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SKENARIO C BLOK 24

A male baby was born at type C public Hospital from a 41 years old woman. Her mother, Mrs.

Anita was hospitalized at the Hospital due to uterine contraction. It was her third pregnancy. he

forgot when her first day of last period, but she thought that her pregnancy was about ! months.

Her other children were born preterm too, about " months. #ow they are 4 years old and $ years

old.

%our hours after admitted, she deli&er her baby spontaneously. 'he labor process was () minutes,

and ruptured of membrane was one hour before deli&ery. 'he li*uor was clear. 'he baby was not

cried spontaneously after birth, but grunting and his whole body was cyanosis. +ediatrics

residence who resuscitate the baby did first step of resuscitation to the baby. A+A- score at

first minute was ( and fifth minutes was !.

n physical e/amination0

ody weight was 1(2) grams, body length was 41cms, and head circumference was (1 cm. the

muscle tone was decreased, he was poorly fle/ed at the limbs, he has thin s3in, more lanugo o&er

the body and plantar plantar creases 1( anterior. At 1) minutes of age, his still had grunting and

cyanosis of the whole body, respiratory rate was "5 breaths per minute, there were epigastric

retraction, breathing sound decreased. Heart rate 125 beats per minute. aturation "26 with

nasal o/ygen.

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I. Klarifikasi Istilah

-umah sa3it tipe C : rumah sa3it yang mampu memberi3an pelayan 3edo3teran, sub

pernapasan dan berhentinya 7antung.

A+A- score : sebuah pengu3uran respon bayi terhadap 3elahiran dan

3ehidupan di luar rahim, didasar3an pada penampilan, denyut

7antung, refle3s, 3egiatan, dan pernapasan. +enilaian diambil

pada 1 dan 2 menit setelah 3elahiran ber3isar antara 181).

9anugo : rambut halus dan tipis yang muncul pada 3ulit 7anin yang

sering muncul pada bayi prematur.

+lantar creases : garis atau ce3ungan pada telapa3 3a3i yang 3urang lebih linear.

-etra3si epigastri3 : tertari3nya otot8otot epigastrium.

aturasi o3sigen : fra3si hemoglobin yang tersaturasi o3sigen relatif terhadap

hemoglobin total.

II. Identifikasi Masalah

1. A male baby was born at type C public Hospital from a 41 years old woman. Her

mother, Mrs. Anita was hospitalized at the Hospital due to uterine contraction.

$. It was her third pregnancy. he forgot when her first day of last period, but she thoughtthat her pregnancy was about ! months. Her other children were born preterm too, about

" months. #ow they are 4 years old and $ years old.

(. %our hours after admitted, she deli&er her baby spontaneously. 'he labor process was ()

minutes, and ruptured of membrane was one hour before deli&ery. 'he li*uor was clear.

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4. The bab !as n"t #ried s$"ntane"%sl after birth& b%t 'r%ntin' and his !h"le b"d

!as #an"sis.

2. +ediatrics residence who resuscitate the baby did first step of resuscitation to the baby.

A+A- score at first minute was ( and fifth minutes was !.

5. n physical e/amination0ody weight was 1(2) grams, body length was 41cms, and head circumference was (1

cm. the muscle tone was decreased, he was poorly fle/ed at the limbs, he has thin s3in,

more lanugo o&er the body and plantar creases 1( anterior. At 1) minutes of age, his

still had grunting and cyanosis of the whole body, respiratory rate was "5 breaths per

minute, there were epigastric retraction, breathing sound decreased. Heart rate 125 beats

per minute. aturation "26 with nasal o/ygen.

III. Analisis Masalah

1. A male baby was born at type C public Hospital from a 41 years old woman. Her

mother, Mrs. Anita was hospitalized at the Hospital due to uterine contraction. It was

her third pregnancy. Her other children were born preterm too, about " months. #ow

they are 4 years old and $ years old.

a. agaimana hubungan usia ibu dan riwayat 3ehamilan 3etiga dengan bayi lahir

prematur: ;serta fa3tor risi3o riwayat persalinan preterm, 7ara3 antara 3ehamilan