SKENARIO D BLOK 22

KELOMPOK G2
• ASHWINDERJEET SINGH 04011381621161
• M. RIDHO NOVTRIAWAN ALGIFARI 04011381621162
• DOROTHY JULIANA 04011381621163
• ACHMAD AFFAIER 04011381621180
• MUTHIARA ADLIN AZZAHRA 04011381621181
• FITRI SUCI LESTARI 04011381621184
• SYAUQI NABILA MARIFATULLAH 04011381621185
• THEODORA VIANI 04011381621206
• MONICA KARINA WALEAN 04011381621207
• BAGUS AKHLAQ 04011381621210
• ADRINA ESTHER LIAW 04011381621232
• NIMARDEEP KAUR KAUR SINGH 04011381621233
• NARVIN BERNARD RAVICHANDIRAN 04011381621234
 SKENARIO D
A male newborn was delivered at private clinic, assisted by
midwife. He was delivered from a 36 years old woman,
primigravida. Mrs. Siti, the baby’s mother had premature
ruptured of membrane since 4 days ago. The liquor was thick,
smelly, and greenish. She had fever since one day before
delivery. She also had history of hypertension during the last
trimester of pregnancy. The pregnancy was fullterm, 39 weeks.
The baby was not cry spontaneously after birth. The midwife
cleared the baby’s airway using manual suction and stimulate
the baby by patting his feet. The midwife said Apgar score 1 for
1st minute and 2 for 5th minutes and 5 at 10th minutes. The baby
had difficulty while breathing and had grunting. The midwife
then referred him to Moh. Hoesin Hospital.
Physical examination revealed body weight was 2300 gr. Body
length 48 cm, head circumference 34 cm. His temperature
was 36C. He looked hypoactive and tachypnoe, respiratory
rate 72 breaths/minutes, there were chest indrawing,
grunting could be hear using stethoscope, breathing sound
was normal, he still looked cyanotic even after been giving
nasal oxygen. Sucking reflex was weak. Heart rate was 174
beats/minute. Abdomen was tender with normal bowel
sound. There were meconium staining at umbilical cord and
skin. Other examination within normal.
 KLASIFIKASI ISTILAH
NO ISTILAH DEFINISI
1. Premature ruptured of (ketuban pecah dini) adalah keadaan
pecahnya selaput ketuban sebelum
membrane waktunya melahirkan atau sebelum
inpartus pada pembukaan kurang dari 4
cm.
2. Apgar score metode untuk menentukan kondisi bayi
saat lahir dengan nilai Heart rate,
respiratory, tonus otot, reflex irritability,
dan warna. Bayi dinilai dari 0-2 untuk
setiap poin penilaian dengan nilai
maksimal 10. Setiap factor dinilai pada
menit pertama kelahiran, setelah laihir, dan
lima menit selanjutnya. Apgar score untuk
menilai secara objektif kemampuan bayi
beradaptasi di lingkungan ekstrauteri.
3. Meconium bahan berlendir yang bewarna hijau tua
di dalam usus bayi cukup bulan (Dorland)
Fese pertama anin dan neonates yang
mengandung enzim pancreas, asam lemak
bebas, orfirin, IL-8, fosfolipase, bilirubin
direk, dan bilirubin indirek.
4. Chest indrawing tarikan dinding dada bagian bawah ke
dalam ketika menghirup udara dan
merupakan tanda dari respiratory distress.

5. Grunting bunyi pernapasan (merintih).

Bunyi pernapaan abnormal saat ekspirasi
yang menunjukkan bahwa glottis telah
menutup aliran udara dari paru, biasanya
untuk mencegah kolaps paru-paru.
6. Hypoactive penurunan abnormal suatu aktivitas
seperti peristalsis, aktivitas motorik, dan
kognitif ditandai dengan melambatnya
pemikiran, pembicaraan, dan pergerakan.
7. Sucking reflex refleks mengisap benda-benda yang
ditempatkan di mulut.
 IDENTIFIKASI MASALAH
No. Topik Prioritas Keterangan
1. A male newborn was delivered at private clinic, ***
assisted by midwife. He was delivered from a 36
years old woman, primigravida.
The baby was not cry spontaneously after birth
then difficulty while breathing and had grunting.
The midwife cleared the baby’s airway using
manual suction and stimulate the baby by patting
his feet The midwife then referred him to Moh.
Hoesin Hospital. The midwife said Apgar score 1
for 1st minute and 2 for 5th minutes and 5 at 10th
minutes.
2. Mrs. Siti, the baby’s mother had premature **
ruptured of membrane since 4 days ago. The
liquor was thick, smelly, and greenish. She had
fever since one day before delivery. The
pregnancy was fullterm, 39 weeks.
3. She also had history of hypertension during the **
last trimester of pregnancy.
4. Physical examination revealed body weight was *
2300 gr. Body length 48 cm, head circumference 34
cm. His temperature was 36C. He looked
hypoactive and tachypnoe, respiratory rate 72
breaths/minutes, there were chest indrawing,
grunting could be hear using stethoscope, breathing
sound was normal, he still looked cyanotic even
after been giving nasal oxygen. Sucking reflex was
weak. Heart rate was 174 beats/minute. Abdomen
was tender with normal bowel sound. There were
meconium staining at umbilical cord and skin.
Other examination within normal.
ANALISIS MASALAH
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KESIMPULAN
TERIMA
KASIH