NURSING CARE REPORT ON THE CLIENT Mrs.

Rs BABY WITH
MEDICAL DIAGNOSIS LOW BIRTH WEIGHT IN TERATAI WARD
BANJARMASIN ULIN GENERAL HOSPITAL

Proposed to Fulfill One of the Requirements to Accomplish

International Class of Nursing Diploma Program

By :
HENGKI HANGGARA
SRN : 011016 D3 KI

BANJARMASIN MUHAMMADIYAH HEALTH COLLEGE

INTERNATIONAL CLASS OF NURSING DIPLOMA PROGRAM
ACADEMIC YEAR 2014
i

ADVISORS APPROVAL
This final paper entitled Nursing Care Report on Mrs.Rs baby with low Birth
Weight in Teratai ward at Ulin General Hospital Banjarmasin, written by Hengki
Hanggara (SRN.011020), had been approved and revised properly, we hereby
approve this final paper to be submitted and examined by the board of final paper
examiners of International Class of Nursing Diploma Program of Banjarmasin
Muhammadiyah Health College.
Banjarmasin

2014

Banjarmasin,
First Advisor,

Muhsinin, M.Kep., SP.Anak

NIK. 027.006.000
Second Advisor

Rahmila Mutiana, MA, Tesol

NIP. 197107302005012004

Acknowledge by,
The Coordinator of Internasional Class
Nursing Diploma Program,

Muhsinin, M.Kep., SP.Anak

NIK. 027.006.000

ii

ACKNOWLEDGEMENT
This final paper entitled Nursing Care Report on Client Mrs,Rs Baby with Medical
Diagnose Low Birth Weight (LBW) in Teratai Ward Banjarmsin Ulin General
Hospital, written by Hengki Hanggara (SRN 011016 D3KI), had been examined in
front of the examiner team on Scientific writing exam session of International Class
of Nursing Diploma Program Banjarmasin Muhammadiyah Health College on,
2014
The Examiner Team
First Examiner,

Muhsinin, M.Kep., SP.Anak

NIK. 027.006.000
Second Examiner,

Rahmila Mutiana, MA, Tesol

NIP. 197107302005012004
Third Examiner,

Mrs. Ayu Susanti, S.Kep.,Ns

NIP.
Acknowledged by
The coordinator of International Class of Nursing Diploma Program
Muhsinin, M.Kep., SP.Anak
NIK. 027.006.000
Validated by,
The Head of
Banjarmasin Muhammadiyah Health College

M. Syafwani, S.Kep.,M.Kep.,Sp.Jiwa,
NIP 012.012.0
iii

PREFACE

,
.
Thanks to Allah SWT, that the writer can finish this Nursing Care Report on Client
Mrs.Rs Baby with Medical Diagnose Low Birth Weight infant, as a requirement for
International Class of Nursing Diploma Program accomplishment. On this occasion,
the writer would like to give great thanks to gratitude.
1. Mr. M. Syafwani, S.Kep.,M.Kep.,Sp.Jiwa, as the head of Banjarmasin
Muhammadiyah Health College
2. Mr. Muhsinin, M.Kep.,Sp.Anak, as the coordinator of International Class of
Nursing Diploma Program
3. Mr. Muhsinin, M.Kep.,Sp.Anak, as the first advisor and examiner
4. Mrs. Rahmila Murtiana, MA, Tesol, as the second advisor and examiner
5. Mrs. Ayu Susanti, S.Kep.,Ns , as the third advisor and examiner
6. Mrs. Melati, S.Kep.,Ns, as Head of Teratai ward
7. All the nurses at Teratai ward
8. All lecturers and staff of Banjarmasin Muhammadiyah Health College.
9. My beloved father and mother, girl friend Rinawati and my big family who
have given me power, spirit and always pray and support me until right now, so
I can finish my study
10. All my friends and anyone who help finish this final report

The writer realizes that this report still has much limitation. The writer needs
suggestions and comment from all of stake holders.
Banjarmasin

June 2014

The writer
iv

CONTENTS
TITLE PAGE .............................................................................................
ADVISORS APPROVAL ........................................................................
ACKNOWLEDGEMENT .........................................................................
PREFACE ..................................................................................................
CONTENTS ...............................................................................................
LIST OF TABLES ......................................................................................
LIST OF APPENDICIES ............................................................................
CHAPTER 1 INTRODUCTION ................................................................
1.1. Background ..................................................................
1.2. General Purpose ...........................................................
1.3. Special Purpose ............................................................
1.4. Benefits of Writing .......................................................
1.5. Nursing Scientific Method ..........................................
1.6. Systematic of Writing ..................................................
CHAPTER 2 THEORETICAL BACKGROUND ......................................
2.1. Concept of low birth weight ..........................................
2.2. Basic Concept of Nursing Care .....................................
CHAPTER 3 NURSING CARE .................................................................
3.1. Case description ............................................................
3.2. Main Complaints ...........................................................
3.3. History of Current Disease ............................................
3.4. History of Previous Disease ..........................................
3.5. History of Family Disease .............................................
3.6. Physical Examination ....................................................
3.7. Physical, Psychological, Social, Spiritual Needs ..........
3.8 Support Examination.....................................................
3.9 Pharmacology Therapy .................................................
3.10 Focus Data .....................................................................
3.11 Data Analysis ................................................................
3.12 Problem Priority ............................................................
3.13 Intervention ...................................................................
3.14 Implementation .............................................................
3.15 Evaluation .....................................................................
3.16 Progress Note ................................................................
CHAPTER 4 CONCLUSION AND SUGGESTION .................................
4.1 Conclusion ......................................................................
4.2 Suggestion .......................................................................
REFERENCES............................................................................................
APPENDICIES
CURICULUM VITAE
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LIST OF PICTURE
Schema 3.1 Genogram..

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29

LIST OF TABLE
Page
Table 3.1 The Laboratory Result . 33
Table 3.2 Data Analysis ..
36
Table 3.3 Intervention .
38
Ta3.ble 3.4 Implementation . 41
Table 3.5 Evaluation 43
Table 3.6 Progress Note ..
46

vii

LIST OF APPENDICIES
Appendices 1 APGAR
Appendices 2 VITAL SIGNS .
Appendices 3 THE CHATERISTIC OF NURSING NEWBORN.
Appendices 4 MUSCLE SCALE
Appendices 5 SCALE OF ANXIENTY .
Appendices 6 CONSULTATION SHEET .
Appendices 7 FILLING PRATICES ..
Appendices 8 PRATICE SCHEDULE ...
Appendices 9 CERTIFICATE
Appendices 10 CURRICULUM VITAE ...

viii