7/24/2019 Format Resume Prenatal New

http://slidepdf.com/reader/full/format-resume-prenatal-new 1/4

LAPORAN RESUME PRENATAL

Nama Mahasiswa : _______________________________________________ 

NIM :

Tempat Praktik : _______________________________________________ 

Tanggal Pengkajian : _______________________________________________ 

A. ata Um!m

Nama "lien :

TTL :

Agama :

Alamat :

S!k! #angsa :

Pekerjaan :

pen$i$ikan Istri :

Pen$i$ikan S!ami:

#. ata s!%jekti& :

'PA :

(P(T :

Tapsiran persalinan :

Riwa)at hai$ :

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

Riwa)at kehamilan :

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

Riwa)at persalinan :

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

7/24/2019 Format Resume Prenatal New

http://slidepdf.com/reader/full/format-resume-prenatal-new 2/4

"el!han saat ini :

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

*. Riwa)at kesehatan sekarang

.............................................................................................................................................

.............................................................................................................................................

.............................................................................................................................................

. ata Pen!njang :

Pemeriksaan (asil Nilai N+rmal

E. Terapi Saat Ini

N+. Nama O%at +sis Akses

1

2

3

4

5

6

7/24/2019 Format Resume Prenatal New

http://slidepdf.com/reader/full/format-resume-prenatal-new 3/4

,. Analisa Pengkajian

ata +%jekti& 

-

-  

-

-

-

-

ata s!%jekti&

-  

-  

-

-

'. Inter-ensi keperawatan

-  

-  

-  

-  

-  

-  

-

(. Implementasi

-

-  

-  

-  

-  

-  

7/24/2019 Format Resume Prenatal New

http://slidepdf.com/reader/full/format-resume-prenatal-new 4/4

I. E-al!asi

S :

O :

A :

P :