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7/23/2019 Lbm 1 Modul Tumbang Nisitya
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LBM 1MODUL TUMBUHKEMBANG
NISITYA MAHISI URSAMAYORI30101307024SGD 19
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1. Fisioloi !"o!#$%s&'"#(##! o)#! *")!#+#s#!
(i(#l#, '"-#,il#! (#!'"#(##! /#)(io#s'%l")(#! '#i$#! (#)i '"(%# i$%
. Ss$", *")!#+#s#! S"l#,# (#l#, %$")%s #!i!
,"!(#*#$ o'si"! (#)i*")$%'#)#! #s ,"l#l%i
*l#s"!$#. S"$"l#- #i l#-i) *")$%'#)#!
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R#!s#!#! %!$%' ")#'#! #!*")$#,# T"'#!#! ,"'#!is (#)i $o)#'s s"5#'$%
,"l"5#$i #l#! l#-i)
6"!%)%!#! *#O2 (#! '"!#i'#! *#O2 ,")#!s#! '",o)"s"*$o) #! $")l"$#'(i si!%s 'o)#$i'%s
R#!s#!#! (i!i! (i(#")#- ,%'# (#*#,")#!s#! *"),%l##! ")#'#!*")!#+#s#!.
R"8"'s ("8#si H")i! B)"%)
S"l#,# "'s*i)#si s"$"l#- i!s*i)#si("!#! $"'#!#! *osi$i+ $")li-#$s%#$% i!s*i)#$o) #s*
R"s*i)#si *#(# ,#s# !"o!#$%s$")%$#,# (i#+)#,#$i' (#!#(o,i!#l (#! i#s#!# ,#si-$i(#' $")#$%) (#l#, -#l +)"'%"!si #!(#l#,!# *")!#+#s#!
S"$"l#- *#)% ")+%!si *")$%'#)#!#s (#l#, *#)% s#,# ("!#! *#(#o)#! ("5#s# $"$#*i ol"- '#)"!#)o!'iol%s )"l#$i+ '"/il ,%(#-
$")#(i #i) $)#**i!.
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Ss$", *")"(#)#! (#)#- 6#(# ,#s# +"$%s (#)#- (#)i
*l#s"!$# ,"l#l%i "!# %,ili'#lis
s"#i#! '" -#$i s"#i#!l#!s%! '" s")#,i 'i)i #!$%!'",%(i#! '" ili' 'i)i #!$%!.
D#)i ili' 'i)i (#)#- (i *o,*#,"l#l%i #o)$# '" s"l%)%- $%%-.D#)i ili' '#!#! (#)#- (i *o,*#s"#i#! '" *#)% (#! s"#i#!'" (%'$%s #)$")ios%s '" #o)$#.
S"$"l#- #i l#-i) *#)% #'#!
")'",#! ,"!#'i#$'#!$"'#!#! #)$")iil (#l#, *#)%,"!%)%!.
T"'#!#! (#l#, #!$%! '#!#!$%)%! s"-i!# $"'#!#! #!$%!
'i)i l"i- "s#) (#)i*#(# $"'#!#! #!$%! '#!#! #!,"!#'i#$'#! ,"!%$%*!#+o)#,"! o#l" s"/#)# +%!sio!#l.
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H#l i!i $")#(i *#(# #,#,*")$#,# s"$"l#- '"l#-i)#!. Ol"-'#)"!# $"'#!#! (#l#, *#)% $%)%!(#! $"'#!#! (#l#, #o)$# ("s"!("!
!#i' (#! *%l# '#)"!# )#!s#!#!io'i,i# :6#O2 #! !#i'; (%'$%s#)$")iosis ")oli$")#si.
H#l i!i $")#(i *#(# -#)i *")$#,#.Ali)#! (#)#- *#)% *#(# -#)i*")$#,# i#l#- 4< li$")=,"!i$=,2.
#li)#! (#)#- sis$",i' *#(# -#)i*")$#,# )"!(#- #i$% 1.9>li$").,"!i$=,2 (#! ")$#,#- *#(#
-#)i '"(%# (#! '"$i# :3.<4li$")=,"!i$=,2; '#)"!# *"!%$%*#!(%'$%s #)$")ios%s.
T"'#!#! (#)#- *#(# 5#'$% l#-i)(i*"!#)%-i ol"- %,l#- (#)#- #!,"l#l%i $)#!s+%si *l#s"!$# (#! *#(#
#,#, *")$#,# s"(i'i$ ,"!%)%!%!$%' '",%(i#! !#i' l#i (#!,"!#(i 'o!s$#! 'i)#'i)# ?<=40
,,H. Buku Ilmu Kesehatan Anak, jilid 3, FK U
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2. M"!#*# #i $i(#'l#!s%! ,"!#!is &
To5"l :19>>; ,"!#%'#! *"!olo!#!*"!"# '"##l#! *")!#+#s#! *#(##i #! $")(i)i (#)i
Faktor ibu
Hi*o'si# i%. Hi*o'si# i% (#*#$ $")#(i'#)"!# -i*o"!$il#si #'i#$ *",")i#!o#$ #!#l"$i' #$#% #!"s$"si (#l#,.
G#!%#! #li)#! (#)#- %$")%s.
G#!%#! 'o!$)#'si %$")%s ,is#l!#
-i*")$o!i -i*o$o!i #$#% $"$#!i %$")%s#'i#$ *"!#'i$ #$#% o#$
Hi*o$"!si ,"!(#(#' *#(# i% '#)"!#*")(#)#-#!
Hi*")$"!si *#(# *"!#'i$ "'l#,*si# (ll.
Faktor plasenta As@'si# #!i! #'#! $")#(i il# $")(#*#$
#!%#! ,"!(#(#' *#(# *l#s"!$#*")(#)#-#! *l#s"!$# (ll.
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Faktor fetus
Ko,*)"si %,ili/%s #'#! ,"!"#'#!$")#!%!# #li)#! (#)#- (#l#,*",%l%- (#)#- %,ili/%s (#!,"!-#,#$ *")$%'#)#! #s #!$#)# i%(#! #!i!. G#!%#! #li)#! (#)#- i!i (#*#$(i$",%'#! *#(# '"#(##! $#li *%s#$ ,"lili$l"-") 'o,*)"si $#li *%s#$ #!$#)# #!i! (#! #l#! l#-i) (#! l#i!l#i!.
Faktor neonatus
D"*)"si *%s#$ *")!#*#s#! *#(# #i #)%l#-i) (#*#$ $")#(i '#)"!# "")#*# -#l#i$%
6",#'#i#! o#$ #!"s$"i#=#!#l"$i'# #!")l"i-#! *#(# i% s"/#)# l#!s%!(#*#$ ,"!i,%l'#! ("*)"si *%s#$*")!#+#s#! #!i!
T)#%,# #! $")#(i *#(# *")s#li!#!
,is#l!# *")(#)#-#! i!$)#/)#!i#l K"l#i!#! /o!"!i$#l *#(# #i ,is#l!#
-")!i# (i#+)#,#$i'# #$)"si#=s$"!osiss#l%)#! *")!#+#s#! -i*o*l#si# *#)% (ll.Sumber : (Buku Kuliah Ilmu Kesehatan Anak, vol. 3,
19!, FK "I. #al. 1$%&'1$%3
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3. M"!#*# (i(#*#$'#! #i l#-i) %,i#) 3<
,i!% ("!#! ")#$ #(#! 19 ' &
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Kl#si@'#si BBLR
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6")"(##! *)",#$%)
(#! (is,#$%)
› Prematuritas murni
M#s# "s$#si!# '%)#! (#)i 37 ,i!%(#! ")#$ #(#!!# s"s%#i ("!#!")#$ #(#! %!$%' ,#s# "s$#si i$%#$#% i#s# (is"%$ !"o!#$%s '%)#!
%l#! s"s%#i %!$%' ,#s# '"-#,il#!:NKBSMK;
› Dismaturitas
B#i l#-i) ("!#! ")#$ #(#! '%)#!(#)i ")#$ #(#! s"-#)%s!# %!$%'
,#s# "s$#si i$%.B")#)$i #i ,"!#l#,)"$#)(#si *")$%,%-#! i!$)#%$")i! (#!,")%*#'#! #i #! '"/il %!$%' ,#s#'"-#,il#!!# :KMK;
Buku Ilmu Kesehatan Anak, jilid 3, FK U
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M"!#*# (i(#*#$'#! -#sil -#li!" ,",)#!"(is"#s" )#(" 1 *#(# +o$o $o)# &Fisioloi *","!$%'#! s%)+#'$#!
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6#(# RDS $")#(i #$"l"'$#sis #! s#!#$ *)o)"si+#! (is"#'#! kuran)n*a +at *an) isebutsurfaktan. S%)+#'$#! #(#l#- C#$ #'$i+ #!(i*)o(%'si s"l "*i$"l s#l%)#! !#+#s (is"%$ s"l*!",osi$ $i*" II. #$ i!i mulai ibentuk paa
kehamilan &&'&- min))u an menapai ma/paa min))u ke 3!. #$ i!i $")(i)i (#)i +os+oli*i(:7<; (#! *)o$"i! :10;. 6")#!#! s%)+#'$#! i#l#-,")"!(#-'#! $"#!#! *"),%'##! #l"ol%ss"-i!# $i(#' $")#(i 'ol#*s (#! ,#,*% ,"!#-#!sis# %(#)# +%!sio!#l *#(# sis# #'-i) "*i)#si. Kol#*s
*#)% i!i #'#! ,"!"#'#! $")#!%!# "!$il#sis"-i!# $")#(i -i*o'si# )"$"!si O2 (#! #si(osis.
Hi*o'si# #'#! ,"!"#'#! $")#(i!#
1. O'si"!#si #)i!#! ,"!%)%! ,"!"#'#!,"$#olis," #!")oi' ("!#! *"!i,%!#! #s#,l#'$#$ #s#, o)#!i/ s"-i!# $")#(i asiosis
metaboli.2. Kerusakan enotel kapiler an epitel uktusalveolaris ,"!"#'#! $)#!s%(#si '"(#l#, #l"ols"-i!# $")"!$%' @)i!.
Asi(osis (#! #$"l"'$#sis #'#! ,"!"#'#!$")#!%!# #!$%! *"!%)%!#! #li)#! (#)#-
'"*#)% (#! ,"!#'i#$'#! -#,#$#! *","!$%'#!s%)+#'$#! #! ,"!"#'#! $")#(i!# #$"l"'$#sisS"l $i*" II i!i s#!#$ s"!si$i" (#! ")'%)#! *#(##i ("!#! #s@'si# *#(# *")io(" *")i!#$#l (#!'",#$#!#!!# (i*#/% ("!#! #(#!# s$)"ssi!$)#%$")i!" s"*")$i -i*")$"!si IUGR (#! '"-#,il#!
'",#).
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<. A6GAR SORE'#*#! ,%l#i
(il#'%'#! )"s%si$#si
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>. A*# ,"!"#'#! #(#*$#si (#)i i!$)#%$")i!" '"
"'s$)#%$")i!" '%)#! #i' s"-i!# (il#'%'#! )"s%si$#s%i &
1; 6")s#li!#! #! $")l#l% /"*#$. Hi*o'si#:'"'%)#!#! o'si"!; (#*#$ $")#(i *#(#
*")s#li!#! #! $")l#l% /"*#$ ol"- '#)"!#'o!$)#'si #! $")l#l% '%#$ #$#% $)#%,#*#(# '"*#l# #i.
2; T")")#$ $#li *%s#$. U,%, (i'"!#l("!#! !%/-#l /o)( (i ,#!# $#li *%s#$
:*l#s"!$#=#)i#)i; ,"lili$ *#(# l"-") #!i!:#i' s"'#li 5#'$% #$#% "")#*# '#li; (#!,"!#!% #li)#! (#)#- ,#'# -i*o'si#is# $")#(i '#)"!# lili$#! i!i.
3; 6)ol#*s $#li *%s#$. Ko!(isi #! $")#(i
'"$i'# $#li *%s#$ ,"!(#-%l%i +"$%s '"l%#)(#)i )#-i,. Ko!(isi i!i #(#l#- '"(#)%$#!os$"$)i #! ,",#-##'#! '"-i(%*#! #!i!. N#,%! *)ol#*s $#li *%s#$ #(#l#-'#s%s #! #)#!. K"$i'# +"$%s %# #'#!
i'%$ l#-i) s")i! '#li ,"!"'#! $#li *%s#$ (#!,"!i,%l'#! -i*o'si#.
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4; 6l#s"!$# *)"i# :*l#/"!$# *)"#i#;.M")%*#'#! 'o!(isi '"l#i!#! os$)"$)i (i,#!# $#li *%s#$ $")-%%! *#(#(i!(i! )#-i, #! l"$#'!# ("'#$#$#% ,"!%$%* l"-") )#-i,. H#l i!i,"!i!'#$'#! )isi'o*")(#)#-#! #!$"*#)$%, :#i!#l;#! ")%%! %# *#(# -i*o'si# #i
#!i!.
<; As*i)#si ,"'o!i%,. i'# ,"'o!i%,
(i #(# (#l#, *#)%*#)% +"$%s ,#'#is# $")#(i *"),#s#l#-#! *")!#*#s#!.H#l i!i (i'"!#l %# s"##i Si!()o, As*i)#si M"'o!i%,.
>; B"")#*# s"# l#i! is# ")%*#
o#$o#$#! #! (i'o!s%,si i%s""l%, *")s#li!#! (#!#i *)"$"), :*)",#$%);.SUMBER : Sumarah, SSiT, dkk !""# Pera%atan I&u
Bersalin 'Asuhan Ke&idanan Pada I&u Bersalin()*+akarta: Fitramaa
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H%%!#! *l#/"!$# ("!#!%si#! '"-#,il#! *os$"),
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7. 6")"(##! '"#(##! i!$)#%$")i!"(#! "'s$)#%$")i!" *#(# #i #)%
l#-i) J
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?. $%%#! (#! *)i!si*(#s#) (#)i )"s%si$#si &
T%%#! %$#,# ,"!#$#si #s@'si##(#l#- ,",*")$#-#!'#!'"l#!s%!#! -i(%* #i (#!,",#$#si "#l# sis# :s"'%"l"; ,%!'i! $i,%l (i '",%(i#! -#)i.
M",")i'#! li!'%!#! #! #i'*( #i (#! ,"!%s#-#'#! s#l%)#!*")!#+#s#! $"$#* "#s s")$#,")#!s#! $i,%l!# *")!#+#s#!#i$% ##) o'si"!#si (#!*"!"l%#)#! O2 ")#l#! l#!/#)
M",")i'#! #!$%#! *")!#+#s#!s"/#)# #'$i+ *( #i ,"!%!%''#!%s#-# *")!#+#s#! l",#-
M"l#'%'#! 'o)"'si $-( #si(osis #!$")#(i
M"!## ##) si)'%l#si (#)#- $"$#*#i'
(IKA, Buku Kuliah 3, 0etakan ke sebelas, &$$%, FK"I
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9. -%%!#! )i5##$ $)#%,#s"l#,#,#s# '"-#,il#! (is#!'#l )i5##$*"!#'i$ '"-#,il#! (#! #!$" !#$#ll""(i! s""l%,!# &
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10. /i)i/i)i (#)iio)o%s # &
B#i ("!#! s'o) A6GAR 7
10
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12. 6"!il#i#! s'o) #ll#)( (#!D%o5i$s s")$# ##i,#!#
"#l%#si ("!#! '%)# l%s/-"!'o(#! !"l-#%s"
Sore Ballar
Sis$", *"!il#i#! i!i(i'",#!'#! ol"- D). "#!!" LB#ll#)( MD %!$%' ,"!"!$%'#!%si# "s$#si #i #)% l#-i),"l#l%i *"!il#i#! !"%)o,%s'%l#)
(#! @si'. 6"!il#i#!!"%)o,%s'%l#) ,"li*%$i *os$%)square window arm recoil s%(%$*o*li$"#l scarf sign (#! heel to
ear maneuver . 6"!il#i#! @si'#! (i#,#$i #(#l#- '%li$lanugo *"),%'##! *l#!$#)*#%(#)# ,#$#=$"li!# (#!"!i$#li#
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enilaian2aturitaseuromuskular
a. ostur
To!%s o$o$ $%%- $")/"),i! (#l#, *os$%)$%%- #i s##$ is$i)#-#$ (#! #(#!#$#-#!#! s##$ o$o$ (i)"#!'#! :G#,#)II.3;. K"$i'# *",#$#!#!")l#!s%!")#!s%)#!s%) #!i!,"!#l#,i *"!i!'#$#! $o!%s 8"'so)*#si+ ("!#! #)#- s"!$)i*"$#l (i,#!#
"'s$)",i$#s #5#- s"(i'i$ l"i- #5#l (#)i"'s$)",i$#s #$#s. 6#(# #5#l '"-#,il#!-#!# *")"l#!#! '#'i #! 8"'si.L%$%$ ,%l#i 8"'si ")s#,##! ("!#!*")"l#!#! $#!#!. 6i!%l ,%l#i 8"'si
'",%(i#! (ii'%$i ("!#! #(%'si si'%l#l% 8"'si #-%. 6#(# #i *)",#$%)$o!%s *#si+ "'s$"!so) $i(#' ,"!(#*#$*")l#5#!#! s"(#!'#! *#(# #i #!,"!("'#$i ,#$%) ,"!%!%''#!
*")l#5#!#! $o!%s 8"'si *#si+ #!*)o)"si+.
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U!$%' ,"!#,#$i *os$%)#i (i$",*#$'#! $")l"!$#!
(#! *",")i's# ,"!%!%s#,*#i #i ,"!#(i $"!#!*#(# *osisi !#,#!!#. i'##i (i$",%'#! $")l"!$#!
(#*#$ (il#'%'#! ,#!i*%l#si)i!#! (#)i "'s$)",i$#s("!#! ,",8"'si'#! i'#
"'s$"!si #$#% s"#li'!#.H#l i!i #'#! ,",%!'i!'#!#i ,"!",%'#! *osisi(#s#) '"!#,#!#!!#.
Fl"'si *#!%l $#!*##(%'si ,",")i'#!#,#)#! s"*")$i *osisi '#'i'o(o'.
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& S-uare .ind*%
Fl"'siili$#s *")"l#!#!
$#!#! (#! #$#% $#-#!#!$")-#(#* *")"#!#!"'s$"!so) ,",")i'#! -#sils%(%$ 8"'si *#(#
*")"l#!#! $#!#!.6",")i's# ,"l%)%s'#!
#)i#)i #i (#! ,"!"'#!*%!%! $#!#! ("'#$("!#! #)i#)i ("!#!l",%$. H#sil s%(%$ #!$#)#$"l#*#' $#!#! (#! l"!#!
#5#- #i (#)i *)"$"),-i!# *os$"), (i*")'i)#'#!")$%)%$$%)%$ 90 90 >0 4< 30 (#! 0
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. Arm Re/*il
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. P*0liteal An+le
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e. S/ar1 Si+n
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f. 2eel t* Ear
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&. enilaian2aturitas Fisik
a. Kulit
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b. 4anu)o
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. ermukaan lantar
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. a*uara
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13. DD (#!
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Kelainan <I6 an nutrisi
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Imaturitas hati
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Kelainan kariovaskuler
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20. Kl#si@'#si
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21. E$ioloi
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22. 6"!#!#!#!
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