN SEGERA<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-align: justify;">
<b>-<o:p></o:p></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo40; tab-stops: list 27.0pt 53.85pt; text-align: justify; text-indent: -27.0pt;">
<b>V.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></b><b>INTERVENSI<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt; text-align: justify; text-indent: -63.0pt;">
Diagnosa : Ny “S” G<sub>I</sub> P<sub>00000</sub> UK 38 minggu aterm,
tunggal,hidup ,letak kepala, intra uterin, jalan lahir normal dengan keadaan
ibu dan janin baik <o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt; text-align: justify; text-indent: -63.0pt;">
Tujuan : Setelah dilakukan ashan kebidanan diharapkan proses kehamilan
sampai melahirkan normal, berjalan lancar tanpa komplikasi..<o:p></o:p></div>
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Kriteria : <o:p></o:p></div>
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-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Keadaan umum : Baik<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo42; tab-stops: list 45.0pt left 132.0pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Kesadaran : Composmentis<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo42; tab-stops: list 45.0pt left 132.0pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>TTV normal<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 84.0pt 90.0pt; text-align: justify;">
T : 110/70
– 120/80 mmHg<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 84.0pt 90.0pt; text-align: justify;">
N : 80
– 100 x/menit<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 84.0pt 90.0pt; text-align: justify;">
RR : 16
– 20 x/menit<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; tab-stops: 84.0pt 90.0pt; text-align: justify;">
S : 36,5
– 37,5 <sup>0</sup>C<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo42; tab-stops: list 45.0pt 138.0pt left 258.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>TFU dalam cm Umur kehamilan dalam bulan<o:p></o:p></div>
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20<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>5<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 72.0pt 312.0pt; text-align: justify;">
23 6<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 72.0pt 312.0pt; text-align: justify;">
26 7<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 72.0pt 312.0pt; text-align: justify;">
30 8<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 72.0pt 312.0pt; text-align: justify;">
33 9<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt; text-align: justify; text-indent: -63.0pt;">
Intervensi<o:p></o:p></div>
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1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Komunikasi terapeutik<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ menanamkan kepercayaan pasien
kepada petugas kesehatan.<o:p></o:p></div>
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2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Cuci tangan sebelum dan sesudah melakukan tindakan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ dengan cuci tangan kuman akan
hilang dan terhindar dari infeksi<o:p></o:p></div>
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3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Berikan penyuluhan tentang kebersihan
diri/personal hygiene<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ kebersihan hygiene terutama
perawatan kulit selama hamil perlu diperhatikan karena fungsi ekskresi dan
keringat bertambah.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level7 lfo39; tab-stops: list 45.0pt 306.0pt; text-align: justify; text-indent: -18.0pt;">
4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Beri penjelasan tentang tanda bahaya kehamilan
trimester III<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ Mengantisipasi sejak dini adanya
komplikasi yang mungkin muncul serta menambah pengetahuan ibu.<o:p></o:p></div>
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5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Berikan penyuluhan tentang gizi Ibu hamil<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ kebutuhan nutrisi selama hamil
meningkat karena adanya pertumbuhan janin, uterus, placenta, buah dada,
kenaikan metabolisme dan tenaga untuk mengejan saat bersalin.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level7 lfo39; tab-stops: list 45.0pt 306.0pt; text-align: justify; text-indent: -18.0pt;">
6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Berikan penyuluhan tentang seksualitas pada
trimester III<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ seksualitas pada trimester III
disarankan karena sperma mengandung prostaglandin untuk mengacu kontraksi agar
bayi cepat lahir<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level7 lfo39; tab-stops: list 45.0pt 306.0pt; text-align: justify; text-indent: -18.0pt;">
7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Berikan penyuluhan tentang pola istirahat dan
tidur<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ istirahat penting untuk kesehatan
otak, saraf, otot, anggota gerak yang dipacu dengan istirahat berelokasi.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level7 lfo39; tab-stops: list 45.0pt 306.0pt; text-align: justify; text-indent: -18.0pt;">
8.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Lakukan pemeriksaan 5 T<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ pemeriksaan 5T merupakan
pemeriksaan standart yang dapat mencakup dan mendeteksi dini adanya resiko dan
komplikasi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level7 lfo39; tab-stops: list 45.0pt 306.0pt; text-align: justify; text-indent: -18.0pt;">
9.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Jelaskan tanda-tanda persalinan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ Ibu mengerti dan mengetahui
bagaimana keadaan kehamilannya dan janinnya.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level7 lfo39; tab-stops: list 45.0pt 306.0pt; text-align: justify; text-indent: -18.0pt;">
10.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Jelaskan tanda bahaya kehamilan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ deteksi dini akan bahaya kehamilan
serta persiapan penanggulangannya<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level7 lfo39; tab-stops: list 45.0pt 306.0pt; text-align: justify; text-indent: -18.0pt;">
11.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Jelaskan tanda-tanda persalinan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ Ibu mengetahui tanda-tanda
persalinan dan lebih bersiap diri menghadapi persalinan.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level7 lfo39; tab-stops: list 45.0pt 306.0pt; text-align: justify; text-indent: -18.0pt;">
12.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span>Anjurkan Ibu memeriksakan kehamilannya 1 minggu
lagi<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
R/ kontrol rutin 1 minggu sekali pada
trimester III dapat mengetahui kemajuan persalinan dan pemantauan menjelang
persalinan.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-align: justify;">
<br /></div>
<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span></b>
<br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 27.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l41 level1 lfo40; tab-stops: list 27.0pt 53.85pt; text-align: justify; text-indent: -27.0pt;">
<b>VI.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></b><b>IMPLEMENTASI / PELAKSANAAN<o:p></o:p></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 288.0pt; text-align: justify;">
Hari : Senin<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 288.0pt; text-align: justify;">
Tanggal : 2-06-2008 Jam
: 07.00 WIB<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 288.0pt; text-align: justify;">
Implementasi <o:p></o:p></div>
<table border="1" cellpadding="0" cellspacing="0" class="TableGrid1" style="border-bottom-style: none; border-collapse: collapse; border-color: initial; border-left-style: none; border-right-style: none; border-top-style: none; border-width: initial; margin-left: 29.4pt; width: 559px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: white; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.5pt;" width="157"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>Hari / tanggal / jam<o:p></o:p></b></div>
</td>
<td style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 260.5pt;" width="347"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>Implementasi<o:p></o:p></b></div>
</td>
<td style="background: white; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.5pt;" width="55"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b>TTD<o:p></o:p></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="background: white; border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.5pt;" valign="top" width="157"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
Senin 2-06-2008<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
Jam 07.10 WIB<o:p></o:p></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 260.5pt;" valign="top" width="347"><div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Melakukan
komunikasi terapeutik dengan baik.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Mencuci
tangan sebelum dan sesudah melakukan tindakan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Memberikan
penyuluhan tentang kebersihan diri/personal hygiene pada Ibu misalnya : mandi
dengan sabun, gosok gigi, keramas, dll<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menjelaskan
kepada klien tentang tanda bahaya Trimester III<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; text-align: justify;">
a.Bengkak pada muka dan bagian kaki
serta tangan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; text-align: justify;">
b.Perdarahan yang disertai nyeri<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; text-align: justify;">
c.Nyeri kepala yang hebat<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; text-align: justify;">
d.Keluar cairan yang banyak dari
jalan lahir<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; text-align: justify;">
e.Gerakan janin kurang aktif<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; text-align: justify;">
f.BB tetap/turun dengan bertambahnya
usia kehamilan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; text-align: justify;">
g.Pandangan mata kabur<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Memberikan
penyuluhan tentang gizi Ibu hamil, kebutuhan nutrisi meningkat yang
disebabkan pertumbuhan dari janin dan placenta, buah dada dll.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Memberikan
penyuluhan tentang seksualitas pada trimester III, coitus disarankan untuk
merangsang adanya kontrasi supaya persalinannya mudah.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Memberikan
penyuluhan tentang pola istirahat dan tidur, istirahat dan tidur merelaksasi
badan, istirahat dan tidur teratur dapat meningkatkan kesehatan.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Melakukan
pemeriksaan 5 T<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; tab-stops: 51.1pt 63.1pt; text-align: justify;">
T : 110/70
mmHg<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; tab-stops: 51.1pt 63.1pt; text-align: justify;">
BB : 52
kg<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; tab-stops: 51.1pt 63.1pt; text-align: justify;">
Fe 1x sehari<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; tab-stops: 51.1pt 63.1pt; text-align: justify;">
TFU : 30
cm<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; tab-stops: 51.1pt 63.1pt; text-align: justify;">
Suntik TT<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menjelaskan
keadaan kehamilannya kepada Ibu sehingga Ibu akan lebih berhati-hati merawat
kehamilannya dan lebih siap menghadapi persalinan.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menjelaskan
tanda-tanda persalinan diantaranya keluar lendir, keluar air ketuban dan
kenceng-kenceng secara teratur sehingga Ibu lebih cepat membawa dirinya ke
Bidan.<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menganjurkan
memeriksakan kehamilannya 1 minggu lagi untuk persiapan persalinan<o:p></o:p></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.1pt; mso-list: l43 level1 lfo44; tab-stops: list 21.1pt 138.0pt; text-align: justify; text-indent: -18.0pt;">
-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span>Menjelaskan
tanda bahaya kehamilan diantaranya kaki oedem, keluar darah, tensi tinggi.<o:p></o:p></div>
</td>
<td style="background: white; border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.5pt;" valign="top" width="55"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span></b>
<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 15.0pt; margin-left: 51.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -51.05pt;">
<br /></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com2tag:blogger.com,1999:blog-1824918336444908792.post-60369002038957736202012-06-11T06:32:00.000-07:002012-06-11T06:33:02.583-07:00ASUHAN KEBIDANAN (ASKEB) INPARTU<br />
<div align="center" class="MsoNormal" style="mso-outline-level: 1; mso-pagination: widow-orphan; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">ASUHAN KEBIDANAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="mso-outline-level: 1; mso-pagination: widow-orphan; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">PADA Ny. “L” G<sub>I</sub> P<sub>00000</sub>
UK 42 MINGGU KALA 1FASE AKTIF DENGAN SEROTINUS LEBIH DARI 2HARI<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="mso-pagination: widow-orphan; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">DI BPS Ny. “SUHARTINI SUWONO,Amd.Keb<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="mso-pagination: widow-orphan; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">BANDUNG KENCUR<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="mso-pagination: widow-orphan; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">JOMBANG</span></b><b><span style="font-size: 16.0pt; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-ansi-language: IN;"><!--[if gte vml 1]><v:shapetype id="_x0000_t75"
coordsize="21600,21600" o:spt="75" o:preferrelative="t" path="m@4@5l@4@11@9@11@9@5xe"
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o:title=""/>
</v:shape><![endif]--><!--[if !vml]--><img height="220" src="file:///C:/Users/alphy/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg" v:shapes="_x0000_i1025" width="220" /><!--[endif]--></span><span style="font-size: 15.5pt; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman";"><o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Disusun Oleh:<o:p></o:p></span></div>
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<br /></div>
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<b><u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: 1.0pt; mso-ansi-language: IN; mso-font-width: 150%;">NUR ALFI ABIDA<o:p></o:p></span></u></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">NIM : 7209010<o:p></o:p></span></b></div>
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<br /></div>
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<div class="MsoNormal">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="mso-outline-level: 1; mso-pagination: widow-orphan; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">PRODI D III KEBIDANAN<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">FAKULTAS ILMU KESEHATAN <br />
UNIVERSITAS PESANTREN TINGGI DARUL’ULUM<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">JOMBANG<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 16.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">2011<o:p></o:p></span></b></div>
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</span></b>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><br /></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><br /></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><br /></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><br /></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><br /></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><br /></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><br /></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><br /></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">KATA PENGANTAR<o:p></o:p></span></b></div>
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<br /></div>
<div align="center" class="MsoNormal" style="mso-outline-level: 1; mso-pagination: widow-orphan; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">Puji syukur Alhamdulillah
kehadirat Allah SWT atas limpahan Rahmat-Nya kami dapat menyelesaikan tugas
praktek kebidanan ini yang berjudul “<span style="mso-bidi-font-weight: bold;">ASUHAN
KEBIDANAN PADA Ny. “L” G<sub>I</sub> P<sub>00000</sub> UK 42 MINGGU KALA 1FASE
AKTIF DENGAN SEROTINUS LEBIH DARI 2HARI DI BPS Ny. “SUHARTINI SUWONO,Amd.Keb
BANDUNG KENCUR JOMBANG<o:p></o:p></span></span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">Dalam
penyusunan Asuhan kebidanan ini kami menyampaikan terima kasih kepada :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Ibu Sabrina Dwi Prihartini SKM selaku Kaprodi D III
Kebidanan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Ibu </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">Suhartini
suwonoAmd.Keb</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>selaku pembimbing
praktek </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;">di BPS Plosokerep</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Ibu Listriana M.Kes selaku pembimbing akademik DIII
Kebidanan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Orang tua serta keluarga yang telah memberikan dukugan
kepada kami baik secara langsung maupun tidak.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Teman-taman dan semua pihak yang senantiasa membantu dan
memberikan dukungan kepada kami.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">Semoga Allah SWT memberikan balasan pahala atas segala
amal yang telah diberikan dan semoga makalah ini berguna bagi penulis maupun
pihak lain yang membaca.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><span style="mso-tab-count: 1;"> </span>Jombang,
<span style="mso-spacerun: yes;"> </span>Mei 2011<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="mso-outline-level: 1; mso-pagination: widow-orphan; tab-stops: 297.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-language: EN-GB; mso-font-kerning: 0pt; mso-text-raise: 1.0pt; position: relative; top: -1.0pt;"><span style="mso-tab-count: 1;"> </span><span style="mso-bidi-font-weight: bold;">Penulis<o:p></o:p></span></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: JA; mso-font-kerning: 1.0pt;"><br clear="all" style="page-break-before: always;" />
</span>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN;">BAB I<o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">PENDAHULUAN<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l14 level1 lfo8; tab-stops: list 18.0pt 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Latar Belakang<o:p></o:p></span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Persalinan adalah suatu proses pengeluaran hasil konsepsi
dalam usia yang telah cukup bulang kandungan melalui jalan lahir atau melalui
jalan lain dengan bantuan atau tanpa bantuan / kekuatan sendiri.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Persalinan merupakan kejadian fisiologis, akan tetapi
kejadian fisiologis ini dapat menimbulkan komplikasi. Oleh karena itu perlu
dilakukan persiapan dan pengawasan yang ketat selama proses persalinan dengan
menggunakan partograf sehingga sehingga dapat diketahui secara dini, bila
terjadi keadaan yang fisiologis serta dapat mengambil tindakan yang tepat
sesuai dengan ibu.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Hal-hal diatas mendasari penulis untuk menyusun asuhan
kebidanan di Puskesmas Tembelang, dengan harapan agar seorang ibu yang telah
melahirkan secara normal dapat menekan angka kasakitan dan kematian ibu dan
bayi.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l14 level1 lfo8; tab-stops: list 18.0pt 27.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan<o:p></o:p></span></b></div>
<ol start="1" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l12 level1 lfo9; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan Umum<o:p></o:p></span></b></li>
</ol>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diharapkan
mahasiswa mampu memberikan Asuhan kebidanan pada ibu bersalin dengan
pendekatan.<o:p></o:p></span></div>
<ol start="2" style="margin-top: 0cm;" type="a">
<li class="MsoNormal" style="line-height: 150%; mso-list: l12 level1 lfo9; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan Khusus <o:p></o:p></span></b></li>
</ol>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mahasiswa
mampu:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Memahami teori
tentang persalinan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l17 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mengkaji data yang
menunjang asuhan kebidanan pada ibu bersalin.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Menginterpretasikan
data dasar.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mendiagnosa
masalah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l17 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mengidentifikasi
kebutuhan dan tindakan segera.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mengembangkan
intervensi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l17 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Melakukan
implementasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l17 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mengevaluasi
tindakan yang dilakukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l17 level1 lfo2; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mendokumentasikan
asuhan kebidanan yang telah dilakukan.<o:p></o:p></span></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: JA; mso-font-kerning: 1.0pt;"><br clear="all" style="page-break-before: always;" />
</span></b>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">BAB II <o:p></o:p></span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">TINJAUAN TEORI<o:p></o:p></span></b></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l16 level1 lfo10; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Konsep<span style="mso-spacerun: yes;"> </span>Dasar Teori Persalinan<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level2 lfo10; tab-stops: list 45.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Definisi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l15 level1 lfo3; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Persalinan adalah suatu proses pengeluaran hasil konsepsi
(janin + uri) yang dapat hidup dari dalam rahim melalui jalan lahir atau dengan
jalan lain. (Sinopsis Obstetri Jilid I).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l15 level1 lfo3; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Persalinan adalah proses pembukaan dan menipisnya
serviks, dan jalan turun kedalam jalan lahir, kelahrian adalah proses dimana
janin dan ketuban didorong keluar melalui jalan lahir. (Pelayanan Kesehatan
Maternal dan Neonatal).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l15 level1 lfo3; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Persalinan dan kelahiran normal adalah proses pengeluaran
janin yang terjadi pada kehamilan cukup bulan (37-42 minggu), lahir spontan
dengan presentasi belakang kepala yang berlangsung dalam 18 jam, tanpa
komplikasi baik pada ibu maupun pada janin. (Pelayanan Kesehatan Maternal dan
Neonatal).<o:p></o:p></span></div>
<div align="left" class="MsoNormal" style="line-height: 150%; text-align: left;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level2 lfo10; tab-stops: list 45.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Sebab-Sebab Yang
Menimbulkan Pesalinan<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Apa yang menyebabkan terjadinya persalinan belum
diketahui, yang ada hanyalah merupakan teori-teori yang kompleks antara lain
ditemukan gfaktor-faktor hormonal, struktur rahim, sirkulasi rahim, pengaruh
tekanan pada saraf dan nutrisi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Teori penurun
hormon (progesteron)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.05pt; mso-para-margin-left: 6.0gd; text-indent: -.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">1-2 minggu
sebelum partus mulai terjadi penurunan kadar hormon estrogen dan progesteron.
Progesteron berperan sebagai penenang otot-otot polos rahim dan akan
menyebabkan pembuluh darah sehingga timbul His bila kadar progesteron menurun.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Teori plasenta
menjadi tua<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.05pt; mso-para-margin-left: 6.0gd; text-indent: -.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Menyebabkan
turunnya kadar estrogen dan progesteron akan menimbulkan kontraksi rahim.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Teori Distensi
rahim<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.05pt; mso-para-margin-left: 6.0gd; text-indent: -.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rahim yang
menjadi besar dan merenggang menyebabkan iskemia otot-otot rahim sehingga mengganggu
sirkulasi utero plasenta.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Teori iritasi
mekanik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.05pt; mso-para-margin-left: 6.0gd; text-indent: -.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Di belakang
servik terdapat ganglion servikale (<i>fleksus frankenhauser</i>). Bila
ganglion ini di geser atau di tekan, misalnya oleh kepala janin, akan timbul
kontraksi usus.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Induksi partus
<i>(induction of labour)<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.05pt; mso-para-margin-left: 6.0gd; text-indent: -.05pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Partus dapat
ditimbulkan dengan jalan:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; mso-list: l9 level1 lfo4; tab-stops: list 81.0pt left 171.0pt 180.0pt; text-indent: -117.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Gagang laminaria<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Beberapa
laminaria dimasukkan kedalam kanalis servik alis dengan tujuan merangsang
pleksus frankenhauser.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; mso-list: l9 level1 lfo4; tab-stops: list 81.0pt left 171.0pt 180.0pt; text-indent: -117.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Amniotomi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Pemecahan
ketuban.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; mso-list: l9 level1 lfo4; tab-stops: list 81.0pt left 171.0pt 180.0pt; text-indent: -117.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Oksitosin drip<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Pemberian
oksitosin menurut tetesan per infus.<o:p></o:p></span></div>
<div align="left" class="MsoNormal" style="line-height: 150%; text-align: left;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level2 lfo10; tab-stops: list 45.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tanda-Tanda
Permulaan Persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Sebelum terjadi persalinan sebenarnya beberapa minggu
sebelumnya wanita memasuki ”bulannya”, ”minggunya” atau ”harinya” yang disebut
kala pendahuluan (<i>Preparatory Stage Of Labour</i>) pada kala ini memberikan
tanda-tanda sebagai berikut :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 60.0pt; mso-list: l8 level1 lfo5; tab-stops: list 60.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Lightening</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> atau <i>setting</i> atau <i>dropping</i> yaitu turun
kepala memasuki pintu atas panggul pada primigravida. Pada multigravita tidak
begitu terlihat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 60.0pt; mso-list: l8 level1 lfo5; tab-stops: list 60.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perut kelihatan
lebih melebar, fundus uteri menurun.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 60.0pt; mso-list: l8 level1 lfo5; tab-stops: list 60.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perasaan sering
atau susah kencing (<i>Polakisuna</i>) karena kandung kemih tertekan oleh
bagian bawah janin.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 60.0pt; mso-list: l8 level1 lfo5; tab-stops: list 60.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perasaan sakit
diperut dan di pinggang oleh adanya kontraksi-kontraksi lemah dari uterus,
kadang-kadang disebut ”<i>False Labour Pains</i>”. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level2 lfo10; tab-stops: list 45.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tanda-Tanda Inpartu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level1 lfo6; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rasa sakit oleh
adanya His yang datang lebih kuat, sering dan teratur.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level1 lfo6; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Keluar lendir
bercampur darah (<i>show</i>) yang lebih banyak karena robekan-robekan kecil
pada serviks.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level1 lfo6; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kadang-kadang pecah
dengan sendirinya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l1 level1 lfo6; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pada pemeriksaan
dalam, serviks mendatar dan pembukaan telah ada.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Seperti telah dikemukakan terdahulu, faktor-faktor yang
berperan dalam persalinan adalah:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l3 level1 lfo17; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kekuatan yang
mendorong janin keluar (<i>power</i>).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l16 level5 lfo10; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">His (kontraksi uterus).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l16 level5 lfo10; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kontraksi otot-otot dinding perut.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l16 level5 lfo10; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kontraksi diafragma.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l16 level5 lfo10; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ligamentus terutama ligamentum rotundum.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l3 level1 lfo17; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Faktor janin (<i>passanger</i>).<o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: JA; mso-font-kerning: 1.0pt;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l3 level1 lfo17; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Faktor jalan lahir
(<i>passage</i>).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pada waktu partus akan terjadi perubahan-perubahan pada
uterus, serviks, vagina dan dasar panggul.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level2 lfo10; tab-stops: list 45.0pt; text-indent: -1.0cm;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala Persalinan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dalam proses persalinan terdiri dari 4 kala yaitu:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 81.0pt 99.0pt 108.0pt; text-indent: -63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala<span style="mso-tab-count: 1;"> </span>I<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Waktu untuk membuka serviks sampai menjadi
pembukaan lengkap 10 cm.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 81.0pt 99.0pt 108.0pt; text-indent: -63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala<span style="mso-tab-count: 1;"> </span>II<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Kala pengeluaran janin, waktu uterus dengan
kekuatan harus ditambah mendorong janin keluar hingga lahir.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 81.0pt 99.0pt 108.0pt; text-indent: -63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala<span style="mso-tab-count: 1;"> </span>III<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Waktu untuk pelepasan dan pengeluaran uri.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 81.0pt 99.0pt 108.0pt; text-indent: -63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala<span style="mso-tab-count: 1;"> </span>IV<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Mulai dari lahirnya uri sampai 1-2 jam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; tab-stops: 81.0pt 99.0pt 108.0pt; text-indent: -63.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l7 level1 lfo11; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala I (Pembukaan)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Partus mulai (<i>inpartu</i>) di tandai dengan keluarnya
lendir bercampur darah (<i>bloody show</i>) karena serviks mulai membuka (<i>dilatasi</i>)
dan mendatar (<i>effacement</i>).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Darah berasal dari pecahnya pembuluh darah kapiler
sekitar kanalis servikalis karena pergeseran ketika serviks mendatar dan
terbuka.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala pembukaan dibagi menjadi 2 fase yaitu : <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 135.0pt; mso-list: l5 level1 lfo12; tab-stops: list 63.0pt left 126.0pt 135.0pt; text-indent: -90.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Fase Laten<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Dimana
pembukaan serviks berlangsung lambat, sampai pembukaan 3 cm berlangsung dalam
7-8 cm.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 135.0pt; mso-list: l5 level1 lfo12; tab-stops: list 63.0pt left 126.0pt 135.0pt; text-indent: -90.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Fase Aktif<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Berlangsung
6 jam dan dibagi atas 3 subfase:<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; mso-list: l5 level3 lfo12; tab-stops: list 81.0pt left 180.0pt 189.0pt; text-indent: -126.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Periode akselerasi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Berlangsung
2 jam pembukaan menjadi 4 cm.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; mso-list: l5 level3 lfo12; tab-stops: list 81.0pt left 180.0pt 189.0pt; text-indent: -126.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Periode dilatasi
maksimal (<i>steady</i>) : Selama 2 jam pembukaan berlangsung cepat menjadi 9
cm.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 189.0pt; mso-list: l5 level3 lfo12; tab-stops: list 81.0pt left 180.0pt 189.0pt; text-indent: -126.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Periode deselerasi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Berlangsung
lambat dalam waktu 2 jam pembukaan jadi 10 cm atau lengkap.<o:p></o:p></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l7 level1 lfo11; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala II (Kala
pengeluaran janin)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pada kala pengeluaran janin ini, His terkoordinir, kuat,
cepat dan lebih lama kira-kira 2-3 menit sekali. Kepala janin telah turun masuk
ruang panggul sehingga terjadilah tekanan pada otot-otot dasar panggul yang
secara reflektoris menimbulkan rasa mengejan. Karena tekanan pada rektum, ibu
seperti mau buang air besar dengan tanda anus terbuka. Pada waktu his, kepala
janin mulai kelihatan, vulva membuka dan puerineum meregang. Dengan His
mengedan yang terpimpin akan lahirlah kepala, diikuti oleh seluruh badan janin.
Kala II pada primi : 1½-2 jam sedang pada multi ½ –1 jam.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l7 level1 lfo11; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala III (Kala
pengeluaran uri)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Setelah bayi lahir, kontraksi rahim istirahat sebentar.
Uterus teraba keras denga fundus uteri setinggi pusat, dan berisi plasenta yang
menjadi tebal 2 x sebelumnya. Beberapa saat kemudian timbul his pelepasan dan
pengeluaran uri. Dalam waktu 5-1 menit seluruh plasenta lepas terdorong ke
dalam vagina dan akan lahir spontan atau dengan sedikit dorongan dari atas
simpisis atau fundus uteri. Seluruh proses biasanya berlangsung 5-30 menit
setelah bayi lahir. Pengeluaran plasenta dengan pengeluaran darah kira-kira
100-200cc.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l7 level1 lfo11; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala IV <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Yaitu kala pengawasan selama 1 jam setelah bayi dan uri
lahir untuk mengamati keadaan ibu terutama terhadap pendarahan post partum.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Lamanya persalinan pada primi dan multi adalah :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 198.0pt 306.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Primi<span style="mso-tab-count: 1;"> </span>Multi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 198.0pt 306.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala I<span style="mso-tab-count: 1;"> </span>13
jam<span style="mso-tab-count: 1;"> </span>7 jam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 198.0pt 306.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala II<span style="mso-tab-count: 1;"> </span>1
jam<span style="mso-tab-count: 1;"> </span>½ jam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 198.0pt 306.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kala III<span style="mso-tab-count: 1;"> </span>½
jam<span style="mso-tab-count: 1;"> </span>¼ jam<o:p></o:p></span></div>
<div align="left" class="MsoNormal" style="text-align: left;">
<br /></div>
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: JA; mso-font-kerning: 1.0pt;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">KONSEP DASAR ASUHAN KEBIDANAN<o:p></o:p></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l13 level1 lfo18; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pengkajian
data<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level4 lfo9; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Data Subyektif
adalah data dari hasil wawancara dengan pasien dan keluarganya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Biodata<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ditanyakan nama, umur, digunakan untuk menggolongkan
termasuk kehamilan beresiko atau tidak, pendidikan, pekerjaan, dan alamat untuk
mengetahui latar belakang pendidikan dan pengetahuan ibu, sehingga dapat
merencanakan asuhan kebidanan yang sesuai dengan kondisi ibu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Alasan datang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui alasan ibu datang ke puskesmas yaitu ibu
merasa akan melahirkan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Keluhan utama<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui keluhan ibu akibat pembukaan serviks,
ada kontraksi/keluar darah dari vagina atau tidak, ketuban pecah/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Riwayat kesehatan
yang lalu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui ada/tidaknya penyakit menular, panyakit
kronis, penyakit keturunan dan juga apakah ibu pernah operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Riwayat kesehatan
sekarang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui ada/tidaknya penyakit yang diderita ibu
saat ini.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Riwayat kesehatan
keluarga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui ada/tidaknya penyakit apa yang diderita
keluarga, penyakit menular, kronis, dan penyakit menurun.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Riwayat haid<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perlu dikaji tentang amenorhea, menarchea, siklus haid,
lamanya, banyaknya, keluhan saat haid, untuk mengetahui HPHT untuk mengetahui
perkiraan usia kehamilan dan taksiran persalinan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Riwayat perkawinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui berapa kali menikah, berapa lamanya,
serta pertama kali menikah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Riwayat kehamilan,
persalinan dan nifas yang lalu dan KB<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dapat memberikan petunjuk perawatan kehamilan saat ini
dan persalinan nifas selanjutnya (berapa kali hamil, anak lahir hidup/mati,
persalinan tepat/tidak, dengan tndakan atau tidak BB/PB). Keadaan nifas yang
lalu (menyusui tidak) serta KB yang diikuti ibu setelah melahirkan.<o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: JA; mso-font-kerning: 1.0pt;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Riwayat kehamilan sekarang dan rencana KB yang akan
datang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui apa saja yang pernah ibu peroleh selama
ANC, keluhan saat hamil sekarang dan kapan merasakan gerakan anak, serta untuk
mengetahui rencana KB yang diikuti lalu setelah kelahiran anaknya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pola kebiasaan sehari-hari<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Meliputi : pola nutrisi, eliminasi, istirahat aktifitas
dan olahraga, kebersihan diri, pola kebiasaan selama hamil yang mungkin
merugikan kesehatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l16 level3 lfo10; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Keadaan Psikososial, Spiritual dan Budaya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l16 level4 lfo10; tab-stops: list 81.0pt left 144.0pt 153.0pt; text-indent: -90.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Psikososial<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Untuk
mengetahui penerimaan ibu dan keluarga terhadap kehamilan ini.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l16 level4 lfo10; tab-stops: list 81.0pt left 144.0pt 153.0pt; text-indent: -90.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Spiritual<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Untuk
mengetahui agama yang dianut dan apakah ibu taat beribadah.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 153.0pt; mso-list: l16 level4 lfo10; tab-stops: list 81.0pt left 144.0pt 153.0pt; text-indent: -90.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Budaya<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Untuk
mengetahui kebiasaan ibu dan keluarga bila sakit berobat ke tenaga kesehatan
atau tidak, pantang makan tertentu/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level4 lfo9; tab-stops: list 45.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Data Obyektif :
adalah data dari hasil pemeriksaan tenaga kesehatan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l10 level1 lfo13; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pemeriksaan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l11 level1 lfo14; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Keadaan Umum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l11 level1 lfo14; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kesadaran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l11 level1 lfo14; tab-stops: list 81.0pt left 171.0pt 180.0pt 198.0pt 279.0pt 288.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tanda-tanda vital<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span></span><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">·</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Tekanan darah<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>110/60-130/90
mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; mso-list: l11 level2 lfo14; tab-stops: list 198.0pt left 279.0pt 288.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Nadi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>80-100 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; mso-list: l11 level2 lfo14; tab-stops: list 198.0pt left 279.0pt 288.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Suhu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>36-37,5 <sup>0</sup>C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 216.0pt; mso-list: l11 level2 lfo14; tab-stops: list 198.0pt left 279.0pt 288.0pt; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pernafasan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>16-24
x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l11 level1 lfo14; tab-stops: list 81.0pt left 171.0pt 180.0pt 198.0pt 279.0pt 288.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tinggi badan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>>
145 cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l11 level1 lfo14; tab-stops: list 81.0pt left 171.0pt 180.0pt 198.0pt 279.0pt 288.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">BB sebelum hamil<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 2;"> </span>kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l11 level1 lfo14; tab-stops: list 81.0pt left 171.0pt 180.0pt 198.0pt 279.0pt 288.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">BB selama hamil<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 2;"> </span>kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l11 level1 lfo14; tab-stops: list 81.0pt left 171.0pt 180.0pt 198.0pt 279.0pt 288.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Lila 23,5<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 2;"> </span>kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l11 level1 lfo14; tab-stops: list 81.0pt left 171.0pt 180.0pt 198.0pt 279.0pt 288.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tafsiran
persalinan:<span style="mso-tab-count: 2;"> </span>cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; tab-stops: 171.0pt 180.0pt 198.0pt 279.0pt 288.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l10 level1 lfo13; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pemeriksaan Fisik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l4 level1 lfo15; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Inspeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Rambut<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Bersih/tidak,
rontok/tidak, kulit kepala bersih/tidak, mudah dicabut atau tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Muka<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Pucat/tidak,
oedem/tidak, terdapat chloasma gravidarum/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Mata<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Simetris
atau tidak, bersih/tidak, sklera kuning/tidak, conjungtiva pucat/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Telinga<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Simetris/tidak,
bersih/tidak, fungsi pendengaran baik/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Leher<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ada
pembesaran kelenjar tyroid/tidak ada bendungan jugularis/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dada<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Retraksi
intercosta/tidak, payudara simetris/tidak, puting susu menonjol atau tidak,
hiperprgmentasi areola mammae/tidak, bersih/tidak, pembesaran areola mamae
normal/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perut<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ada
bekas operasi/tidak, ada striae /tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Genetalia<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>bersih/tidak,
varises/tidak, odema/tidak, ada bekas jahitan/tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt 279.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ekstremi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Oedem/tidak,
Varieses/tidak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l4 level1 lfo15; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Palpasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Leher<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Adakah
pembesaran kelenjar tyroid, bendungan vena jugularis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 138.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt; text-indent: -75.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Payudara<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Adakah
benjolan abnormal, colostrum keluar/belum.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 210.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 132.0pt 138.0pt 186.0pt 204.0pt 210.0pt; text-indent: -147.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perut<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Leopold<span style="mso-tab-count: 1;"> </span>I<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>TFU bagian yang ada di fundus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 210.0pt; tab-stops: 186.0pt 204.0pt 210.0pt; text-indent: -72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Leopold<span style="mso-tab-count: 1;"> </span>II<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Punggung kanan/kiri, bagian kecil bayi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 210.0pt; tab-stops: 186.0pt 204.0pt 210.0pt; text-indent: -72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Leopold<span style="mso-tab-count: 1;"> </span>III<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Bagaikan apa yang terletak paling bawah, sudah
masuk PAP/belum<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 210.0pt; tab-stops: 186.0pt 204.0pt 210.0pt; text-indent: -72.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Leopold<span style="mso-tab-count: 1;"> </span>IV<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Seberapa masuknya kepala ke PAP<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l4 level1 lfo15; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Auskultasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 117.0pt 126.0pt; text-indent: -63.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Dada<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ronchi
(+/-), reles (+/-), whezing (+/-)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 117.0pt 126.0pt; text-indent: -63.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perut<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Peristaltik
(+/-) DJJ terdengar di sebelah kanan/kiri, frekuensi DJJ 120-60 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l4 level1 lfo15; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Perkusi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 126.0pt; mso-list: l4 level2 lfo15; tab-stops: list 81.0pt left 117.0pt 126.0pt; text-indent: -63.0pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Reflek patella (+/+
atau -/-)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l10 level1 lfo13; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pemeriksaan
penunjang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l6 level1 lfo16; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Laboratorium (HCG,
DL, UL, Gol darah)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui adanya penyakit yang menyertai misalnya
: kencing manis.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l6 level1 lfo16; tab-stops: list 81.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">USG, Rontgen<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 63.0pt; mso-list: l10 level1 lfo13; tab-stops: list 63.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pemeriksaan dalam
(vagina tusal)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l10 level2 lfo13; tab-stops: list 81.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Vulva/vagina<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>varises/tidak, oedema/tidak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l10 level2 lfo13; tab-stops: list 81.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pengeluaran
pervaginam<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>darah lendir sedikit/banyak<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l10 level2 lfo13; tab-stops: list 81.0pt left 216.0pt 225.0pt 261.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pembukaan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>......cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l10 level2 lfo13; tab-stops: list 81.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Ketuban<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>(+/-)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l10 level2 lfo13; tab-stops: list 81.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Bagian terdahulu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Kepala/bokong<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 81.0pt; mso-list: l10 level2 lfo13; tab-stops: list 81.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Bagian terendah<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>UUK/bokong<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l13 level1 lfo18; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">II.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Interpretasi
Data Dasar<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 81.0pt 90.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diagnosa<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>G.......P.......UK......minggu, inpartu,
kala....fase...<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; tab-stops: 81.0pt 90.0pt; text-indent: -63.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">DS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Ibu
mengatakan kencing mulai jam .... tanggal.... 2008, sudah/belum mengeluarkan
air ketuban.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; tab-stops: 81.0pt 90.0pt 108.0pt 216.0pt 225.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">DO<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;"> </span>Tanggal
pemeriksaan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>...... jam .......<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l2 level1 lfo7; tab-stops: list 108.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">BB/TB<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>.......kg/cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l2 level1 lfo7; tab-stops: list 108.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">LILA<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>......cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l2 level1 lfo7; tab-stops: list 108.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Taksiran persalinan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>tgl
......<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l2 level1 lfo7; tab-stops: list 108.0pt left 216.0pt 225.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Keadaan Umum<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>baik,
lemah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l2 level1 lfo7; tab-stops: list 108.0pt left 216.0pt 225.0pt 261.0pt 270.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Tanda-tanda vital<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Tensi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>100/60-130/90
mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; tab-stops: 261.0pt 270.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Nadi<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>80-100 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; tab-stops: 261.0pt 270.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Suhu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>36-37,5 <sup>0</sup>C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225.0pt; tab-stops: 261.0pt 270.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">RR<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>16-24 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l2 level1 lfo7; tab-stops: list 108.0pt; text-indent: -21.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">TFU jari bawah Px,
punggung kanan/kiri, letak kepala/ bokong/lintang, sudah masuk PAP/belum,
seberapa bagian.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; mso-list: l2 level1 lfo7; tab-stops: list 108.0pt; text-indent: -21.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">DJJ didengar di
sebelah mana, frekuensi 120-160 x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l13 level1 lfo18; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">III.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Identifikasi
Masalah dan Diagnosa Potensial<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui keadaan dan komplikasi yang terjadi pada
saat persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l13 level1 lfo18; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">IV.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Kolaborasi dan
Tindakan Segera<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk mengetahui kebutuhan segera dan tindakan apa yang
tepat dilakukan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l13 level1 lfo18; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">V.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Intervensi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pda langkah ini direncanakan asuhan yang menyeluruh
ditentukan oleh langkah-langkah sebelumnya. Langkah ini merupakan menejemen
terhadap diagnosa/masalah yang telah didefinisikan atau diantisipasi, pada
langkah ini informasi atau data dasar yang tidak lengkap dapat dilengkapi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l13 level1 lfo18; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VI.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Implementasi<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pada langkah ini rencana asuhan menyeluruh seperti yang
telah diuraikan pda langkah lima dilaksanakan secara rutn dan aman.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; mso-list: l13 level1 lfo18; tab-stops: list 27.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">VII.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><!--[endif]--><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Evaluasi <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27.0pt; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Pada langkah ini dilakukan evaluasi keefektifan dan usaha
yang sudah, meliputi keutuhan akan bantuan apakah benar-benar terpenuhi.<o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS Mincho"; mso-fareast-language: JA; mso-font-kerning: 1.0pt;"><br clear="all" style="page-break-before: always;" />
</span>
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<br /></div>
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<br /></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-78508971883951302102012-06-11T06:18:00.000-07:002012-06-11T06:19:27.170-07:00ASUHAN KEBIDANAN (ASKEB) PADA IBU HAMIL<br />
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 200%;">ASUHAN KEBIDANAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 200%;">Pada Ny “H” GɪɪɪP</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Cambria Math', serif; font-size: 14pt; line-height: 200%;">₂</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 200%;">000</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Cambria Math', serif; font-size: 14pt; line-height: 200%;">₂</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 200%;">
Uk 7 Minggu<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 200%;">Dengan Kondisi Ibu dan Janin Baik <o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 200%;">Di PUSKESMAS MAYANGAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt;">Disusun oleh :<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: 'Times New Roman', serif; font-size: 14pt;">Nur Alfi Abida<o:p></o:p></span></u></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt;">NIM.7209010<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt;">PROGRAM STUDI DIII KEBIDANAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt;">FAKULTAS ILMU KESEHATAN<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt;">UNIVERSITAS PESANTREN TINGGI DARUL ‘ULUM<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt;">JOMBANG<o:p></o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: 'Times New Roman', serif; font-size: 14pt;">2010<o:p></o:p></span></b></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 20pt; line-height: 115%;">Kata
Pengantar<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Assalamualaikum wr,wb<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Puji syukur kehadirat Allah SWT, yang mana berkat rahmat
, taufik serta hidayahNYA , sampai akhirnya asuhan kebidanan ini dapat disusun
dan diselesaikan .<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Shalawat serta salam tak lupa kita panjatkan kepada
junjungan kita nabi besar Muhammad SAW yang telah membawa kita dari zaman
kegelapan menuju zaman yang terang benderang yaitu Dinul Islam.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Pada penyusunan
Asuhan Kebidanan ini dapat terselesaikan
tak jauh dari berbagai pihak yang telah memberikan dukungan baik secara
langsung maupun tidak langsung pada penulis.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada akhirnya pada
tempat kiranya penulis menyampaikan terimakasih yang sebesar-besarnya kepada :<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> 1.Ayah dan ibu tercinta , yang selalu memotivasi <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> 2.Ibu Hj.Sabrina Dwi Prihartini , SKM selaku kepala prodi
DIII Kebidanan FIK UNIPDU<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> 3.Ibu Sri Indah Yusuf Amd.Keb, selaku pembimbing dari
Puskesmas<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> 4.Ibu Dewi Sundari Amd, Keb. Selaku pembimbing di BPS<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> 5.Ibu Muzayyaroh, SSt dan Ibu Listriana , SST selaku
dosen dan pembimbing.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> 6.Pihak pasien, keluarga serta teman-teman yang membantu
dalam penyusunan Asuhan Kebidanan ini.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Semoga Asuhan Kebidanan
ini dapat bermanfaat bagi pembaca pada umumnya dan penulis pada khususnya.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Amin<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Wassalamualaikum, wr,wb<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Jombang,15
Des 2010<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penyusun<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB I <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENDAHULUAN<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Latar
Belakang<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan
merupakan suatu fenomena dan suatu hal yang diinginkan oleh sepasang suami
istri, akan tetapi kehamilan sering tidak diinginkan pada pasangan yang belum
menjadi pasangan suami istri, sehingga hal ini dapat meningkatkan kematian ibu
dan anak, seperti yang terjadi di negara-negara maju, angka kematian maternal
berkisar 5-10 per 100.000 kelahiran hidup, sedangkan di negara-negara yang
sedang berkembang berkisar 75 per 100.000 kelahiran hidup, tingkat kematian
maternal di Indonesia diperkirakan
berkisar 450 per 100.000 kelahiran hidup.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Setelah
perang dunia ke-2 pemeriksaan dan pengawasan terhadap ibu hamil mengalami
kemajuan dengan pesat. PBB melalui WHO dan UNICEFnya membantu BKIA diseluruh
dunia dengan uang,obat-obatan,tenaga terampil dan peralatan terutama untuk
negara-negara yang sedang berkembang.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">(sinopsis
Obstetri ,1998)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Seorang
ibu hamil memeriksakan kehamilannya pada petugas kesehatan seperti bidan,
dokter, spesialis kebidanan, dalam hal ini ibu hamil tersebut dapat memeriksakan
kehamilannya di puskesmas,KIA,BPS atau RS.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tujuan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tujuan
Umum<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mahasiswa mampu
menerapkan asuhan kebidanan pada ibu hamil normal serta mendapatkan pengalaman
dalam memecahkan maslah ibu hamil normal.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tujuan
khusus<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memahami
teori<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mahasiswa
mampu melaksanakan pengkajian data<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mahasiswa
dapat mengidentifikasi diagnosa masalah ,kebutuhan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mahasiswa
mampu mengantisipasi masalah potensial<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mahasiswa
dapat menyusun rencana asuhan kenidanan sesuai dengan prioritas masalah.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mahasiswa
dapat mengevaluasi keefektifan asuhan kebidanan yang telah dilakukan<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB II <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">LANDASAN TEORI<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">I.KEHAMILAN
NORMAL<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Pengertian<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan
adalah pertemuan dan persenyawaan antara sel telur (ovum)dan sperma
(spermatozoa). Masa kehamilan dari konsepsi sampai kelahiran janin dimana masa
kehamilan selama 40 minggu <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">(sarwono
Prawirohardjo,1998:125)<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan
(graviditas) adalah mulai dengan konsepsi ( pembuahan ) berakhir dengan
permulaan persalinan (FK UNPAD,1983)<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan
merupakan episode dramatis terhadap kondisi biologis, perubahan psikologis dan
adaptasi dari seorang wanita yang pernah mengalaminya. ( Abdul Bari Saifuddin,
2002)<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jadi
kehamilan adalah pertemuan sel telur dan sperma (konsepsi/pembuahan ) yang
kemudian menempel pada endometrium ( nidasi ), tumbuh dan berkembang menjadi
janin yang mana membutuhkan waktu selama 40 minggu.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda dan gejala
Kehamilan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda
tidak pasti<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Amenorhea ( tidak dapat haid )<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mual dan muntah (Nausea dan vomiting)<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mengidam<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tidak tahan suatu bau-bauan<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mudah pingsan<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tidak ada selera makan<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Payudara membesar<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sering kencing<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Konstipasi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda
kemungkinan hamil<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perut membesar<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Uterus membesar,terjadi perubahan dalam
bentuk,besar dan konsistensi rahim<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda hegar ( melunaknya uterus)<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda chadwick (membirunya serviks)<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda piskacek (pembesaran uterus yang
tidak rata tetapi di daerah telur berkembsng cepat)<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Braxton hiks (kontraksi kecil uterus
bila diransang)<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Teraba ballotement ( melenting )<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Reaksi kehamilan positif<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda
pasti<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Teraba bagian janin<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terasa gerakan janin <o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terdengar DJJ<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Melihat rangka janin dengan pemeriksaan
ultrasonografi<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Permulaan kehamilan
dibagi dalam 3 fase :<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Fertilisasi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Adalah suatu peristiwa
pertemuan antara sel sperma dan ovum<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Migrasi
<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Adalah perpindahan
zygote dari ampula ke endometrium<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nidasi
<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Adalah tertanamnya
blastula kedalam dinding endometrium<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pertumbuhan
janin pada berbagai periode kehamilan<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
4 minggu<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Rumental mata, telinga,
hidung, saluran yang akan menjadi jantung terbentuk.<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
8 minggu<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hidung, telinga,
jari-jari , kelopak mata lebih menebal, kepala menekuk ,alat kelamin mulai
tampak tapi belum dapat diketahui jenisnya.<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
12 minggu ,(3 jari diatas shympisis)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Daun telinga jelas,
kelopak mata lebih menebal, leher mulai terbentuk, alat kandungan terbentuk,
namun berdefernsiasi , ginjal terbentuk sedikit air kencing.<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
16 Minggu (16-18 cm/0,5 shmpisis dan pusat)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Genetalia terbentuk dan
dapat dikenali<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
20 minggu (25 cm/3 jari dibawah pusat)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kulit lebih tebal ,
rambut mulai tumbuh ,lanugo tumbuh,
detak jantung terdengar ,berat -/+ 300 gr<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
24 minggu (30-32 cm)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kedua kelopak mata
tumbuh alis dan bulu mata , kulit keriput ,bila lahir dapat bernafas, tapi dapat
hidup beberapa jam saja , berat -/+ 800gr<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
32 minggu (40-43 cm)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kulit merah dan keriput
, bayi prematur ,lapisan lemak dibawah kulit sudah berisi, berat -/+ 2200 gr<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
40 minggu (50-55 cm)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bayi cukup bulan ,kulit
licin ,vernik banyak ,rambut kepala tumbuh baik, pada pria testis sudah ada
pada skrotum, pada bayi perempuan labia mayora sudah menutupi labia minora.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perubahan – perubahan
fisiologis kehamilan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem
reproduksi<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Suplai darah ke organ reproduksi
meningkat ,karena peningkatan hormon<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hipervaskularisasi menyebabkan perubahan
pada organ reproduksi <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Serviks
menjadi lunak akibat meningkatnya suplai darah (tanda goodels)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Uterus
lunak<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Vagina
membiru keunguan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem
integumen<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Payudara nyeri tekan<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Payudara menjadi lebih besar<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Areola payudara makin hiperpigmentasi<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Puting susu makin menonjol<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pengeluaran ASI belum berlangsung karena
prolaktin belum berfungsi karena hambatan dari PH (prolaktin Inhibiting Hormon
) untuk mengeluarkan ASI<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kulit ,striae gravidarum<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pigmentasi <o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Linea nigra<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Cloasma gravidarum<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Respirasi dan sekresi kelenjar lemak<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelenjar sebasea menjadi lebih aktif<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem
Endokrin<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ovarium dan placenta menghilangkan
hormon<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelenjar tyroid membesar, tetapi yang
dihasilkan tetap<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelenjar paratyroid meningkat<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pancreas menghasilkan lebih banyak
insulin<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelenjar pituitari mengalami pembesaran<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kelenjar adrenal meningkat<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem
kardiovaskuler<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Volume darah meningkat<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sel darah merah meningkat<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem
muskuluskeletal<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Terjadi dekalsifikasi<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kram sering terjadi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sistem
gastrointestinal<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hipersalivasi<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mual muntah<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Konstipasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perubahan
psikologi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menurut
teori Rubin<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester
I : takut, frustasi,khawatir<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester
II: perasaan lebih enak,meningkatnya kebutuhan untuk mempelajari terhadap
perkembangan dan pertumbuhan janin.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester
III: berperasaan aneh, sembrono, menjadi introvent,merefleksikan terhadap
pengalaman masa lalu.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pembagian
usia kehamilan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan
dibagi tiga trimester:<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester
I : 0-12 minggu<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester
II: 13-28 minggu<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">trimesterIII:29-40minggu<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">frekuensi
pemeriksaan kehamilan (ANC)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">trimester
I=minimal 1x kunjungan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester
II=minimal 1x kunjungan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester
III=minimal 2x kunjungan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">II.
Pengawasan Antenatal<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Asuhan Antenatal (antenatal care)
meliputi pengawasan terhadap kehamilan, untuk mendapat informasi mengenai
kesehatan umum ibu, menegakkan secara dini penyakit yang menyertai kehamilan,
menegakkan secara dini komplikasi kehamilan dan menetapkan resiko kehamilan
(resiko tinggi, resiko meragukan dan resiko rendah ). Asuhan antenatal juga
untuk menyiapkan persalinan menuju kelahiran bayi yang baik ( well born baby)
dan kesehatan ibu baik (well healthy mother) mempersiapkan pemeliharaan bayi
dan laktasi , memfasilitasi pulihnya kesehatan ibu yang optimal pada saat akhir
kala nifas.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Setiap wanita hamil menghadapi
resiko komplikasi yang bisa mengancam jiwanya . oleh karena itu setiap wanita
hamil memerlukan sedikitnya empat kali kunjungan selama periode antenatal. Pada
setiap kali kunjungan antenatal tersebut, perlu didapatkan informasi yang
penting<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kunjungan
Trimester I (antara 0-12 minggu)<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Membangun hubungan saling percaya antara
petugas kesehatan dan ibu hamil<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mendeteksi masalah dan menanganinya<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Melakukan tindakan pencegahan seperti
tetanus neonaturum, anemi,kekurangan zat besi, penggunaan praktik yang
merugikan<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memakai persiapan kelahiran bayi dan
kesiapan untuk menghadapi komplikasi<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mendorong perilaku yang sehat
(gizi,latihan dan kebersihan, istirahat,dsb)<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kunjungan
Trimester II (antara 14-28 minggu)<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sama seperti diatas, ditambah
kewaspadaan khusus mengenai preeklamsia ( tanya ibu tentang gejala-gejala
preeklamsia,pantau tekanan darah, evaluasi edema, )<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 38.25pt; mso-add-space: auto; mso-list: l34 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kunjungan
trimester III pertama (antara 28-36 minggu)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 38.25pt; mso-add-space: auto; text-align: justify; text-indent: 33.75pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-
sama seperti diatas , ditambah palpasi abdominal untuk mengetahui apakah ada
kehamilan ganda <o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kunjungan
Trimester III kedua ( setelah minggu ke-36)<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sama seperti diatas , ditambah deteksi
lebih bayi yang tidak normal, atau kondisi lain yang memerlukan kelahiran di
RS.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mendapatkan semua informasi yang diperlukan, sehubungan dengan hal-hal diatas ,
petugas kesehatan akan memberikan asuhan antenatal yang baik dengan
langkah-langkah sbb:<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Siapa ibu (dan juga keluarganya)dan
membuatnya merasa nyaman<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mendapatkan riwayat kehamilan ibu dan
mendengarkan dengan teliti apa yang diceritakan ibu<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Melakukan pemeriksaan fisik seperlunya
saja<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Melakukan pemeriksaan laboratorium<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Melakukan anamnesis , pemeriksaan fisik
dan laboratorium untuk menilai pakah kehamilannya normal<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; mso-list: l11 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Membantu ibu dan keluarganya untuk
mempersiapkan kelahiran dan kemungkinan keadaan darurat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 113.25pt; mso-add-space: auto; mso-list: l6 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bekerjasama dengan ibu, keluarga , serta
masyarakat untuk mempersiapkan rencana kelahiran , termasuk mengidentifikasi
penolong dan tempat bersalin serta perencanaan tabungan untuk mempersiapkan
biaya persalinan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 113.25pt; mso-add-space: auto; mso-list: l6 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bekerjasama dengan ibu ,keluarganya dan
masyarakat untuk mempersiapkan rencana jika terjadi komplikasi termasuk :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 95.25pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-mengidentifikasi kemana harus pergi dan
transportasi untuk mencapai tempat tersebut<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 95.25pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-mempersiapkan donor darah<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 95.25pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-mengadakan persiapan finansial<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 95.25pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-mengidentifikasi pembuat keputusan
kedua jika pembuat keputusan pertama tidak ada ditempat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> - Memberikan konseling<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Gizi : peningkatan konsumsi makanan
hingga 300 kalori perhari,mengkonsumsi makanan yang mengandung protein,zat
besi,minum cukup(menu seimbang)<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Latihan : senam normal tak
berlebihan,istirahat jika lelah<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perubahan fisiologi : bertambah berat
badan,perubahan pada payudara , tingkat tenaga yang bisa menurun, mual selama
triwulan pertama, rasa panas dan atau varises, hub.suami isteri boleh dilakukan
selama kehamilan (dianjurkan memakai kondom)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; mso-list: l29 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menasehati ibu untuk mencari pertolongan
segera jika ia mendapati tanda-tanda bahaya sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-janin tidak bergerak
seperti biasanya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-perdarahan pervaginam<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-sakit kepala lebih
dari biasanya<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-gangguan penglihatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-pembengkakan pada
wajah dan tangan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-nyeri
abdomen(epigastrik)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> - Merencanakan dan
mempersiapkan kelahiran yang bersih dan aman dirumah<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mendiskusikan praktek-praktek
tradisional,posisi melahirkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; mso-list: l8 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mengidentifikasi siapa yang dapat
membantu bidan selama persalinan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; mso-list: l11 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjaga kebersihan diri terutama lipatan
kulit ( ketiak, bawah buah dada,daerah genetalia) dengan cara dibersihkan dan
dikeringkan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; mso-list: l11 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjelaskan cara merawat payudara
terutama pada ibu yang mempunyai puting susu bermasalah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; mso-list: l11 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memberikan zat besi 90 tablet diminum 1x
setiap hari selama 90 hari mulai minggu ke-20<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; mso-list: l11 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memberikan imunisasi TT 0,5 cc , jika
sebelumnya telah mendapatkannya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; mso-list: l11 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menjadwalkan kunjungan berikutnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; mso-list: l11 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mendokumentasikan kunjungan tersebut<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 77.25pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB III<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">KONSEP DASAR ASUHAN
KEBIDANAN<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Definisi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Asuhan kebidanan adalah aktivitas atau interaksi yang
dilakukan bidan kepada klien yang membutuhkan atau mempunyai permasalahan dalam
bidang pengetahuan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Dalam memberikan asuhan kebidanan pada klien, bidan
menggunakan metode pendekatan pemecahan masalah dengan difokuskan pada suatu
proses sistematis dan analisis, dalam memberikan asuhan kebidanan kita
menggunakan 7 langkah varney, yaitu :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo1; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pengkajian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo1; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Identifikasi
diagnosa dan masalah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo1; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Identifikasi
diagnosa dan masalah potensial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo1; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Identifikasi
kebutuhan segera<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo1; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Intervensi/
pengembangan rencana<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo1; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Implementasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l39 level1 lfo1; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Evaluasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">MANAJEMEN KEBIDANAN VARNEY<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l12 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Langkah
I Pengkajian Data<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l17 level1 lfo3; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Data
subjektif<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l5 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Biodata
/ identitas pasien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l23 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nama
ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mengetahui identitas klien dan
agar tidak terjadi kesalahan pengkajian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l23 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur
ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mengetahui usia ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l23 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Suku/
bangsa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mengetahui suku dan budaya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l23 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Status<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mengetahui kedudukan ibu dalam
keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l23 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pendidikan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mengetahui tingkat pendidikan ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l23 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pekerjaan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mengetahui sejauh mana pengaruh
kesehatan ibu dan aktifitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; mso-list: l23 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">g.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Agama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk mengetahui kepercayaan klien terhadap agama
yang dianutnya sehingga memudahkan dalam melakukan asuhan dan pendekatan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> ANAMNESE<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l26 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keluhan utama<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui keluhan utama yang dirasakan ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat menstruasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui menstruasi pertama ibu, siklus menstruasi, banyaknya menstruasi dan <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">lamanya
menstruasi .<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat kehamilan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui apakah ada penyakit –penyakit kehamilan yang mungkin timbul pada
kehamilan yang lalu atau kehamilan ini yang mungkin berpengaruh pada kehamilan
dan persalinan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat kehamilan ini<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui hari pertama haid terakhir, taksiran persalinan dan keluhan yang
dirasakan ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat kesehatan masa lalu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui apakah pernah mengalami sakit yang mungkin bisa berpengaruh pada
kehamilannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat kesehatan keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui penyakit yang mungkin ada dalam keluarganya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat KB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui jenis KB apa yang pernah digunakan ibu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo6; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat sosial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui bagaimana psikis klien dengan kehamilan ini maupun status
perkawinannya.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l17 level1 lfo3; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Data
objektif<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pemerksaan
fisik<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keadaan umum : untuk mengetahui kesadaran secara keseluruhan<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kesadaran : Untuk mengetahui tingkat kesadaran<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">TTV, BB, TB dan LILA<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nadi
:untuk mengetahui frekuensi tekanan jantung ibu permenit<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tekanan
darah : untuk mengetahui tekanan darah ibu dalam batas normal.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">c.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pernafasan
: untuk mengetahui frekuensi pernafasan ibu permenit<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">d.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Suhu
: untuk mengetahui temperatur ibu<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">e.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BB
: untuk mengetahui berat badan ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 126.0pt; mso-add-space: auto; mso-list: l31 level1 lfo9; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">f.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">TB
: untuk mengetahui tiggi badan ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 126.0pt; mso-add-space: auto; mso-list: l31 level1 lfo9; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">g.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">LILA
: untuk mengetahui lingkar lengan ibu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pemeriksaan
fisik khusus<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kepala : untuk mengetahui kulit kepala bersih
atau tidak<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mata : konjungtiva merah muda atau tidak
, sklera putih / kuning, simetris atau tidak<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hidung ; simetris atau tidak, bersih /
tidak<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mulut : simetris atau tidak, bersih atau
tidak<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Telinga : simetris atau tidak, bersih
atau tidak<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Leher : ada pembesaran kelenjar
tyroid/paratyroid/ vena jugularis<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dada : simetris/ tidak, ada wheezing /
ronchi<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perut : Ada bekas luka operasi/ tidak<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ekstremitas atas : simetris/ tidak, ada
kelainan pada jari-jarinya atau tidak<o:p></o:p></span></div>
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<span style="font-size: 12pt; line-height: 150%;">-<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ekstremitas bawah : simetris/tidak, ada
kelainan pada jari-jarinya atau tidak.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Langkah
II IDENTIFIKASI DIAGNOSA DAN MASALAH<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui atau menentukan diagnosa data subjektif dan data objektif , kemudian
masalah dan kebutuhan saat itu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">DS
= ...<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">DO=
...?<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dx
= Ny “...” G...P Uk...dengan...<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Langkah
III<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Identifikasi
diagnosa dan masalah potensial<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui diagnosa/ masalah potensial berdasarkan interpretasi data.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Langkah
IV<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Identifikasi
kebutuhan segera<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
mengetahui tindakan saat ini , yang perlu segera diberikan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Langkah
V<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Intervensi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk
menentukan tujuan / kriteria , an diagnosa , kemudian menentukan rencana yang
akan dilakukan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo2; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Langkah
VI<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Implementasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada
langkah keenam ini rencana asuhan menyeluruh , seperti yang telah diuraikan.
Pada langkah ini dilaksanakan secara efisien dan aman, sesuai dengan kebutuhan
klien. Perencanaan ini bisa dilakukan oleh bidan dan sebagian lagi oleh
keluarga / anggota tim kesehatan yang lain.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l12 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">ü<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Langkah
VII<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Evaluasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada
langkah ini dilakukan evaluasi keefisienan dan usaha yang telah meliputi kebutuhan
akan bantuan, apakah benar-benar telah terpenuhi sesuai dengan kebutuhan klien
sebagaimana didefinisikan di dalam diagnosa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Evaluasi
sesuai dengan SOAP ( subjektif, objektif, assesment dan planning)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB IV<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">ASUHAN KEBIDANAN
Ny “H” GɪɪɪP</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">000</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Uk 7 Minggu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dengan KEHAMILAN NORMAL<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Di PUSKESMAS MAYANGAN<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">I.Pengkajian<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Tanggal :2 Desember 2010 jam
:09.30<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Identitas<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nama : Ny “H” Nama :
Tn “ W “ <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Umur : 35 tahun Umur :
40 tahun<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Suku/bangsa:
jawa/Indonesia Suku/bangsa : Jawa/ Indonesia<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Agama : Islam Agama : Islam<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pendidikan : SMA Pendidikan :
SMA<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pekerjaan : Tidak bekerja Pekerjaan :
Wiraswasta<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Alamat : Mayangan Alamat : Mayangan<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anamnese<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keluhan
utama<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ibu mengatakan sering
mual dan pusing<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
menstruasi<o:p></o:p></span></div>
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<span style="font-family: 'Courier New'; font-size: 12pt; line-height: 150%;">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Haid pertama :13 tahun<o:p></o:p></span></div>
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<span style="font-family: 'Courier New'; font-size: 12pt; line-height: 150%;">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Siklus :30
hari<o:p></o:p></span></div>
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<span style="font-family: 'Courier New'; font-size: 12pt; line-height: 150%;">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Banyaknya :1-4 hari:2 kotex penuh, 5-7 hari: 1 kotex<o:p></o:p></span></div>
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<span style="font-family: 'Courier New'; font-size: 12pt; line-height: 150%;">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Disminorrhoe : -<o:p></o:p></span></div>
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<span style="font-family: 'Courier New'; font-size: 12pt; line-height: 150%;">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Lamanya :
7 hari<o:p></o:p></span></div>
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<span style="font-family: 'Courier New'; font-size: 12pt; line-height: 150%;">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sifat darah : Merah segar<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
kehamilan , persalinan dan Nifas yang lalu<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
kehamilan ini<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hari pertama haid terakhir :10 okt 2010<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tafsiran Persalinan :17 juli 2010<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Keluhan – keluhan<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester I : mual, muntah, pusing<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester II: -<o:p></o:p></span></div>
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<span style="font-family: Wingdings; font-size: 12pt; line-height: 150%;">Ø<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trimester
III: -<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Diet / makan <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Makanan sehari –hari<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sebelum
hamil : 3x sehari dengan porsi sedang <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menu : nasi , sayur ,
lauk<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Minum: 5-6 gelas / hari<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Saat
hamil : 2x sehari dengan porsi sedikit ( nafsu makan berkurang )<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Menu : nasi ,sayur,
lauk<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Minum: 4-5 gelas/ hari<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pola eliminasi<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sebelum
hamil : BAK : 5-6 x/hari, warna kuning jernih<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB
: 1-2x/hari, konsistensi lunak<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Saat
Hamil : BAK
: 5-6x/hari,warna kuning jernih<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">BAB : 1x/hari,
konsistensi lunak<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pola Istirahat<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sebelum
hamil : Tidak pernah tidur siang,
malam 8 jam (21.00-05.00)<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Saat
hamil : Pola istirahat pasien
tetap seperti biasa seperti sebelum hamil.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pola personal Hygiene<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">a.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Sebelum
hamil : mandi 2x/hari, gosok gigi
3x/hari, kramas 2x/minggu<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">b.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Saat
hamil : pasien tetap melakukan
personal hygiene seperti sebelum hamil.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
kesehatan masa lalu<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ibu mengatakan tidak
pernah menderita penyakit menurun seperti asma, kencing manis, tekanan darah
tinggi, dll<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dan penyakit menular
seperti TBC,penyakit kuning, dll<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
kesehatan keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ibu mengatakan dalam
keluarganya tidak ada yang menderita penyakit menurun seperti Asma, kencing
manis, tekanan darah tinggi, dll . dan penyakit menular seperti TBC, penyakit
kuning, dll<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
KB<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ibu mengatakan pernah
menggunakan Kb pil selama 3 bulan tetapi tidak dilanjutkan lagi.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Riwayat
sosial<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan ini diterima
, dan ibu merasa senang dengan kehamilannya.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Status perkawinan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Kawin
1: umur 20 tahun, lamanya 15 tahun<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">C.DATA OBYEKTIF<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> 1.Pemeriksaan Fisik Umum<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> a. keadaan
umum =baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Kesadaran =cosposmentis<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Keadaan Emosional = Ibu
merasa senang dengan kehamilannya yang ketiga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> TTV= TD:130/70 mmHg BB:53kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> HR:82x/menit TB:153cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> S:36,5°C LILA:23cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> RR:20x/menit<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.Pemeriksaan Fisik Khusus <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> a. Inspeksi : <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kepala:Rambut hitam,lurus,bersih,tidak
ada ketombe<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Muka:Simetris,tidak ada odema,tidak
pucat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mata:Simetris,sklera putih,konjungtiva
merah muda<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hidung:Simetris,Bersih,tidak ada sekret<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mulut: simetris,tidak ada
stomatitis,tidak ada caries pada gigi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Telinga:Simetris,tidak ad sekret<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Leher:Tidak ad pembengkakan kelenjar
tyroid<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dada: Simetris<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perut:Tidak ada bekas luka operasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ekstremitas atas/bawah;tidak ada odem,
tidak ada gangguan pergerakan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> b. Palpasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Abdomen: Leopold 1:belum teraba<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Leopold 2: - <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Leopold 3: -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Leopold 4: -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> c.Auskultasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Dada : - tidak terdengar wheezing, ronchi<o:p></o:p></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 90.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> -belum
terdengar DJJ<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> d.Perkusi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> -Reflek
Patela: +/+<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> e. Uji diagnostik<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Pemeriksaan
Penunjang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> a.Laboratorium<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Test
urine(PP test) =positif<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">II. INTERPRETASI DATA DASAR<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Dx: Ny “H” GɪɪɪP</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">000</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Uk 7 minggu dengan
kehamilan normal<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Ds:Ibu mengatakan merasa senang
dengan kehamilannya yang ketiga<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Do: K/U
:baik S:36,5°C TB:153cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> TD:130/70 mmHg RR:20x/menit Lila:23cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> N:82x/menit BB:53kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Masalah: -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Kebutuhan : - makan-makanan yang bergizi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-Istirahat cukup<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-melakukan 7 T pada ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.Timbang 5.Temu wicara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.Tinggi badan 6.Test PMS<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.TTV<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 180.0pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.TFU<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> -Menjaga
personal hygiene<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> -Memberikan
koseling tentang :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; mso-list: l38 level2 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Courier New'; font-size: 12pt; line-height: 150%;">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bahaya kehamilan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 144.0pt; mso-add-space: auto; mso-list: l38 level2 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Courier New'; font-size: 12pt; line-height: 150%;">o<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda –tanda persalinan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 108.0pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-follow
up 1 bulan lagi atau jika ada keluhan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">III.
IDENTIFIKASI , DIAGNOSA DAN MASALAH POTENSIAL<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Dx Potensial : -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Masalah Potensial : -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">IV.
IDENTIFIKASI KEBUTUHAN AKAN TINDAKAN SEGERA / KOLABORASI<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> -<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">V.
MERENCANAKAN ASUHAN YANG MENYELURUH<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Dx: Ny “ H “ GɪɪɪP</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">000</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Uk 7 minggu dengan
keadaan umum ibu dan janin baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Tujuan: setelah dilakukan asuhan
selama 20 menit, diharapkan ibu mengerti tentang kondisinya dan melaksanakan anjuran dari
petugas.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Kriteria : Keadaan Umum : baik <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> TD:<140/90
mmHg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> N:80x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> S:36,5°C-37,5°C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> RR:16-24x/menit<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Intervensi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l21 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Lakukan
pendekatan pada ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/akan
timbul rasa percaya antara klien dengan petugas kesehatan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Observasi
TTV<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/deteksi
dini adanya komplikasi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anjurkan
ibu cukup istirahat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/menjaga
kondisi ibu tetap baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan
kepada ibu tentang kondisi kehamilannya saat ini<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/klien
tidak khawatir dengan kehamilannnya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Berikan
penjelasan tentang nutrisi dan pola makan teratur<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/dengan
pola makan teratur, mengontrol kenaikan BB<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Anjurkan
klien untuk rutin memeriksakan kehamilannya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/mengetahui
perkembangan kesehatan klien<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Jelaskan
tentang tanda bahay kehamilan trimester 1<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/deteksi
dini terjadinya bahay pada ibu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l21 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Berikan
obat sesuai kebutuhan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">R/untuk
mengurangi keluhan klien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">VI.
IMPLEMENTASI<o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 154.0pt;" valign="top" width="205"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanggal/jam<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.5pt;" valign="top" width="350"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pelaksanaan + hasil<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.6pt;" valign="top" width="61"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">TTD<o:p></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 154.0pt;" valign="top" width="205"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">02 Des 2010<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.5pt;" valign="top" width="350"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.Melaksanakan pendekatan ibu dengan
cara menyapa ibu dengan sopan, ramah, dan mendengarkan keluhan-keluhan ibu
dengan baik.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.Melakukan observasi TTV,TB,BB,dan
LILA<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> TD:130mmHg
TB:153cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
N:82x/menit BB:53kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> RR:20x/menit LILA:23cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> S :36,5°C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.Menganjurkan agar ibu istirahat yang
cukup<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.Menjelaskan tentang keadaan ibu dan
kondisi kehamilannya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
- Kondisinya baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
- Keadaan janin baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.Menganjurkan klien untuk makan yang
teratur dan nutrisi yang seimbang bagi ibu hamil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">6.Menganjurkan klien untuk rutin
memeriksakan kehamilannya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> - Trimester I minimal 1x<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> - Trimester II minimal 1x<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> - Trimester III minimal 2x<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">7.Menjelaskan tentang tanda bahaya
pada kehamilan Trimester 1<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
- Perdarahan pervaginam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
- Nyeri abdomen yang hebat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
- Sakit kepala yang hebat , menetap, tidak menghilang<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">8.memberikan obat keluhan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> - Antasid (3x1tablet)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> - B6 (1x1)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 45.6pt;" valign="top" width="61"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">VII.
EVALUASI<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> S: Ibu mengatakan sudah mengerti dan
memahami penjelasan petugas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> O: TD:130/70
mmHg TB:153cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> N :82x/menit BB:53kg<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> RR:20x/menit LILA:23cm<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> S: 36,5°C<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> A: GɪɪɪP</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">000</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Uk 7 minggu dengan
kondisi ibu dan janin baik<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> P: -
Istirahat yang cukup<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> -Memberikan konseling
tentang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l38 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kehamilan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l38 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Nutrisi yang baik untuk ibu hamil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 108.0pt; mso-add-space: auto; mso-list: l38 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Personal hygiene<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">-Follow
up 1 bulan lagi atau jika ada keluhan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 180.0pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">PENUTUP<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l7 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">A.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kesimpulan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pengertian
kehamilan adalah pertemuan sel telur dan sperma yang kemudian menempel pada
endometrium, tumbuh dan kembang menjadi janin selama 4 minggu.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Tanda-
tanda kehamilan terdiri dari tanda tidak pasti, tanda kemungkinan ,& tanda
pasti.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Perubahan
anatomi & fisiologi pada saat kehamilan sebagai akibat hormon estrogen,
progesteron, dan somayotropin. Yaitu menimbulakn perubahan pada
uterus,vagina,ovarium,payudara , sistem sirkulasi darah, sistem pernafasan,
sistem pencernaan,urinaria dan metabolisme.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">4.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pemeriksaan
kehamilan pada trimester I=1x, Trimester II=1x, Trimester III=2x<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l20 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">5.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pada
Ny “H” dengan keadaan ibu dan janin baik GɪɪɪP</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">000</span><span style="font-family: 'Cambria Math', serif; font-size: 12pt; line-height: 150%;">₂</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">
Uk 7 minggu mengatakan bahwa mual dan pusing.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l7 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">B.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Saran<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">1.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bagi
petugas kesehatan<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Untuk lebih
meningkatkan kualitas pelayanan kesehatannya sehingga pasien merasa puas dan
mendapat hasil yang seoptimal mungkin.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">2.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bagi
pasien<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pasien harus lebih
kooperatif bertanya pada petugas kesehatan waktu memeriksakan kehamilannya
untuk mengetahui adanya komplikasi atau tidak.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">3.<span style="font: normal normal normal 7pt/normal 'Times New Roman';"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Bagi
mahasiswa<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Memperdalam pengetahuan
sehingga dapat memberikan konseling secara optimal.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 115%;">DAFTAR PUSTAKA<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 115%;">Prawirohardjo,Sarwono,2006.<i style="mso-bidi-font-style: normal;">Ilmu kebidanan .</i>Jakarta : YBP<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 115%;">Prof,Dr.Mochtar,Rustam,MPH.1998.<i style="mso-bidi-font-style: normal;">Sinopsis Obstetri Edisi 2.</i>Jakarta . EGC<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 14pt; line-height: 115%;">Prof.Sastrawinata, sulaiaman.1983. <i style="mso-bidi-font-style: normal;">Obstetri Fisiologi.</i> Bandung .Elemen <o:p></o:p></span></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-79010605289258228052012-06-03T05:14:00.001-07:002012-06-03T05:39:44.893-07:00eXiss di buLAnn MuDA_.bEfore fiNaL teStttttttt......<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8A64rRwzmHh1qXTTU6cDB2JLvNnqrskQ0IZ-6AEAG_Mox4z-zUm30khFrM53_tDV_oWYAvuBHz1CtoS0zDIxmgUwlvDtgO9uguAFOI-lkNb_mSnO9dcsGQsTwF6rchLJaMwSyE6wbM1Y/s1600/IMG905.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8A64rRwzmHh1qXTTU6cDB2JLvNnqrskQ0IZ-6AEAG_Mox4z-zUm30khFrM53_tDV_oWYAvuBHz1CtoS0zDIxmgUwlvDtgO9uguAFOI-lkNb_mSnO9dcsGQsTwF6rchLJaMwSyE6wbM1Y/s320/IMG905.jpg" width="320" /></a></div>
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.seMANgAaaaaaaaaatTTTTTTTTTTTT!!!!!!!!!!!<br />
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. ^_^putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-68888168482046926562012-05-31T11:42:00.002-07:002012-05-31T11:47:42.296-07:00cAra Jitu nGiLAngin PikIran SuMpeK...<h2>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhs6ljICZWZ0YnMC-GPugfb4MQxn5LhkhYrdOr2AOan4iP0UlsGSLA0Qhd9uajIRVNXpnKYlsSwjkOtlljc6f_jD30XupsgThGndAERnNAs_WSlkrjFgV9Imkingg7mUq7l-Efr5rxpXek/s1600/strees.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhs6ljICZWZ0YnMC-GPugfb4MQxn5LhkhYrdOr2AOan4iP0UlsGSLA0Qhd9uajIRVNXpnKYlsSwjkOtlljc6f_jD30XupsgThGndAERnNAs_WSlkrjFgV9Imkingg7mUq7l-Efr5rxpXek/s1600/strees.jpg" /></a></div>
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Meski ga tiap hari, tapi seringkali kita merasa bahwa hal hal yang tidak sesuai dengan<br />
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kita bisa membuat pikiran menjadi sumpek, bawaannya marah marah, kerjaan jadi<br />
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serba salah, diajak berbicara ga nyambung, muka masem, bibir condong kebawah ,<br />
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cemberut, pengennya nglempar2 barang yang ada dihadapan kita, pengennya teriak2, etc<br />
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lah, itu mungkin sebagian dari ciri ciri orang lagi sumpek atau lebih sering kita kenal<br />
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dengan <i>Bad MooD atau tanda Stress dini....</i></div>
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beberPa Tip dibawah mungkin bisa mengurangi bahkan menghilangkan rasa <i>sumpek</i></div>
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1. Dengerin Musik</div>
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<span class="Apple-style-span" style="line-height: normal;"><span class="Apple-style-span" style="line-height: 20px;"><br /></span></span><br />
<span class="Apple-style-span" style="line-height: normal;"><span class="Apple-style-span" style="line-height: 20px;">mendengarkan musik favorit Anda merupakan metode yang bagus untuk mengurangi stres dan menghilangkan kecemasan, </span><span class="Apple-style-span" style="line-height: 20px;"><span class="Apple-style-span" style="line-height: normal;">salah satu penelitian membuktikan bahwa dengan mendengarkan musik bisa mengurangi stress, musik bisa mengendurkan saraf2 yang tegang akibat dari pikiran yang kacau.</span></span></span></div>
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Musik yang menenangkan dapat memiliki efek relaksasi pada gelisah, tegang pikiran. Hal ini juga dapat menurunkan tekanan darah, memperlambat pernapasan dan detak jantung. jenis musik yang bisa membantu anda bekerja yang terbaik dan kemudian membuat koleksi musik untuk membantu anda rileks dan merasa baik.</div>
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2. MAkan BAnyak</div>
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mungkin beresiko gendut memang bagi yang takut gemuk, tapi beberapa kenyataan memang membuktIkan dengan mengkonsumsi makanan yang berlebih bisa membuat pikiran yang tegang menjadi lebih tenang. (<i>soalnya que sendiri pernah membuktikannya plend....hehehe)</i></div>
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3. Jalan Jalan</div>
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Melihat pemandangan di Alam bebas membuat pikiran lebih fresh, bisa berfikir jernih.</div>
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4. Curhat kE Temen</div>
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Mungkin dengan bercerita kepada teman terdekat bisa mengurangi beban pikiran, meski tidak menghilangkan stress tapi setidaknya beban pikiran akan sedikit berkurang.</div>
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5. Shalat</div>
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Bagi kalian yang bergama Muslim bisa melakukan shalat sunah, shalat malam terbukti bisa menyehatkan Jasmani maupun Rohani kita.</div>
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atau yang beragama Non Muslim bisa mengunjungi gereja, kuil, dll pkox tempat beribdah sesuai keyakinan masing masing. </div>
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6. Tidur</div>
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Dengan Tidur mungkin akan mengendurkan sementara saraf saraf yang tegang karena berbagai hal yang membuat pikiran menjadi sumpek.</div>
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7. <span class="Apple-style-span" style="line-height: 18px;">mEditasi. </span></div>
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<span class="Apple-style-span" style="line-height: 18px;"><br /></span><br />
<span class="Apple-style-span" style="line-height: 18px;">Para ahli kesehatan mengatakan bahwa alat yang sangat ampuh dalam mengatasi stress adalah meditasi. Meditasi sangat membantu membersihkan pikiran kita dan meningkatkan konsentrasi. </span></div>
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<span class="Apple-style-span" style="line-height: 18px;">Telah terbukti bahwa meditasi selama 15 menit sama dengan kita beristirahat selama 1 jam. Meskipun anda hanya melakukan meditasi selama 2 menit, tetap akan cukup membantu.</span></div>
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Meditasi akan sangat membantu anda melupakan hal-hal yang dapat menyebabkan stress.</div>
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8. Melakukan kegiatan <span class="Apple-style-span" style="line-height: 18px;">Seks bagi anda yang sudah berkeluarga</span></div>
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seks adalah penyembuhan yang sangat baik untuk menghilangkan stress. Banyak dokter mengatakan bahwa seks adalah cara yang luar biasa dalam meredam kemarahan dan stress</div>
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seks adalah penyembuhan yang sangat baik untuk menghilangkan stress. Banyak dokter mengatakan bahwa seks adalah cara yang luar biasa dalam meredam kemarahan dan stress. </div>
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<span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: small;">Setiap OraNg kAdaR stResx BrbedA dAn cAra MengaTAsinya bErbedA pUla,... alpHye hnYA meMberi SebagIan KecIL yG seRing aLphye laKuin KAlo LaGi bAd MoOd, keCuaLi pOint yAnG teRakhIR,...(<i>point 8) </i>aLphy beLum PrnAh, kan Itu kHusuS yG udAh bRkeLuarGA....hehe iTu reFerensi yG prNAh aLphy bCa dLAm mAterI kUL.....hehe<br /><br />seKian dLU yach.....aDA saLah Kata/ bAhsa atAU aPApun, </span></div>
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<span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: small;">nGApunten EngKAng kaTHAh...<br /><br />see U next tiMe.</span></div>
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<span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: small;">26 roOm, at 01.40 dIteMAni KekAsih HAti . . .<br /><br /><br />_ydE_</span></div>
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</div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com1tag:blogger.com,1999:blog-1824918336444908792.post-84056557656528450682012-05-22T03:19:00.002-07:002012-06-03T05:38:35.058-07:00Training Jurnalistik untuk Calon Wartawan Muda di kampus UNIPDU Jombang<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQAvw5iNmdKz7nmXyWSGRzdr9B4xwDn1U4iYVhPN0P3AV2kuPBV6RA6kpVelHNlfYMian9maILotRfR-BgNxaQthsEF3h4nXfQP3iCw0Q1pLqKi_FTRMag1LMcXtN7HwkOEpIKWK-UFhk/s1600/wrtwan.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQAvw5iNmdKz7nmXyWSGRzdr9B4xwDn1U4iYVhPN0P3AV2kuPBV6RA6kpVelHNlfYMian9maILotRfR-BgNxaQthsEF3h4nXfQP3iCw0Q1pLqKi_FTRMag1LMcXtN7HwkOEpIKWK-UFhk/s320/wrtwan.jpg" width="222" /></a></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">JOMBANG
- UNIPDU Jombang kembali menggelar workshop yang bertajuk “Training
Jurnalistik Tingkat Dasar” , acara yang diprakarsai oleh BEM UNIPDU ini diselenggarakan selama 2 hari berturut
turut , mulai tanggal 16-17 Mei bertempat
di ruang seminar kampus utama UNIPDU. Meski acara dimulai 2 jam lebih
lambat dari jadwal semula, namun semangat dari para peserta tidak menyurutkan
untuk mengikuti pelatihan ini , Dibuka oleh Dr KH Isrofil Amar Mag selaku wakil
rektor bidang kemahasiswaan, acara ini mendapat antusias baik dari mahasiswa
yang tergabung dalam UKM Jurnalistik
maupun mahasiswa umum dari berbagai fakultas di UNIPDU. “ Pelatihan seperti ini
penting karena banyak mahasiswa yang tertarik dalam bidang kejurnalistikan,
tetapi mereka belum bisa mengapresiasikannya, sehingga dengan acara seperti ini
bisa menambah wawasan serta pengalaman bagi calon penulis pemula. Ucap wakil
rektor dalam sambutannya. <o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Selanjutnya
acara inti yang dibawakan oleh bapak Kamaluddin salah satu anggota dari PWI
(persatuan wartawan Indonesia) cukup meningkatkan mood dari peserta yang
tadinya merasa bosan dengan pengunduran waktu . Pak Kamal dapat membuat acara
ini semakin berwarna dengan <i style="mso-bidi-font-style: normal;">banyolannya </i>yang
segar , dan ilmu dari beliau sangat bermanfaat bagi kami, ucap salah satu
peserta training yang diwawancarai setelah acara usai. (alphy.red)<o:p></o:p></span></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-50381710019648334152012-05-12T09:02:00.001-07:002012-05-12T09:02:29.796-07:00akhirnya...<br />
<br />
akhirnya . . . .<br /><br />mungkin inilah jawabannya,,,<br /><br />atauu??putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-14096058144535136842012-03-22T10:12:00.000-07:002012-03-22T10:50:53.639-07:00MADU, mengatasi Luka TANPA terLuka<br />
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<span style="color: blue; font-family: Symbol; font-size: 12pt; line-height: 150%;"><span style="font: normal normal normal 7pt/normal 'Times New Roman';"> <span class="Apple-style-span" style="background-color: white;"> </span></span></span><span style="background-color: white; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #990000;">QS
An-Nahl 69 “<i>Dari perut lebah itu keluar
minuman (madu)yang bermacam-macam warnanya, di dalamnya terdapat obat yang
menyembuhkan bagi manusia “<o:p></o:p></i></span></span></div>
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<span class="Apple-style-span" style="color: #990000; font-family: 'Times New Roman', serif; font-size: x-large;"><b style="background-color: white;">What is Honey?????</b></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_J9DJwhKSUHuE_D_ePTWvI4wzHqORreK63Q8nfmvHVae4_NGuNiYheekQHxp66Zzf74R-QmQdSroiQDUe-ROwKqsMw0xsx2eZWj1zQNNp49xhJhnjpJEEoCuBN8QIR3lpvApBZUQqqpg/s1600/madu.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_J9DJwhKSUHuE_D_ePTWvI4wzHqORreK63Q8nfmvHVae4_NGuNiYheekQHxp66Zzf74R-QmQdSroiQDUe-ROwKqsMw0xsx2eZWj1zQNNp49xhJhnjpJEEoCuBN8QIR3lpvApBZUQqqpg/s320/madu.jpg" width="306" /></a></div>
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<span class="Apple-style-span" style="background-color: white; color: #990000; font-family: 'Times New Roman', serif;">Simakk yukkzzz....,,,</span></div>
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<span class="Apple-style-span" style="background-color: white; color: #990000; font-family: 'Times New Roman', serif;">Jauh sebelum peradaban Mesir kuno , penggunaan MAdu sudah menjamur dikalangan dunia kesehatan , bahkan nabi Agung kita juga menganjurkan untuk menggunakan Madu dalam mengatasi berbagai masalah penyakit, seperti dalam sabda beliau yang diriwayatkan oleh salah seorang sahabat yang intinya begini ''<i> hendaknya kamu menggunakan dua jenis obat yang menyembuhkan yakni </i> <i>Alqur'an dan MAdu "</i></span></div>
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<span class="Apple-style-span" style="background-color: white; color: #990000; font-family: 'Times New Roman', serif;">hmmm...sip bener kan hadisnya guys, terlebih dalam salah satu ayat yang udah gw pasangkan di awal postingan ini, tentunya akan semakin menambah kepercayaan kita untuk menggunakan madu sebagai alternatif pengobatan tradisionaL.</span></div>
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<span class="Apple-style-span" style="color: #990000; font-family: 'Times New Roman', serif;"><b style="background-color: white;">Lanjut gaa??? Lanjut gAA???</b></span></div>
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<span class="Apple-style-span" style="color: #990000; font-family: 'Times New Roman', serif;"><b style="background-color: white;">Lanjuuttt yAchh!!!!! mumPung mataq MAsih Bening N otAk qw MAsih enCer....he...He..he</b></span></div>
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<span class="Apple-style-span" style="color: #990000; font-family: 'Times New Roman', serif;"><b>sebenernya Ne materi MerupaKAn sebAgian KeciL dari KTI gw guys, but I'll share to you...<br />bagi2 pEngetahuan Ibadah Kann!!!!<br /><br />:D </b></span></div>
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<span class="Apple-style-span" style="color: blue; font-family: 'Times New Roman', serif;"><b><br /></b></span></div>
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<span class="Apple-style-span" style="font-family: 'Times New Roman', serif;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;"><span style="font: normal normal normal 7pt/normal 'Times New Roman';"><span class="Apple-style-span" style="font-weight: bold;"><b><span class="Apple-style-span" style="color: blue; font-size: small;"> </span><span class="Apple-style-span" style="color: magenta; font-size: x-large;"><i>Honey for wound dressing!!!!!!!!!!!!</i></span></b></span></span></span></span></div>
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<span class="Apple-style-span" style="font-family: 'Times New Roman', serif;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Orang –
orang Mesir kuno telah menganjurkan untuk menutup luka dengan kain katun yang
telah direndam di dalam cairan madu selama 4 hari. Baru baru ini, anjuran kuno
ini kembali diujicobakan oleh ahli bedah asal inggris yang bernama Dr. Michael
di Norfolk & Norwich Hospital, Inggris. Dalam percobaan ini, madu
menunjukkan hasil yang menakjubkan ketika ia digunakan untuk mengompres luka
yang terjadi disebabkan operasi pengangkatan payudara karena serangan kanker.
Operasi tersebut menyebabkan timbulnya luka berlubang yang dalam dan bernanah.
Luka tersebut berhasil membaik dalam waktu singkat setelah diobati dengan madu.
Karena madu memang mengandung beberapa zat gizi yang berperan penting untuk mempercepat
proses pembentukan jaringan tubuh dan madu juga dapat meredam peradangan pada
luka bernanah yang sulit pulih. Madu juga dapat menambah kuantitas sekresi
(keluaran) glutasium pada luka yang akan membantu terjadinya proses oksidasi
dan reduksi serta merangsang pertumbuhan dan pembelahan sel sel baru yang akan
mempercepat kesembuhan ( Hamad, 2007).<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: 'Times New Roman', serif;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> Selain itu madu juga dapat digunakan sebagai
terapi topikal untuk luka bakar, infeksi, dan luka ulkus. Sampai saat ini telah
banyak hasil penelitian yang melaporkan bahwa madu efektif untuk perawatan
luka, baik secara klinis maupun laboratorium. Ada beberapa hasil
penelitian yang melaporkan bahwa madu sangat efektif digunakan sebagai terapi
topikal pada luka melalui peningkatan jaringan granulasi dan kolagen serta
periode epitelisasi secara signifikan (Suguna et al., 1992;1993; Aljady et
al.,2000). Menurut Lusby PE (2006) madu juga dapat meningkatkan waktu kontraksi
pada luka. Madu efektif sebagai terapi topikal karena kandungan nutrisi yang
terdapat di dalam madu dan hal ini sudah diketahui secara luas. Bergman
menyatakan secara umum bahwa madu mengandung 40% glukosa, 40% fruktosa, 20% air
dan asam amino, vitamin biotin, asam nikotinin, asam folit, asam pentenoik,
proksidin, tiamin, kalsium, zat besi, magnesium, fosfor, dan kalium. Madu juga
mengandung zat antioksidan dan H2O2 (Hidrogen Peroksida) sebagai penetral
radikal bebas. Madu mempunyai osmolaritas yang tinggi merupakan larutan yang
mengalami supersaturasi dengan kandungan gula yang tinggi dan mempunyai
interaksi kuat dengan molekul air sehingga akan dapat menghambat pertumbuhan
mikroorganisme dan mengurangi aroma pada luka. Salah satunya adalah pada luka
infeksi yang disebabkan oleh bakteri Staphylococcus aureus. Seperti yang
dilaporkan Cooper et al (1999), hasil studi laboratorium menunjukkan madu
memiliki efek anti bakteri pada beberapa jenis luka infeksi, misalnya bakteri
Staphylococcus aureus. Hasil penelitian lain melaporkan madu alam dapat
membunuh bakteri Pseudomonas aeruginosa dan Clostritidium (Efem & Iwara,
1992). Luka dapat menjadi steril terhadap kuman apabila menggunakan madu
sebagai dressing untuk terapi topikal. Selain itu pH madu yang berkisar 3,6-3,7
dapat mencegah terjadinya penetrasi dan kolonisasikuman (Efem, 1998). Apabila
terjadi kontak dengan cairan luka khususnya luka kronis, cairan luka akan
terlarut akibat kandungan gula yang tinggi pada madu, sehingga luka menjadi
lembap dan hal ini dianggap baik untuk proses penyembuhan. Bila madu dilarutkan
dengan cairan (eksudat) pada luka, hidrogen peroksida akan diproduksi. Hal ini
terjadi akibat adanya reaksi enzim glukosa oksidase yang terkandung di dalam
madu yang memiliki sifat antibakteri. Proses ini tidak menyebabkan kerusakan
pada jaringan luka dan juga akan mengurangi bau yang tidak enak pada luka
khususnya luka kronis. Hidrogen peroksida dihasilkan dalam kadar rendah dan
tidak panas sehingga tidak membahayakan kondisi luka (Ninjihad, 2011).<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: 'Times New Roman', serif;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hasil penelitian menunjukkan bahwa
aktivitas sel darah lymphosit B and lymphosit T dapat distimulasi oleh madu
dengan konsentrasi 0.1% (Abuharfeil dkk,1999). Adanya aktivitas limfosit dan
fagosit ini menunjukkan respons kekebalan tubuh terhadap infeksi khususnya pada
luka. Madu yang bersifat asam dapat memberikan lingkungan asam pada luka sehingga
bisa mencegah bakteri melakukan penetrasi dan kolonisasi. Hasil penelitian
Gethin GT et al (2008) melaporkan madu dapat menurunkan pH dan mengurangi
ukuran luka kronis (ulkus vena/arteri dan luka dekubitus) dalam waktu dua
minggu secara signifikan. Hal ini akan memudahkan terjadinya proses granulasi
dan epitelisasi pada luka.<o:p></o:p></span></span></div>
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<span class="Apple-style-span" style="font-family: 'Times New Roman', serif;"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Penelitian Kamaruddin pada tahun
1997, peneliti dari Departement of Biochemistry, Faculty of Medicine,
Universiti of Malaya, di Kualalumpur yang menyebutkan ada 4 faktor keutamaan
madu yang bertanggung jawab terhadap aktivitas antibakteri:<o:p></o:p></span></span></div>
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<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Kadar gula madu yang tinggi akan menghambat
pertumbuhan bakteri sehingga bakteri tidak dapat berkembang biak.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Madu mempunyai tingkat keasaman yang tinggi (pH3,4 -
4,5) sehingga bakteri tidak akan bisa bertahan hidup.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Madu jika bersenyawa dengan air akan menghasilkan
hydrogen peroksida yang bersifat desinfektan dan membunuh mikroorganisme
pathogen.<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Madu juga mempunyai senyawa organic yeng bersifat
antibakteri spt flavonoid, polyphenol dan glikosida.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Dr. W.G. Sacket, ahli mikrobiologi dari <i>Colorado Agriculture College Fort Collins </i>berkata,
“Kuman demam mati dalam masa 48 jam. Kuman A dan B <i>Typhosus </i>mati dalam masa 24 jam. Organisme yang menyerupai <i>Thyphoid Bacillus </i>mati dalam masa 5 jam.
Kuman-kuman yang menyebabkan pneumonia kronis mati pada hari keempat. Begitu
juga bakteri-bakteri yang menyebabkan penyakit seperti peritonitis, pleuritis
dan bisul bernanah.”<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">(Baskhara, 2008)<o:p></o:p></span></div>
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<span style="border-bottom-color: windowtext; border-bottom-style: none; border-bottom-width: 1pt; border-left-color: windowtext; border-left-style: none; border-left-width: 1pt; border-right-color: windowtext; border-right-style: none; border-right-width: 1pt; border-top-color: windowtext; border-top-style: none; border-top-width: 1pt; font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; padding-bottom: 0cm; padding-left: 0cm; padding-right: 0cm; padding-top: 0cm;">Madu sebagai antibiotik</span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> efektif
untuk menumpas spesies microbial yang <i><span style="border-bottom-color: windowtext; border-bottom-style: none; border-bottom-width: 1pt; border-left-color: windowtext; border-left-style: none; border-left-width: 1pt; border-right-color: windowtext; border-right-style: none; border-right-width: 1pt; border-top-color: windowtext; border-top-style: none; border-top-width: 1pt; padding-bottom: 0cm; padding-left: 0cm; padding-right: 0cm; padding-top: 0cm;">resistance </span></i>terhadap
antibiotic buatan manusia. Madu sebagai antibiotik juga memiliki beberapa
kelebihan dibanding antibiotic buatan manusia antara lain :<o:p></o:p></span></div>
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</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pengobatan dengan madu tidak menimbulkan inflamasi
(radang)<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Madu dapat mengurangi rasa sakit<o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Madu bersifat antimicrobial yang dapat mencegah
microba tumbuh<o:p></o:p></span></div>
<div class="MsoNormal" style="color: blue; font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Madu membersihkan luka infeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="color: blue; font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pengobatan dengan madu menghilangkan bau pada luka<o:p></o:p></span></div>
<div class="MsoNormal" style="color: blue; font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Madu mengobati luka lebih cepat dan tanpa menimbulkan
bekas luka<o:p></o:p></span></div>
<div class="MsoNormal" style="color: blue; font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: Symbol; font-size: 10pt; line-height: 150%;">·<span style="font: normal normal normal 7pt/normal 'Times New Roman';">
</span></span><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Mempunyai <i><span style="border-bottom-color: windowtext; border-bottom-style: none; border-bottom-width: 1pt; border-left-color: windowtext; border-left-style: none; border-left-width: 1pt; border-right-color: windowtext; border-right-style: none; border-right-width: 1pt; border-top-color: windowtext; border-top-style: none; border-top-width: 1pt; padding-bottom: 0cm; padding-left: 0cm; padding-right: 0cm; padding-top: 0cm;">stimulatory effect</span></i> yang
mempercepat tumbuhnya jaringan tubuh kembali.<o:p></o:p></span></div>
<div class="MsoNormal" style="color: blue; font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br /></span></div>
<div class="MsoNormal" style="font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #660000;">itulah guys Sebagian KeciL matEri Madu,,,<br />insyAllah kapan2 gw Mo share Yang Lebih bnYAk Lagi...</span></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #660000;"><br /></span></span></div>
<div class="MsoNormal" style="font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #660000;">key!!<br /><br />Thankzz telah MAmPir di rUmah kedUA aLphye....</span></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #660000;"><br /></span></span></div>
<div class="MsoNormal" style="font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #660000;">may ALLAH Blessing U all!!!</span></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #660000;"><br /></span></span></div>
<div class="MsoNormal" style="font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #660000;">salam, Putri Ceriwis_</span></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #660000;"><br /></span></span></div>
<div class="MsoNormal" style="font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #4c1130;">ne Daftar refErensinya guyz!!!</span></span></div>
<div class="MsoNormal" style="font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #4c1130;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 144pt; text-align: justify; text-indent: 36pt;">
<span class="Apple-style-span" style="color: #4c1130;"><br /></span></div>
<span class="Apple-style-span" style="color: #4c1130;">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Setiawati,tanti
.2007.<i>Mengenal Lebah Madu dan Cara
Pemeliharaannya .</i>Jakarta Pusat:
Karya Mandiri Pratama .<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Margajaya,Rahmat.2008.
<i>Empat Hewan yang menyehatkan. </i>Jakarta
Timur: Rahma Edukasitama .</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Trubus.2010.<i>Trio Herbal.</i> Jakarta Pusat : PT Trubus
Swadaya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Haviva.2011.<i>Dahsyatnya Mukjizat Madu.</i> Jogjakarta
:Diva Press<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Hamad,sa’id.2007.<i> Terapi Madu.</i> Depok: Pustaka Iman<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Suranto,adjie.2008.<i>Khasiat dan Manfaat Madu Herbal. </i>Jakarta
Selatan: Agro Media Pustaka<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Fathoni,dkk.2011.<i>Pro Herbal .</i> Semarang: Ash-Shaf media<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Darmawan,wawan.2008.<i>Lebah Madu. </i>Depok: Penebar swadaya<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span class="Apple-style-span" style="font-size: small; font-weight: normal;"><b></b></span></div>
<div class="MsoNormal" style="display: inline !important; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></b></div>
<div class="MsoNormal" style="display: inline !important; line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Baskhara,ali.
2008.<i>Khasiat dan Keajaiban Madu.</i>
Yogyakarta: Kreasi wacana Offset</span></b></div>
<span class="Apple-style-span"><div class="MsoNormal" style="display: inline !important; font-size: medium; font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="display: inline !important; font-size: medium; font-weight: bold; line-height: 150%; text-align: justify;">
<span class="Apple-style-span" style="font-size: small; font-weight: normal;"><b></b></span></div>
<div class="MsoNormal" style="display: inline !important; line-height: 150%; text-align: justify;">
<span class="Apple-style-span" style="font-size: 16px;">Maslihah,dwi. 2010.<i>Manfaat Madu. </i>Palembang</span></div>
</span>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">take
from </span><a href="http://tacikcimbruts.student.umm.ac.id/about/.Manfaat"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">http://tacikcimbruts.student.umm.ac.id/about/.Manfaat</span></a><span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br /></span><br />
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Ninjihad,2011.
Madu dalam Penyembuhan Luka . diakses tanggal 14 Maret pukul 21.53 <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">take
from </span><a href="http://ninjihad.wordpress.com/2011/07/25/madu-dalam-penyembuhan-luka/"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">http://ninjihad.wordpress.com/2011/07/25/madu-dalam-penyembuhan-luka/</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br /></span><br />
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Pubmed
Journal :<i>Honey dressing versus silver
sulfadiazene dressing for wound healing in burn patients: a retrospective
study.</i> retrieved 13 March 2012 at 23.50<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">take
from </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">http://www.ncbi.nlm.nih.gov/pubmed/</span></a><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;"><br /></span></span><br />
<span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">Sanjaya, ade. 2011. Dalam artikel Manfaat Madu Untuk Kesehatan .akses
tanggal 14 Maret at 21.13</span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;"></span></span><span class="Apple-style-span" style="font-size: small; font-weight: normal;"><b></b></span></div>
<div class="MsoNormal" style="display: inline !important; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<b><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"></span></b></div>
<div class="MsoNormal" style="display: inline !important; line-height: 150%; text-align: justify;">
<b><span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">Take from </span></span></b></div>
<br />
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span class="Apple-style-span" style="font-size: small; font-weight: normal;"><b></b></span></div>
<div class="MsoNormal" style="display: inline !important; line-height: 150%; text-align: justify;">
<b><span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;"></span></span><a href="http://www.sarjanaku.com/2011/10/manfaat-madu-untuk-kesehatan.html"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">http://www.sarjanaku.com/2011/10/manfaat-madu-untuk-kesehatan.html</span></a><span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">.</span></span></b></div>
<br /><span class="Apple-style-span" style="font-size: 16px; line-height: 24px;">Ariek, hery.2011.dalam artikel
khasiat madu berdasarkan penelitian ilmiah. </span><br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">Akses tanggal 7 Maret 2012 at 14.50
.</span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">Take from </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;">
<span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;"></span></span><a href="http://www.arbainweb.com/penelitian-madu/109-khasiat-madu-berdasarkan-penelitian-ilmiah.html"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;">http://www.arbainweb.com/penelitian-madu/109-khasiat-madu-berdasarkan-penelitian-ilmiah.html</span></a><span class="MsoHyperlink"><span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-decoration: none;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</span><br />
<div class="MsoNormal" style="font-weight: bold; line-height: 150%; margin-bottom: 0.0001pt; margin-left: 18pt; margin-right: 18pt; margin-top: 0cm; text-align: justify; text-indent: -18pt; vertical-align: baseline;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><span class="Apple-style-span" style="color: #4c1130;"><br /></span></span></div>
</span><br />
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span class="Apple-style-span" style="color: blue; font-family: 'Times New Roman', serif;"><br /></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span class="Apple-style-span" style="font-family: 'Times New Roman', serif;"><br /></span></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-45042503012275140872012-02-12T21:54:00.001-08:002012-02-12T22:29:53.918-08:00Soal BIOSTATISTIKSoal Biostatistik Hj . Masruroh. S.Kep .Ners .M.Kes<br />
<div>
<br />
<br />
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; width: 154px;">
<tbody>
<tr style="height: 45.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 45.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.2pt;" valign="bottom" width="80">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">Tinggi Badan Ibu Hamil<o:p></o:p></span></div>
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<td nowrap="" style="border-left: none; border: solid windowtext 1.0pt; height: 45.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" width="73">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">Frekuensi<o:p></o:p></span></div>
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<tr style="height: 15.0pt; mso-yfti-irow: 1;">
<td nowrap="" style="border-top: none; border: solid windowtext 1.0pt; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 60.2pt;" valign="bottom" width="80">
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<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">145-149<o:p></o:p></span></div>
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<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">150-154<o:p></o:p></span></div>
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<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="bottom" width="73">
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<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">155-159<o:p></o:p></span></div>
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<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="bottom" width="73">
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<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">160-164<o:p></o:p></span></div>
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<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="bottom" width="73">
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<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">9<o:p></o:p></span></div>
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<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">165-169<o:p></o:p></span></div>
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<td nowrap="" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 15.0pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 55.0pt;" valign="bottom" width="73">
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<span style="color: black; mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">170-174<o:p></o:p></span></div>
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1.Hitung Mean dari data diatas</div>
<div>
2.Hitung Range dari data diatas<br />
3.Hitung Deviasi rata-rata dari data diatas<br />
4.Hitung varians<br />
5.Apa yang dimaksud kuartil, desil, presentil</div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-68156519684698194022012-02-12T04:10:00.000-08:002012-02-12T04:10:07.357-08:00GenerAsi si robot Hijauu!!!!!<span class="Apple-style-span" style="font-family: sans-serif; font-size: 13px; line-height: 19px;"></span><br />
<h3 style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; border-bottom-color: initial; border-bottom-style: none; border-bottom-width: initial; font-size: 17px; font-weight: bold; margin-bottom: 0.3em; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0.17em; padding-top: 0.5em; width: auto;">
<span class="mw-headline" id="Kerjasama_dengan_Android_Inc." style="color: #cc0000;">Kerjasama dengan Android Inc.</span></h3>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEimqVdgSJQpsKwx2RTBSfXLCTOXqbZdbJeuQSfp-Nx_L5refTtHTqhXQECLTn1A34-0FRiuigEpbpr1237uAOVkJoMj8T2jXFlHcNePJKv8oUJsWwvf8xbrIduHbqEdVECdEvNUCl35yTE/s1600/images+(2).jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEimqVdgSJQpsKwx2RTBSfXLCTOXqbZdbJeuQSfp-Nx_L5refTtHTqhXQECLTn1A34-0FRiuigEpbpr1237uAOVkJoMj8T2jXFlHcNePJKv8oUJsWwvf8xbrIduHbqEdVECdEvNUCl35yTE/s1600/images+(2).jpg" /></a></div>
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<span class="mw-headline" id="Kerjasama_dengan_Android_Inc." style="color: #cc0000;"><br /></span></div>
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<span class="Apple-style-span" style="color: #cc0000;">Pada Juli 2000, Google bekerjasama dengan Android Inc., perusahaan yang berada di Palo Alto, <a href="http://id.wikipedia.org/wiki/California" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="California">California</a> <a href="http://id.wikipedia.org/wiki/Amerika_Serikat" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Amerika Serikat">Amerika Serikat</a>. Para pendiri Android Inc. bekerja pada Google, di antaranya Andy Rubin, Rich Miner, Nick Sears, dan Chris White. Saat itu banyak yang menganggap fungsi Android Inc. hanyalah sebagai perangkat lunak pada telepon seluler. Sejak saat itu muncul rumor bahwa Google hendak memasuki pasar telepon seluler. Di perusahaan Google, tim yang dipimpin Rubin bertugas mengembangkan program perangkat seluler yang didukung oleh kernel Linux. Hal ini menunjukkan indikasi bahwa Google sedang bersiap menghadapi persaingan dalam pasar telepon seluler.</span></div>
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<span class="mw-headline" id="2007-2008:_Produk_awal" style="color: #cc0000;"><br />2007-2008: Produk awal</span></h3>
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<span class="Apple-style-span" style="color: #cc0000;">Sekitar September 2007 sebuah studi melaporkan bahwa Google mengajukan hak paten aplikasi telepon seluler (akhirnya Google mengenalkan <a class="new" href="http://id.wikipedia.org/w/index.php?title=Nexus_One&action=edit&redlink=1" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Nexus One (halaman belum tersedia)">Nexus One</a>, salah satu jenis <a href="http://id.wikipedia.org/wiki/Telepon_pintar" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Telepon pintar">telepon pintar</a> <a class="mw-redirect" href="http://id.wikipedia.org/wiki/GSM" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="GSM">GSM</a>yang menggunakan Android pada sistem operasinya. Telepon seluler ini diproduksi oleh <a href="http://id.wikipedia.org/wiki/HTC_Corporation" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="HTC Corporation">HTC Corporation</a> dan tersedia di pasaran pada 5 Januari 2010).</span></div>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Pada 9 Desember 2008, diumumkan anggota baru yang bergabung dalam program kerja Android ARM Holdings, Atheros Communications, diproduksi oleh <a href="http://id.wikipedia.org/wiki/ASUS" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="ASUS">Asustek Computer Inc</a>, <a href="http://id.wikipedia.org/wiki/Garmin" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Garmin">Garmin Ltd</a>,<a class="mw-redirect" href="http://id.wikipedia.org/wiki/Softbank" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Softbank">Softbank</a>, <a href="http://id.wikipedia.org/wiki/Sony_Ericsson" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Sony Ericsson">Sony Ericsson</a>, <a href="http://id.wikipedia.org/wiki/Toshiba" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Toshiba">Toshiba Corp</a>, dan <a href="http://id.wikipedia.org/wiki/Vodafone" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Vodafone">Vodafone Group Plc</a>. Seiring pembentukan Open Handset Alliance, OHA mengumumkan produk perdana mereka, Android, perangkat bergerak (<i>mobile</i>) yang merupakan modifikasi kernel Linux 2.6. Sejak Android dirilis telah dilakukan berbagai pembaruan berupa perbaikan bug dan penambahan fitur baru.</span></div>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Telepon pertama yang memakai sistem operasi Android adalah HTC Dream, yang dirilis pada 22 Oktober 2008. Pada penghujung tahun 2009 diperkirakan di dunia ini paling sedikit terdapat 18 jenis telepon seluler yang menggunakan Android.</span></div>
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<span class="mw-headline" id="Android_versi_1.1" style="color: #cc0000;"><br />Android versi 1.1</span></h3>
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<span class="Apple-style-span" style="color: #cc0000;">Pada 9 Maret 2009, Google merilis Android versi 1.1. Android versi ini dilengkapi dengan pembaruan estetis pada aplikasi, jam alarm, <i>voice search</i> (pencarian suara), pengiriman pesan dengan <a href="http://id.wikipedia.org/wiki/Gmail" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Gmail">Gmail</a>, dan pemberitahuan <a class="mw-redirect" href="http://id.wikipedia.org/wiki/Email" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Email">email</a>.</span></div>
<h3 style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; border-bottom-color: initial; border-bottom-style: none; border-bottom-width: initial; font-size: 17px; font-weight: bold; margin-bottom: 0.3em; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0.17em; padding-top: 0.5em; width: auto;">
<span class="mw-headline" id="Android_versi_1.5_.28Cupcake.29" style="color: #cc0000;">Android versi 1.5 (Cupcake)</span></h3>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Pada pertengahan Mei 2009, Google kembali merilis telepon seluler dengan menggunakan Android dan SDK (Software Development Kit) dengan versi 1.5 (Cupcake). Terdapat beberapa pembaruan termasuk juga penambahan beberapa fitur dalam seluler versi ini yakni kemampuan merekam dan menonton video dengan modus kamera, mengunggah video ke <a class="mw-redirect" href="http://id.wikipedia.org/wiki/Youtube" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Youtube">Youtube</a>dan gambar ke <a href="http://id.wikipedia.org/wiki/Picasa" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Picasa">Picasa</a> langsung dari telepon, dukungan <a href="http://id.wikipedia.org/wiki/Bluetooth" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Bluetooth">Bluetooth</a> A2DP, kemampuan terhubung secara otomatis ke headset Bluetooth, animasi layar, dan keyboard pada layar yang dapat disesuaikan dengan sistem.</span></div>
<h3 style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; border-bottom-color: initial; border-bottom-style: none; border-bottom-width: initial; font-size: 17px; font-weight: bold; margin-bottom: 0.3em; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0.17em; padding-top: 0.5em; width: auto;">
<span class="mw-headline" id="Android_versi_1.6_.28Donut.29" style="color: #cc0000;">Android versi 1.6 (Donut)</span></h3>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Donut (versi 1.6) dirilis pada September dengan menampilkan proses pencarian yang lebih baik dibanding sebelumnya, penggunaan baterai indikator dan kontrol applet <a href="http://id.wikipedia.org/wiki/VPN" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="VPN">VPN</a>. Fitur lainnya adalah galeri yang memungkinkan pengguna untuk memilih foto yang akan dihapus; kamera, camcorder dan galeri yang dintegrasikan; <a href="http://id.wikipedia.org/wiki/CDMA" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="CDMA">CDMA</a> / EVDO, 802.1x, VPN, Gestures, dan Text-to-speech engine; kemampuan dial kontak; teknologi <i>text to change speech</i> (tidak tersedia pada semua ponsel; pengadaan resolusi VWGA.</span></div>
<h3 style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; border-bottom-color: initial; border-bottom-style: none; border-bottom-width: initial; font-size: 17px; font-weight: bold; margin-bottom: 0.3em; margin-left: 0px; margin-right: 0px; margin-top: 0px; overflow-x: hidden; overflow-y: hidden; padding-bottom: 0.17em; padding-top: 0.5em; width: auto;">
<span class="mw-headline" id="Android_versi_2.0.2F2.1_.28Eclair.29" style="color: #cc0000;">Android versi 2.0/2.1 (Eclair)</span></h3>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Pada 3 Desember 2009 kembali diluncurkan ponsel Android dengan versi 2.0/2.1 (Eclair), perubahan yang dilakukan adalah pengoptimalan hardware, peningkatan Google Maps 3.1.2, perubahan UI dengan browser baru dan dukungan <a href="http://id.wikipedia.org/wiki/HTML5" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="HTML5">HTML5</a>, daftar kontak yang baru, dukungan<i>flash</i> untuk kamera 3,2 MP, digital Zoom, dan Bluetooth 2.1.</span></div>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Untuk bergerak cepat dalam persaingan perangkat generasi berikut, Google melakukan investasi dengan mengadakan kompetisi aplikasi mobile terbaik (<i>killer apps</i> - aplikasi unggulan). Kompetisi ini berhadiah $25,000 bagi setiap pengembang aplikasi terpilih. Kompetisi diadakan selama dua tahap yang tiap tahapnya dipilih 50 aplikasi terbaik.</span></div>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Dengan semakin berkembangnya dan semakin bertambahnya jumlah handset Android, semakin banyak pihak ketiga yang berminat untuk menyalurkan aplikasi mereka kepada sistem operasi Android. Aplikasi terkenal yang diubah ke dalam sistem operasi Android adalah Shazam, Backgrounds, dan WeatherBug. Sistem operasi Android dalam situs <a href="http://id.wikipedia.org/wiki/Internet" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Internet">Internet</a> juga dianggap penting untuk menciptakan aplikasi Android asli, contohnya oleh <a class="mw-redirect" href="http://id.wikipedia.org/wiki/MySpace" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="MySpace">MySpace</a> dan <a href="http://id.wikipedia.org/wiki/Facebook" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Facebook">Facebook</a>.</span></div>
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<span class="mw-headline" id="Android_versi_2.2_.28Froyo:_Frozen_Yoghurt.29" style="color: #cc0000;">Android versi 2.2 (Froyo: Frozen Yoghurt)</span></h3>
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<span class="Apple-style-span" style="color: #cc0000;">Pada 20 Mei 2010, Android versi 2.2 (Froyo) diluncurkan. Perubahan-perubahan umumnya terhadap versi-versi sebelumnya antara lain dukungan <a href="http://id.wikipedia.org/wiki/Adobe_Flash" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Adobe Flash">Adobe Flash</a> 10.1, kecepatan kinerja dan aplikasi 2 sampai 5 kali lebih cepat, intergrasi V8 <a href="http://id.wikipedia.org/wiki/JavaScript" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="JavaScript">JavaScript</a> engine yang dipakai Google Chrome yang mempercepat kemampuan rendering pada browser, pemasangan aplikasi dalam SD Card, kemampuan <a class="mw-redirect" href="http://id.wikipedia.org/wiki/WiFi" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="WiFi">WiFi</a> Hotspot portabel, dan kemampuan auto update dalam aplikasi Android Market.</span></div>
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<span class="mw-headline" id="Android_versi_2.3_.28Gingerbread.29" style="color: #cc0000;">Android versi 2.3 (Gingerbread)</span></h3>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Pada 6 Desember 2010, Android versi 2.3 (Gingerbread) diluncurkan. Perubahan-perubahan umum yang didapat dari Android versi ini antara lain peningkatan kemampuan permainan (gaming), peningkatan fungsi copy paste, layar antar muka (User Interface) didesain ulang, dukungan format video VP8 dan WebM, efek audio baru (reverb, equalization, headphone virtualization, dan bass boost), dukungan kemampuan <a href="http://id.wikipedia.org/wiki/Near_Field_Communication" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Near Field Communication">Near Field Communication</a> (NFC), dan dukungan jumlah kamera yang lebih dari satu.</span></div>
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<span class="mw-headline" id="Android_versi_3.0.2F3.1_.28Honeycomb.29" style="color: #cc0000;">Android versi 3.0/3.1 (Honeycomb)</span></h3>
<div style="line-height: 1.5em; margin-bottom: 0.5em; margin-left: 0px; margin-right: 0px; margin-top: 0.4em;">
<span class="Apple-style-span" style="color: #cc0000;">Android Honeycomb dirancang khusus untuk tablet. Android versi ini mendukung ukuran layar yang lebih besar. User Interface pada Honeycomb juga berbeda karena sudah didesain untuk tablet. Honeycomb juga mendukung multi prosesor dan juga akselerasi perangkat keras (hardware) untuk grafis. Tablet pertama yang dibuat dengan menjalankan Honeycomb adalah <a class="new" href="http://id.wikipedia.org/w/index.php?title=Motorola_Xoom&action=edit&redlink=1" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Motorola Xoom (halaman belum tersedia)">Motorola Xoom</a>. Perangkat tablet dengan platform <a href="http://id.wikipedia.org/wiki/Android" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Android">Android</a> 3.0 akan segera hadir di Indonesia. Perangkat tersebut bernama <a class="new" href="http://id.wikipedia.org/w/index.php?title=Eee_Pad_Transformer&action=edit&redlink=1" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Eee Pad Transformer (halaman belum tersedia)">Eee Pad Transformer</a> produksi dari <a class="mw-redirect" href="http://id.wikipedia.org/wiki/Asus" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Asus">Asus</a>. Rencana masuk pasar <a href="http://id.wikipedia.org/wiki/Indonesia" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; text-decoration: none;" title="Indonesia">Indonesia</a> pada Mei 2011.</span></div>
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<span class="mw-headline" id="Android_versi_4.0_.28ICS_:Ice_Cream_Sandwich.29" style="color: #cc0000;">Android versi 4.0 (ICS :Ice Cream Sandwich)</span></h3>
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<span class="Apple-style-span" style="color: #cc0000;">Diumumkan pada tanggal 19 Oktober 2011, membawa fitur Honeycomb untuk smartphone dan menambahkan fitur baru termasuk membuka kunci dengan pengenalan wajah, jaringan data pemantauan penggunaan dan kontrol, terpadu kontak jaringan sosial, perangkat tambahan fotografi, mencari email secara offline, dan berbagi informasi dengan menggunakan NFC.</span><br />
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<span class="Apple-style-span" style="color: #cc0000;">referensi:</span><br />
<span class="Apple-style-span" style="font-family: sans-serif; font-size: 19px; line-height: 19px;"><ul style="line-height: 1.5em; list-style-image: url(http://upload.wikimedia.org/wikipedia/en/1/18/Monobook-bullet.png); list-style-type: square; margin-bottom: 0px; margin-left: 1.5em; margin-right: 0px; margin-top: 0.3em; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">
<li style="margin-bottom: 0.1em;"><a class="external free" href="http://www.infoteknologi.com/selular/apa-itu-android/" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(data:image/png; background-origin: initial; background-position: 100% 50%; background-repeat: no-repeat no-repeat; color: #3366bb; padding-right: 13px; text-decoration: none;">http://www.infoteknologi.com/selular/apa-itu-android/</a></li>
<li style="margin-bottom: 0.1em;"><a class="external free" href="http://kabarit.com/2009/05/android-sistem-operasi-ponsel-buatan-google/" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(data:image/png; background-origin: initial; background-position: 100% 50%; background-repeat: no-repeat no-repeat; color: #3366bb; padding-right: 13px; text-decoration: none;">http://kabarit.com/2009/05/android-sistem-operasi-ponsel-buatan-google/</a></li>
<li style="margin-bottom: 0.1em;"><a class="external free" href="http://teknologi.vivanews.com/news/read/32278-google_android_akan_perkuat_eeepc" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(data:image/png; background-origin: initial; background-position: 100% 50%; background-repeat: no-repeat no-repeat; color: #3366bb; padding-right: 13px; text-decoration: none;">http://teknologi.vivanews.com/news/read/32278-google_android_akan_perkuat_eeepc</a></li>
<li style="margin-bottom: 0.1em;"><a class="external free" href="http://tekno.kompas.com/read/xml/2010/03/11/13215035/Siapa.Bilang.Operator.Tak.Serius.Sambut.Android" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(data:image/png; background-origin: initial; background-position: 100% 50%; background-repeat: no-repeat no-repeat; color: #3366bb; padding-right: 13px; text-decoration: underline;">http://tekno.kompas.com/read/xml/2010/03/11/13215035/Siapa.Bilang.Operator.Tak.Serius.Sambut.Android</a></li>
<li style="margin-bottom: 0.1em;"><a class="external free" href="http://kompas.com/" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(data:image/png; background-origin: initial; background-position: 100% 50%; background-repeat: no-repeat no-repeat; color: #3366bb; padding-right: 13px; text-decoration: none;">http://kompas.com</a></li>
<li style="margin-bottom: 0.1em;"><a class="external free" href="http://www.aplikasiandroid.info/" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(data:image/png; background-origin: initial; background-position: 100% 50%; background-repeat: no-repeat no-repeat; color: #3366bb; padding-right: 13px; text-decoration: none;">http://www.aplikasiandroid.info</a></li>
<li style="margin-bottom: 0.1em;"><a class="external free" href="http://www.technoledges.com/2012/02/android-meaning-and-all-facilities-of.html" rel="nofollow" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: url(data:image/png; background-origin: initial; background-position: 100% 50%; background-repeat: no-repeat no-repeat; color: #3366bb; padding-right: 13px; text-decoration: none;">http://www.technoledges.com/2012/02/android-meaning-and-all-facilities-of.html</a></li>
</ul>
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<span class="editsection" style="float: right; font-size: 13px; margin-left: 5px;">[<a href="http://id.wikipedia.org/w/index.php?title=Android_(sistem_operasi)&action=edit&section=15" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; color: #0645ad; text-decoration: none;" title="Sunting bagian: Catatan kaki">sunting</a>]</span><div>
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<span class="mw-headline" id="Catatan_kaki"></span></h2>
</span></div>putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-22564522765073430222012-02-12T02:12:00.001-08:002012-02-12T04:16:22.602-08:00appa_ iToe ANDROID?????????Dewasa ini , banyak para konsumen seluler yang memakai seluler mereka dengan program ANDROID atau yang akrab dikenal dengan si robot hijauu. sebenarnya apa sih ANDROID itu, dan apa keunggulan2 dari ANDROID itu.<br />
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 115%;"> <b>Android</b><span class="apple-converted-space"> </span>adalah<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Sistem_operasi" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Sistem operasi"><span style="color: windowtext; text-decoration: none;">sistem operasi</span></a><span class="apple-converted-space"> </span>yang
berbasis<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Linux" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Linux"><span style="color: windowtext; text-decoration: none;">Linux</span></a><span class="apple-converted-space"> </span>untuk<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Telepon_seluler" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Telepon seluler"><span style="color: windowtext; text-decoration: none;">telepon seluler</span></a><span class="apple-converted-space"> </span>seperti<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Telepon_pintar" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Telepon pintar"><span style="color: windowtext; text-decoration: none;">telepon pintar</span></a><span class="apple-converted-space"> </span>dan<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Komputer_tablet" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Komputer tablet"><span style="color: windowtext; text-decoration: none;">komputer tablet</span></a>. Android menyediakan platform terbuka bagi
para pengembang untuk menciptakan aplikasi mereka sendiri untuk digunakan oleh
bermacam peranti bergerak. Awalnya, Google Inc. membeli Android Inc., pendatang
baru yang membuat peranti lunak untuk ponsel. Kemudian untuk mengembangkan
Android, dibentuklah<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/w/index.php?title=Open_Handset_Alliance&action=edit&redlink=1" style="background-attachment: initial; background-clip: initial; background-color: inithal; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Open Handset Alliance (halaman belum tersedia)"><span style="color: windowtext; text-decoration: none;">Open Handset
Alliance</span></a>, konsorsium dari 34 perusahaan peranti keras, peranti
lunak, dan telekomunikasi, termasuk<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Google" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Google"><span style="color: windowtext; text-decoration: none;">Google</span></a>,<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/HTC" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="HTC"><span style="color: windowtext; text-decoration: none;">HTC</span></a>,<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Intel" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Intel"><span style="color: windowtext; text-decoration: none;">Intel</span></a>,<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Motorola" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Motorola"><span style="color: windowtext; text-decoration: none;">Motorola</span></a>,<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Qualcomm" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Qualcomm"><span style="color: windowtext; text-decoration: none;">Qualcomm</span></a>,<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/T-Mobile" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="T-Mobile"><span style="color: windowtext; text-decoration: none;">T-Mobile</span></a>,
dan<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Nvidia" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Nvidia"><span style="color: windowtext; text-decoration: none;">Nvidia</span></a>.<o:p></o:p></span></div>
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Pada saat perilisan perdana Android,
5 November 2007, Android bersama Open Handset Alliance menyatakan mendukung
pengembangan standar terbuka pada perangkat seluler. Di lain pihak, Google
merilis kode–kode Android di bawah<span class="apple-converted-space"> </span><a href="http://id.wikipedia.org/wiki/Lisensi_Apache" style="background-attachment: initial; background-clip: initial; background-color: initial; background-origin: initial; background-position: initial initial; background-repeat: initial initial;" title="Lisensi Apache"><span style="color: windowtext; text-decoration: none;">lisensi Apache</span></a>, sebuah lisensi perangkat lunak dan standar
terbuka perangkat seluler.<o:p></o:p></div>
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Di dunia ini terdapat dua jenis
distributor sistem operasi Android. Pertama yang mendapat dukungan penuh dari
Google atau Google Mail Services (GMS) dan kedua adalah yang benar–benar bebas
distribusinya tanpa dukungan langsung Google atau dikenal sebagai Open Handset
Distribution (OHD).<o:p></o:p><br />
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Fitur2 Android<br />
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<span class="Apple-style-span" style="font-size: x-small;">Fitur yang tersedia di Android adalah:</span></div>
<ul style="line-height: 1.5em; list-style-image: url(http://upload.wikimedia.org/wikipedia/en/1/18/Monobook-bullet.png); list-style-type: square; margin-bottom: 0px; margin-left: 1.5em; margin-right: 0px; margin-top: 0.3em; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">
<li style="margin-bottom: 0.1em;"><span class="Apple-style-span" style="font-size: x-small;">Kerangka aplikasi: itu memungkinkan penggunaan dan penghapusan komponen yang tersedia.</span></li>
<li style="margin-bottom: 0.1em;"><span class="Apple-style-span" style="font-size: x-small;">Dalvik mesin virtual: mesin virtual dioptimalkan untuk perangkat mobile.</span></li>
<li style="margin-bottom: 0.1em;"><span class="Apple-style-span" style="font-size: x-small;">Grafik: grafik di 2D dan grafis 3D berdasarkan pustaka OpenGL.</span></li>
<li style="margin-bottom: 0.1em;"><span class="Apple-style-span" style="font-size: x-small;">SQLite: untuk penyimpanan data.</span></li>
<li style="margin-bottom: 0.1em;"><span class="Apple-style-span" style="font-size: x-small;">Mendukung media: audio, video, dan berbagai format gambar (MPEG4, H.264, MP3,</span></li>
</ul>
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<span class="Apple-style-span" style="font-size: x-small;">AAC, AMR, JPG, PNG, GIF)</span></div>
<ul style="line-height: 1.5em; list-style-image: url(http://upload.wikimedia.org/wikipedia/en/1/18/Monobook-bullet.png); list-style-type: square; margin-bottom: 0px; margin-left: 1.5em; margin-right: 0px; margin-top: 0.3em; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">
<li style="margin-bottom: 0.1em;"><span class="Apple-style-span" style="font-size: x-small;">GSM, Bluetooth, EDGE, 3G, dan WiFi (hardware dependent)</span></li>
<li style="margin-bottom: 0.1em;"><span class="Apple-style-span" style="font-size: x-small;">Kamera, Global Positioning System (GPS), kompas, dan <i>accelerometer</i> (tergantung hardware)</span></li>
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<span class="mw-headline" id="Android_bagi_komunitas_sumber_terbuka_.28open_source.29">Android bagi komunitas sumber terbuka (<i>open source</i>)</span></h2>
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Android memiliki berbagai keunggulan sebagai software yang memakai basis kode komputer yang bisa didistribusikan secara terbuka (<i><a href="http://id.wikipedia.org/wiki/Sumber_terbuka" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; color: #0645ad; text-decoration: none;" title="Sumber terbuka">open source</a></i>) sehingga pengguna bisa membuat aplikasi baru di dalamnya. Android memiliki aplikasi <i>native</i> Google yang terintegrasi seperti<i>pushmail</i> <a href="http://id.wikipedia.org/wiki/Gmail" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; color: #0645ad; text-decoration: none;" title="Gmail">Gmail</a>, <a href="http://id.wikipedia.org/wiki/Google_Maps" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; color: #0645ad; text-decoration: none;" title="Google Maps">Google Maps</a>, dan <a class="mw-redirect" href="http://id.wikipedia.org/wiki/Google_Calendar" style="background-attachment: initial; background-clip: initial; background-color: initial; background-image: none; background-origin: initial; background-position: initial initial; background-repeat: initial initial; color: #0645ad; text-decoration: none;" title="Google Calendar">Google Calendar</a>.</div>
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Para penggemar open source kemudian membangun komunitas yang membangun dan berbagi Android berbasis firmware dengan sejumlah penyesuaian dan fitur-fitur tambahan, seperti FLAC lossless audio dan kemampuan untuk menyimpan download aplikasi pada microSD card. Mereka sering memperbaharui paket-paket firmware dan menggabungkan elemen-elemen fungsi Android yang belum resmi diluncurkan dalam suatu carrier-sanction firmware.</div>
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wah, ayo buruan pake android selular sob, jangan ketinggaan IT...</div>
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referensi:<span class="Apple-style-span" style="line-height: normal;"><a href="http://id.wikipedia.org/wiki/Android_(sistem_operasi)">http://id.wikipedia.org/wiki/Android_(sistem_operasi)</a></span></div>
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<br />putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-33426947750112104672012-02-11T05:13:00.000-08:002012-02-11T05:13:43.347-08:00Perangg Melawan Hand Out<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZBBc4ycD06EHDwOkPiHKR58-q3bQ_0WratuB2nVDwckSkxZoy-UGWTCz9LwUplAnxbFYAOCu3pQ2cKSuPeebLGwxlX4Czi3dK-Jw0MlzwuYfnCTS0qCyMkBwZk8hld43C7KXin2MVvec/s1600/ormen.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZBBc4ycD06EHDwOkPiHKR58-q3bQ_0WratuB2nVDwckSkxZoy-UGWTCz9LwUplAnxbFYAOCu3pQ2cKSuPeebLGwxlX4Czi3dK-Jw0MlzwuYfnCTS0qCyMkBwZk8hld43C7KXin2MVvec/s200/ormen.jpg" width="127" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgaqp1-Rv8e5x4zJSi4XIpgXzkDxb7Wi7e1buh-Ic3D34zJ-CtqXip18AroCDkZhO8MI4W9AVeCNkvELpz3kL9uXA8mzoVW4au_0DxcGGhyphenhyphenE2_nZDO4h8g8sz85inOxiYVq7VcUzHKbiHU/s1600/images.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="130" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgaqp1-Rv8e5x4zJSi4XIpgXzkDxb7Wi7e1buh-Ic3D34zJ-CtqXip18AroCDkZhO8MI4W9AVeCNkvELpz3kL9uXA8mzoVW4au_0DxcGGhyphenhyphenE2_nZDO4h8g8sz85inOxiYVq7VcUzHKbiHU/s200/images.jpg" width="200" /></a>peRRanggg Vz hAndOuttt,,,,,,,,<br />
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esookkk HAri Pertama UASSSS<br />
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siappp_<br />
graaakkkkkk_<br />
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bawa Hand OUttt....<br />
graAAkkkk!!!!<br />
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tidurRRRRR,,,,<br />gRaaKKKKK!!!<br />
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nah Loe????? handOutx koG jaDi baNtal?????<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0qUDXhxcNpIoQ2oPUnHeWT5bVhcPLI1TFTiM_3w_1AFrl4nDtpl5jgFHpjXwPS2vw9tjujdm-kK-Esy4ga1LmxLyY_Y1KI3uCe5Hkjt0IZz1L5Jx5HjT4yknlou3YA7peX6qGxAXG2OY/s1600/sleep-learning2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0qUDXhxcNpIoQ2oPUnHeWT5bVhcPLI1TFTiM_3w_1AFrl4nDtpl5jgFHpjXwPS2vw9tjujdm-kK-Esy4ga1LmxLyY_Y1KI3uCe5Hkjt0IZz1L5Jx5HjT4yknlou3YA7peX6qGxAXG2OY/s320/sleep-learning2.jpg" width="320" /></a></div>
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<br />putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0tag:blogger.com,1999:blog-1824918336444908792.post-45735131586161338782012-02-10T08:40:00.001-08:002012-02-11T05:18:25.723-08:00Catatan Bidan Muda part two<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigGl9x2inYO6sYvxl_pLO63IDYA5PbDKm4Vcf_Up8dro0jwoYFuBjBisWPiQ3xgwvBE5XxFxCYXqd46UiAd9ckb6p63Q91cA16trAQSfS-7SaVddr7Oh8Qg-K3_JoK-okaA9Bn9PYibSA/s1600/animasi+perawat.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigGl9x2inYO6sYvxl_pLO63IDYA5PbDKm4Vcf_Up8dro0jwoYFuBjBisWPiQ3xgwvBE5XxFxCYXqd46UiAd9ckb6p63Q91cA16trAQSfS-7SaVddr7Oh8Qg-K3_JoK-okaA9Bn9PYibSA/s1600/animasi+perawat.gif" /></a></div>
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dalam postingan yang kedua kemarin ai tampilin point 1 ma 2 , but yang kedua belum ai lanjutkan , okey plend qt lanjutkan dalam postingan yang sekarang,,,<br />
2.TTV orang mati<br />
teman2 pasti tahu TTV kan , TTV itu singkatan dari tanda-tanda vital , yaitu pemeriksaan yang meliputi tensi darah , suhu , pernafasan serta denyut nadi, lha pada saat itu karena masih baru ( maklum sih, masih Heng-Hong) hehe jadi ya setiap disuruh para senior ai ma temen ai langsung maju, pas lagi pasang tensimeter kog ga edengeran detaknya,,,,,awal2 galau sih, trus ai lihat ada senior yang ngetawain ,,,,ehhh ternyata thu orang udah meninggal beberapa menit yang lalu,,, gillaaa ai takuttt setengah idup plend,,,<br />
hhohoo<br />
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point yang nomer 3 qita lanjutin esok yhahhhh,,,,putri ceriwishttp://www.blogger.com/profile/12587273703371660415noreply@blogger.com0