Prosedur Pemeriksaan Leopold

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Net Price: $9,459/yr Score: 82.13 See our methodology page for more information about how we calculated this ranking.* *For this ranking, we added an extra feature to the standard methodology. Because we wanted to focus specifically on “speed” rather than general measures of quality, we custom-designed a scale to rank schools based on this highly desirable “fast factor.” Specifically, we researched each online college and asked ourselves the following questions: Does the school offer bachelor’s degrees that one could complete in less than four years? What about associate’s degrees in less than two years? Are there many short certificate options for students who want to quickly augment their skills in an established field? Are there “accelerated” degree paths and options for students who want to earn a combined bachelor’s/master’s degree? Does the school offer credit for life/work experience and past academic coursework in order to help students move ahead on their degree path? Does the school offer multiple course formats so that students have the option to start several times a year and/or to choose between classes of varying lengths? But don’t worry – we still considered graduation rate and tuition costs as well! We hope this has been helpful in providing information about fast online degrees from accredited colleges. There are many fast online degree programs available, and we encourage you to do a broad search to find the program that’s best for you. THIS CONCLUDES OUR RANKING OF THE BEST VALUES IN FAST ONLINE DEGREES. Sources: College Navigator By CVO Staff Published March 2016

Prosedur Pemeriksaan Leopold Selamat datang di Lahiya, situs (blog) sederhana yang berbagi ilmu dan pengetahuan dengan penuh keikhlasan. Dan, pada kesempatan kali ini, kami bakal sharing pengetahuan mengenai Pemeriksaan Leopold. Pemeriksaan leopold ini dilakukan untuk mengetahui presentasi janin, tinggi fundus uteri, dan apakah kepala bayi sudah memasuki PAP atau belum. Langsung saja kita masuk ke pembahasannya.

Malignant peritoneal mesothelioma is a rare type of mesothelioma which attacks the lining of abdomen also known as peritoneum. Malignant peritoneal mesothelioma (MPM) is a universally fatal disease affecting 20% to 30% of the mesothelioma cases. It's was first described by Miller and Wynn in the year 1908. According to the statistics, in the past two decades, the incidence of malignant peritoneal mesothelioma cancer has increased. Peritoneal mesothelioma affects the lining of the abdomen also known as peritoneum. The location of malignant cell is human's abdominal lining and because of that, MPM can sometimes known as abdominal mesothelioma. However, most common term used to describe this type of cancer is peritoneal mesothelioma. The main cause of MPM in humans is asbestos. Asbestos typically is the one of most commonly roofing materials since it is not only cheaper but is easy to fix on a roof. Asbestos exposure contributed to almost 70 to 80 percent of mesothelioma lung cancer. Humans come into contact with asbestos when they swallow or inhale the fibers. Asbestos inhalation may increase risk to develop asbestos related diseases, most importantly mesothelioma. Asbestos was completely banned in UK since it was recognized to be a serious health hazard, and it is now responsible for about 4000 deaths each year and many cases of serious disease. The people at increase risk of developing health asbestos related disease are those whose work brings them into direct contact with asbestos such as builders, heating engineers, roofers and demolition workers. In addition to mesothelioma, asbestos exposure will increase the risk of other health problems such as lung cancer, asbestosis (chronic lung ailment) and other type of cancer such as larynx and kidney cancer. Symptoms of Malignant Peritoneal Mesothelioma It can takes such a long time for cancer to develop the symptoms and sometimes may take up to 30 years, between exposure to asbestos and the start of the disease. Most common symptoms of the disease are abdominal pain, abdominal swelling, abnormal weight loss, anemia, easy fatigue, nausea and vomiting. Abdominal pain and swelling result from fluid accumulation in the abdominal cavity. Other than that, people can easily get fever when the disease starts to shows its symptoms. Among the symptoms stated above, abdominal pain is the most common reported initial symptoms of MPM. Unexplained night sweats and blood coagulation problems are less frequent symptoms occurring when the cancer develops. If the cancer cells spread to the other part of the body, the symptoms may lead to trouble swallowing or swelling of the neck and face. Diagnosis of Abdominal Mesothelioma It is very difficult to diagnose peritoneal mesothelioma since there is no defined system so far that can differentiate the stages of the development of cancerous tumor cells. If required, TNM staging system normally used to detect the cancer in stages. Other than that, Serum mesothelin-related protein (SMRP) may be a potentially useful serum marker used to diagnose and to follow-up the cancer progression. Computer tomography (CT) findings may be a useful tool in detection and characterization of peritoneal mass. Malignant Peritoneal Mesothelioma is a deadly neoplasm. MPM's diagnosis is difficult to perform since the symptoms will take a long time to show up. Early detection is the key in peritoneal mesothelioma treatment since the cancer cell normally spread very fast. Peritoneal Mesothelioma can be regarded as a very dangerous cancer among other cancer.However we can prevent this problems from occur to you and your family. As i said before, early detection is the key of peritoneal mesothelioma treatment [] success since the cancer cell spread very fast. Get your free update's information about mesothelioma especially mesothelioma treatment by click > mesothelioma [] Article Source: Article Source:


  • Kontrol Leopold untuk menentukan
  • Besarnya rahim serta konsistensinya
  • Bagian-bagian janin, letak serta presentasi
  • Gerakan janin
  • Kontraksi Braxton-hicks serta his

Peralatan dan Perlengkapan:

  • Laennec atau doppler
  • Medline
  • Selimut
  • Handuk
  • Tempat tidur antenatal
  • Phanthoom
  • Buku serta alat tulis

Produser Pelaksaan:

  • Beritahu serta jelaskan pada ibu tindakan yang bakal dilakukan.
  • Sediakan alat serta bahan secara ergonomis.
  • Mempersilahkan client ke tempat tidur serta membantu membuka baju seperlunya.
  • Bersihkan tangan dengan sabun serta air mengalir, keringkan dengan handuk bersih.
  • Menghangatkan kedua tangan.
  • Melihat kondisi perut ibu apakah ada bekas operasi atau striae

Melakukan palpasi leopold I

  • Memposisikan client dengan lutut sedikit ditekuk
  • Menegangkan uterus dengan memakai kedua tangan dari arah samping serta umbilikalImage
  • Menentukan sisi janin yang ada di fundus
  • Kedua tangan meraba fundus lantas menentukan TFU
  • Melakukan palpasi Leopold II
  • Meletakan kedua tangan disamping kanan serta kiri perut client untuk menentukan letak punggung janin
  • Meletakan laennec atau doppler di sekitar punggung janin, kemudian kalkulasi detak jantung janin
  • Melakukan palpasi Leopold IIIImage
  • Meletakan tangan kiri menahan fundus, tangan kanan meraba sisi terbawah janin serta menilai apakah sisi terbawah udah masuk PAP
  • Melakukan palpasi Leopold IVImage
  • Memposisikan client dengan kedua kaki diluruskan, teruji menghadap kearah kaki client
  • Kedua tangan diletakkan pada segi sisi bawah rahim serta menilai seberapa jauh penurunannya
  • Rapikan pasien
  • Membantu client turun dari tempat tidur
  • Menyampaikan hasil dari kontrol Leopold I, II, III, IV
  • Bereskan alat
  • Bersihkan tangan dengan sabun da air mengalir, keringkan dengan handuk bersih
  • Lakukan dokumentasi tindakan yang sudah dilakukan

Komunikasi Terapeutik

Komunikasi terapeutik yaitu komunikasi yang mendorong proses penyembuhan client (Depkes RI, 1997). Dalam artian lain menyampaikan bahwa komunikasi terapeutik yaitu proses yang dipakai oleh tenaga kesehatan menggunakan pendekatan yang direncanakan secara sadar, mempunyai tujuan dan kegiatannya dipusatkan pada client.

Menurut Stuart serta Sundeen (dalam Hamid, 1996), maksud hubungan terapeutik diarahkan pada perkembangan client mencakup:

  • Realisasi diri, penerimaan diri serta peningkatan penghormatan pada diri.
  • Rasa identitas personal yang pasti serta peningkatan integritas diri.
  • Kemampuan untuk membina hubungan interpersonal yang intim serta sama-sama bergantung dengan
  • kapasitas untuk mencintai serta di cintai.
  • Peningkatan fungsi serta kemampuan untuk memuaskan kebutuhan dan meraih maksud personal yang realistik.

Tujuan komunikasi terapeutik yaitu:

  • Membantu client untuk memperjelas serta mengurangi beban perasaan serta fikiran dan bisa mengambil tindakan untuk merubah kondisi yang ada apabila client yakin pada hal yang dibutuhkan.
  • Mengurangi kesangsian, membantu dalam hal mengambil tindakan yang efisien serta mempertahankan kemampuan egonya.
  • Memengaruhi orang lain, lingkungan fisik dan dirinya sendiri.
  • Dokumentasi
  • Metode pendokumentasian SOAP yaitu catatan yang bersifat simpel, jelas, logis serta tercatat. Pencatatan ini umum digunakan untuk mendokumentasikan bimbingan kebidanan.

Empat langkah dalam metode ini yaitu sebagai berikut ini:

S: Data Subjektif

  • Adalah informasi yang didapat langsung dari client
  • Informasi itu dicatat sebagai kutipan langsung atau ringkasan yang terkait dengan diagnosis

O: Data Objektif

  • Data yang didapat dari apa yang diliat serta dirasakan oleh bidan pada saat kontrol termasuk juga hasil kontrol laboratorium, USG, dll
  • Apa yang bisa diobservasi oleh bidan bakal jadi komponen yang berarti dari diagnosis yang akan ditegakan

A: Analisis

  • Adalah rangkuman yang di buat bersumber pada data subjektif serta data objektif yang didapatkan
  • Adalah sebuah proses yang dinamik, mencakup:
  • Diagnosis
  • Antisipasi diagnosis/masalah potensial
  • Pentingnya tindakan segera (langkah 2, 3, 4 dalam manajemen varney)

P: Plan/Planning/Perencanaan

Adalah rencana, proses serta evaluasi sesuai dengan rangkuman yang di buat (bersumber pada langkah 5, 6, 7 pada manajemen varney)

Untuk persiapannya, wanita hamil yang akan di check diminta berbaring telentang dengan bahu serta kepala sedikit lebih tinggi (menggunakan bantal) serta pemeriksa ada di sebelah kanan pasien (atau di sebelah kiri untuk pemeriksa yang kidal).


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