keterlambatan perkembangan
TRANSCRIPT
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7/25/2019 KETERLAMBATAN PERKEMBANGAN
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FAKULTAS KEDOKTERAN UNIZAR,
MATARAM
SEMESTER IV; T.A. 2009/2010MODUL : TUMBUH KEMBANG ANAK KULIAH : KETERLAMBATAN
PERKEMBANGANDOSEN : dr. INDRADJID, MS.!"#$ : JUNI 2010
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I. PENDAHULUANP%&'%r#(!& )%r#$*+$!& d!& )%r"%*+!&'!&
1. P%r#$*+$!& -'r#; )%r$+!!& d(#(&'"!# %, r'!&, (&d(3(d$d!!* 4$*!, +%!r !#!$ $"$r!&, +!(" d!!* +%r!#, )!&4!&',
3$*%.2. P%r"%*+!&'!& -d%3%)*% +%r#!*+!&5! "%*!*)$!& -"(d!!* #r$"#$r d!& 6$&'( #$+$ 5!&' %+( "*)%" d%&'!& )!#%r!#$r %$!( )r% *!#$r!( 6$&'( r'!& -+(7(" )("(!%4!" "&%)( !*)!( r%*!4!.
8. Gr# !&d d%3%)*% #(d!" +%rd(r( %&d(r(%&d(r(, #%#!)("%d$!&5! +%r4!!& (&"r& )!d! %#(!) (&d(3(d$.
. A&!" *%&$&4$""!& (r((r( #$*+$ < "%*+!&' 5!&' %$!( d%&'!&$(!&5!.
=. T$*+$ < "%*+!&' )!d! #!!) !! *%&%$"!& )%r"%*+!&'!&%!&4$#&5! %!r! +%r$r$#!& -"%*!*)$!& +%rd(r( *%&d!$$("%*!*)$!& +%r4!!&.
>. P%r"%*+!&'!& *%r$)!"!& !( )r% "%*!#!&'!& d!& )r%
+%!4!r. Kematangan : )r% (r(&(" %$!( )#%&( 5!&' !d! Belajar : !( d!r( !#(!& d!& $!! %(&''! *!*)$*%&''$&!"!& )#%&( 5!&' !d!. M%&%$"!& )%r"%*+!&'!&&r*! !#!$ !*+!#.
?. P! )%r"%*+!&'!& d!)!# d(r!*!"!& 5!(#$ d!r( #!!)!& $*$* "%
#!!)!& )%(7". -)!r!*%#%r #%r#%$
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II. @AKTOR@AKTOR ANG MEMPENGARUHI TUMBUH < KEMBANGD$! 6!"#r $#!*! :
1. @!"#r '%&%#(" !d!! )%&%$ "$!(#! d!& "$!(#!)%r#$*+$!& 5!&' d(*$!( d%&'!& (%&(#! d!& "%%)!#!&
)%*+%!!&, d%r!4!# %&(#(3(#! 4!r(&'!& #%r!d!)r!&'!&'!&, $*$r )$+%r#! d!& +%r%(&5! )%r#$*+$!$!&', 6!"#r +!!!& 5!&' &r*! d!& )!#'(*%r$)!"!& )#%&( (r(&("
2. @!"#r (&'"$&'!& : Pr!&!#! P#&!#!
!. @!"#r (&'"$&'!& Pr!&!#! : G(( (+$ )!d! !"#$ !*(
'(( "$r!&' < BBLR < I&6%"( C '!&'$!& #$*+$ < "%*+!&'. Tr!$*! *%"!&( )!d! (+$ !*(, R!d(!( T"(&/ !# "(*(! #%r#%$
E&d"r(& #%r$#!*! r*& )%r#$*+$!&, r*& #(r(d,(&$(&. I&6%"( (r! $#%r(& A&"(! %*+r(+. @!"#r (&'"$&'!& P#&!#! : L(&'"$&'!& +('(, 7(", )(" (!.
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III. PERKEMBANGAN ANAK BALITA1. M%r$)!"!& !&d!!& $$" )%r"%*+!&'!& +%r("$#&5! 5!(#$
"%*!*)$!& +%r+!!!, "r%!#(3(#!, %*(&!, (%%'%&(, d!!rd!!r "%)r(+!d(!& *r!.
D()%r$"!& r!&'!&'!&/ #(*$!( 5!&' +%r'$&! !'!r )#%&( 5!&'!d! d!)!# +%r"%*+!&' )#(*!.2. P%r"%*+!&'!& )(" (! !&'!# d()%&'!r$( (&'"$&'!&
%(&''! d()%r$"!& $!! !'!r d!)!# %$!( d%&'!& "%+$#$!&!&!" )!d! +%r+!'!( #!!) )%r"%*+!&'!&.
8. M%!$( D%&3%r D%3%)*%! Sr%%&(&' T%# -DDST d!)!#*%&(!( %*)!# )!r!*%#%r )%r"%*+!&'!& !&!" :
!. P%r&! (! -#(&'"! !"$ (! C "%*!*)$!& *!&d(r(,+%r(!(!( d!& +%r(%r!"( d%&'!& (&'"$&'!&.
+. @(&% *#r !d!)#(3% -'%r!"!& *#r(" !$K%*!*)$!& *%!"$"!& '%r!"!& 5!&' *%(+!#"!& +!'(!&+!'(!$+$ #%r#%$ 5!&' d(!"$"!& % ## "%(, #%#!)( *%*%r$"!&"rd(&!( 5!&' %r*!# -*%&''!*+!r, *%*%'!&' %$!#$
+%&d!.. L!&'$!'% -+!!! < "*$&("!(
"%*!*)$!& $$" *%*+%r( r%)& #%r!d!) $!r!, *%&'("$#()%r(! d!& +%r+(!r! )!&.
d. Gr *#r !d!)#(3% -'%r!"!& *#r(" "!!r"%*!*)$!& 5!&' +%r$+$&'!& d%&'!& )%r'%r!"!& d!& ("!)
#$+$.
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.U$" d%#%"( d(&( "%!(&!& )%r"%*+!&'!& d()%"!()!#"!&)!#"!& -*(%#&% "%*!*)$!&)%r"%*+!&'!& 5!&' !r$ d(!)!( )!d! $*$r #%r#%$
:UMUR / USIA PARAMETER PERKEMBANGAN ANAK
4 6 mingguT%r%&5$* )!&, d!)!# *%&'%$!r"!& $!r! 12*(&''$ "%*$d(!&.
12 16 mingguM%&%'!""!& "%)!!.M%&% "%!r! $!r!.M%*%'!&' +%&d! 5!&' d(#!r$ d(#!&'!&&5!
2 minggu M%r!( +%&d! 5!&' d(d%"!#"!& "%)!d!&5!.
26 minggu
D!)!# *%*(&d!"!& +%&d! d!r( !#$ #!&'!& "%#!&'!& !(&&5!
D$d$" d%&'!& +!$!& "%d$! #!&'!&&5! "%d%)!&M!"!& +("$(# %&d(r(
! 1 "u#$n
M%&$&4$" d%&'!& 4!r( #%$&4$"M%*%'!&' +%&d! d%&'!& (+$ 4!r( !#!$ #%$&4$"M%r!&'"!"B%r$!r! d!....d!.
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1% "u#$nB%r4!!& #!&)! +!$!&M%&'$!)"!& "!#! < "!#! #$&''!
1 2 &$'un M%r!&'"!" !&!" #!&''!
M%&$*)$" 2 !#!$ 8 +%&d!M%&$&4$" $$" *%&5!#!"!& "%(&'(&!&&5!M%&'("$#( )%#$&4$" %d%r!&!M%*%'!&' )%&( !r&! d!& *%*+$!# '!r(M%&!r$ +%&d! d!!* !d!M%&''$&!&'"!& +%&d! "%$!r d!r( !d!&5!M%&'("$#( )%r(! %d%r!&!M%&5%+$# &!*! +%&d! %d%r!&!, *(!&5! +!, r$*!M$!( +%r!r(M!*)$ *%&'(&'!# '!*+!r $!#$ +%&d!M%&'+r!"!+r(" !(, "%r!&4!&' +!4$, d!& !d! !(&"!r%&! (&'(& #!$D$d$" d%&'!& d(!* *%&d%&'!r %r(#! %d%r!&!
M%%*)!r +! "% !r! r!&' !(&M%&%&d!&' +!B%r4!!& *$&d$r
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2 % &$'un M%*+$"! d!& *%&$#$) )($B%r!r( d%&'!& +!("S%&!&' *%*!&4!#M%&$r$&( !&!" #!&''! !#$ d%*( !#$ d%&'!& "!"(
5!&' !*! %!r! )%r!!&M%&$*)$" +%&d! %+( #(&''( -> +%&d! !#!$ %+(M%&''$&!"!& )%&( !r&! $$" *%*+$!# #$(!&!"!r !5!*D!)!# *%()!# "%r#! +(! d("!& #%r%+( d!$$M%&+! *%*!"!( d!& *%&)# +!4$ %&d(r(
M%&''$&!"!& d$! "!#! !#!$ %+( "%#("! +%r+(!r!M$!( %&!&' *%&d%&'!r"!& %r(#! +%r'!*+!rM%*)!# d!r( #%*)!# 5!&' %+( #(&''( "% #%*)!#5!&' %+( r%&d!I"$# !"#(6 d!!* )%r*!(&!&I"$# *%*+%r%"!& *!(&!&H!6! &!*! %&'"!)&5!
T!$ 4%&( "%!*(&&5!T!$ +%r!)! $*$r&5!M%&(r$ #(&'"! !"$ d!& $!r!B%rd(r( %(*+!&' d( !#! !#$ "!"( $$" +%+%r!)! !!#M%&'%r#( "&%) %d%r!&! -*(!&5! !#!/+!!,)!&!/d(&'(&, "%(/+%!r, +$"!/#$#$)
T%r(+!# d!!* )%r*!(&!& 5!&' *%*+$#$"!&"&%r!( -*%*(!, *%*!!&'
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% 4 &$'un N!(" #$r$& #!&''! d%&'!& "!"( "(r( d!& "!&!&+%r'!(!&M%&+! *%&"!& +%r!'!* +%$" 5!&'#%r'!*+!r -(&'"!r!&, "#!", %'(#('!, %'(%*)!# d!&
3!M%*!!&' d!& *%&)# %)!#$M%&'(#$&' 1 !*)!( +%&d! 5!&' !*!M%&'$!&' %d("(#&5! 8 +%&d! #%r!"(r 5!&' +%r$r$#!&d(%+$#"!&M!*)$ *%&%r(#!"!& "%*+!( !#!$ *%&'(&'!# %r(#!%d%r!&! !#!$ )%&'!!*!&B%r*!(& )%r*!(&!& (&d(3(d$ %d%r!&! d(!!r! #%*!&!(&M%&)# "!&(&' +!4$ %&d(r(M%&'%&d!r!( %)%d! rd! #('! -"rd(&!( #!*)!" +!("B%r+(!r! "!(*!# )%&d%" d!& %d%r!&!T!*)!" *%&'%r#( !#$r!& )%r*!(&!&
B%r*!(& *)!# "!"(M%*#&' d%&'!& !r!!&M%&'%&!( !r&! d!!rM%*%!"!& )%r!!& -#%&''%!*/*%&'!*+!&',*$r/+!$#, +%r*!(& )$%M%&'%&!( +%$" (&'"!r!&, "#!", %'(#('!, %'(%*)!#
d!& 3!M%&'%&! +%+%r!)! $r$6 !)!+%#
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4 ( &$'un T(%# #r!&(&'M!"!& d%&'!& %&d" d!& '!r)$D$d$" #%&!&' $$" +%+%r!)! !!#S%&!&' +(! *%&d%&'!r"!& %r(#!
M%*!"!( 4!"%# %&d(r( #!&)! +!$!&M!*)$ *%&'!&(&'"!& 4!"%# %&d(r(M!*)$ *%*!"!( %)!#$ %&d(r( d%&'!& +%&!rM%*+%r%"!& *!(&!& +(! d(*(!S%&!&' +%r!d! d(!!r! r!&' !(&M%*)%r!#("!&/ *%r!!# +!r!&'&5! %&d(r(
B%r+!'( !#!$ *!$ +%r'((r!&B(!!&5! *%&%r(*! !)! 5!&' d(+!#!( r!&'#$!B%r+!'( )%r!#(!& r!&'#$! d%&'!& !$d!r!M%&'("$#( )%#$&4$" %d%r!&!B%r"$&4$&' "% "%r!+!# r!&' !(& #!&)! r!&'#$!$$" !"#$ 5!&' )%&d%"M!*)$ *%&5%+$# &!*! %&'"!) d(r(&5!M%&'%r#( "&%) %d%r!&! %)%r#( +%!r/"%(,"%$!r/*!$", &!("/#$r$&, +$"!/#$#$)M%&'%&!( +%&d! 5!&' +(!! d(#%*$( d(r$*!M%*)%r(!#"!& (*!'% d(r( 5!&' )(#(6B%r#!&5! $$" *%*)%r% (&6r*!(
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M%&'%r#( "&%) !&'"! -1=M%&'%&!( $!r!$!r! 5!&' +(!! !d! d(r$*!M%&%r(#!"!& )%&'!!*!&&5!M%&5%+$# "%'$&!!& +%&d! 5!&' +(!! d(#%*$( d(
r$*!, *(!&5! 4!"%# d()!"!(, )(!&' d(*!"!&M%&'%&!( d%!)!& !r&! d!!rM%&'%&!( $r$6 d!& $!r!M!*)$ *%&'(&'!#/*%&'$!&' 2 !#!$ 8 +%&d!+%r!(&!& d!!* "&%) 5!&' !*!, *(!&5! -=,?,9,-*%r!,+(r$,"$&(&', -',+,d
M%*)!# d$! !#!$ #('! "!( d%&'!& !#$ "!"( d!!*!#$ '!r(M!*)$ *%&!&'"!) +! 5!&' $"$) +%!rM!*)$ +%r!r( !#!$ +%r%( d%&'!& )%r(!M!*)$ *%&''!*+!r '!*+!r %d%r!&!M!*)$ *%*+%d!"!& +%$"+%$" 5!&' +%r!(&!&M!*)$ *%&"!& '!*+!r (&'"!r!& !#!$ "#!"B%rd("$( %r(#! 5!&' d(d%&'!r !#!$ d((!# d( TVM%*(( +4%" !#!$ '!*+!r 5!&' !*)(r !*!M%*)%r(!#"!& "%(&'(&!&&5! $$" +%r%"!
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IV.DETEKSI DINI PERKEMBANGAN ANAK1. P!d! !!# (&( +%r+!'!( *%#d% d%#%"( d(&( #%! d(+$!# d!&
4$'! "r(&(&' $$" *%&'%#!$( )%&5!"(#)%&5!"(# 5!&'+%r)#%&( *%&'!"(+!#"!& '!&''$!& )%r"%*+!&'!& !&!"
C !'!r d(!"$"!& )%&!&'!&!& %+( !!.2. S"r(&(&' !&5!! )r%d$r r$#(& )%*%r("!!& #$*+$