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"[ABSTRAKPermasalahan kesehatan selama masa kehamilan membutuhkan perhatian dari petugas kesehatan sehingga proses kehamilan dan persalinan dapat berjalan selamat. Peran Ners spesialis keperawatan maternitas sangat diperlukan dalam upaya pencegahan dan penanggulangan masalah tersebut. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran pelaksanaan praktik residensi ners spesialis keperawatan maternitas dan memberikan gambaran fokus penerapan model konsep need for help Wiedenbach pada fase akut dan self care Orem pada fase pemeliharaan. Evaluasi yang diharapkan pada fase akut adalah kontraksi berhenti, dan tidak adanya tanda-tanda kegawatan maternal dan janin. Evaluasi pada fase pemeliharaan yaitu peningkatan kemandirian klien. Penerapan model dan konsep keperawatan need for help dan self care terbukti bermanfaat mengatasi kontraksi dalam kehamilan sehingga bisa di aplikasikan dalam proses asuhan keperawatan kontraksi dalam kehamilan.

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ABSTRACTHealth problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction., Health problems during pregnancy require the attention of health professionals so that the process of pregnancy and childbirth can be safe. The role of maternity nursing specialist is indispensable in the prevention and control of the problem. This final scientific work aimed to provide an overview of the implementation of maternity nursing specialist residency practice and describe the application of Wiedenbach Need for Help Conceptual Model in the acute phase and Orem Self Care Conceptual Model in the maintenance phase. The expected evaluation in the acute phase was the contraction stopped, and there were no signs of maternal and fetal distress. The evaluation in the maintenance phase was the increase of the client independency. The application of Need for Help and Self Care Nursing Model and Concept has been proved beneficial to overcome the preterm contraction, so that these models can be applied in the nursing care process of preterm contraction.]"

"Kesehatan reproduksi merupakan masalah penting untuk diperhatikan dalam rangka meningkatkan derajat kesehatan perempuan. Sebagai salah satu usaha untuk mencapai tujuan tersebut, dilaksanakanlah program ners spesialis keperawatan maternitas. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran pelaksanaan praktek residensi ners spesialis keperawatan maternitas dengan fokus penerapan model konsep need for help Wiedenbach pada fase akut dan self care Orem pada fase pemeliharaan pada asuhan keperawatan klien dengan retensio plasenta. Masalah keperawatan pada tahap akut yaitu kekurangan volume cairan, gangguan integritas jaringan, dan kecemasan, sementara pada tahap pemeliharaan adalah gangguan pemenuhan kebutuhan sehari-hari, ketidakefektifan proses menyusui, dan risiko infeksi. Tindakan yang dilakukan meliputi resusitasi cairan, pengeluaran plasenta, perbaikan kontraksi uterus, dan pendidikan kesehatan tentang perawatan pada ibu dan bayi. Evaluasi pada fase akut yaitu perdarahan berkurang, kontraksi uterus kuat, dan pada fase pemeliharaan yaitu peningkatan kemandirian klien.

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Reproductive health is a critical problem that needs attentions in order to increase the female health level. As an attempt to reach this goal, a maternity nursing specialist program is performed. This final scientific work aimed to describe the residential practice of maternity nursing specialist which focused on the application of Wiedenbach's concept of need for help during the acute phase and Orem's self care model during the maintenance phase in the nursing care to a client with placenta retention.

Nursing problems in the acute stage were fluid volume deficit, impaired tissue integrity, and anxiety, while in the maintenance stage were daily needs fulfillment, ineffective breastfeeding, and risk of infection. The nursing intervention included fluid resuscitation, placenta delivery, uterine contraction improvement, and health education related to mother and baby care. The evaluation in the acute phase included reduced bleeding and good uterine contraction, while in the maintenance phase included the enhancement of client's independency."

"[Integrasi teori model need for help Wiedenbach dengan self care Orem pada asuhan keperawatan pasien dengan mola hidatidosa menjadi kerangka kerja praktik Residensi keperawatan maternitas selama satu tahun. Laporan ini bertujuan untuk memberikan gambaran asuhan keperawatan pada kehamilan normal dan resiko tinggi, perempuan yang mengalami masalah reproduksi, dan ginekologi pada tatanan klinik atau komunitas. Hasil Residensi menunjukan bahwa kedua model tersebut efektif dan efesien dalam membantu mengatasi permasalahan pasien dengan mola hidatidosa. Pencapaian kompetensi Perawat Spesialis Maternitas dilakukan melalui penerapan peran Perawat secara komprehensif., Integration theory models Wiedenbach need for help with self-care Orem on nursing care of patients with hydatidiform mole into the framework of maternity nursing practice residency for one year. This report aims to provide an overview of nursing care in the normal and high-risk pregnancy, women who have reproductive problems, and gynecology at the clinic or community order. Residency results showed that both models are effective and efficient in helping to overcome the problems of patients with hydatidiform mole. Achievement of competence Specialist Nurse Maternity Nurse role is done through the implementation of a comprehensive manner.]"

"Salah satu tujuan dari MDGs adalah menurunkan angka kematian ibu dan bayi. Upaya penurunan angka kematian ibu dan bayi di Indonesia belum memuaskan, target Indonesia menurunkan angka kematian ibu 102 per 100.000 kelahiran hidup pada tahun 2015. Peran ners spesialis keperawatan maternitas sebagai praktisi keperawatan, pendidik, konselor, advokat, pengelola, koordinator, kolaborator, peneliti dan agen pembaharu sangat diperlukan untuk menurunkan angka kematian ibu dan bayi. Tujuan umum pembuatan laporan akhir praktik residensi adalah untuk memberikan gambaran pelaksanaan kegiatan praktik residensi dengan fokus penerapan model keperawatan Need for Help Wiedenbach dan Self Care Orem pada asuhan keperawatan ibu hamil dengan kontraksi dini. Aplikasi teori keperawatan Need for Help Wiedenbach dan Self Care Orem efektif dilakukan pada lima ibu hamil dengan kontraksi dini. Integrasi model keperawatan Need for Help Wiedenbach diterapkan pada fase akut. Sedangkan pada fase pemeliharaan dilakukan asuhan keperawatan dengan Self Care Orem. Aplikasi teori tersebut berhasil membantu menyelesaikan masalah keperawatan dan menghentikan kontraksi uterus sampai usia kehamilan aterm. Setelah melaksanakan praktik residensi spesialis keperawatan maternitas, penulis mampu mencapai target kompetensi dengan baik.

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One of the MDGs goals is to lower maternal and infant mortality rate. Efforts to lessen maternal and infant mortality rate in Indonesia are unsatisfactory. Indonesia's target is to reduce maternal mortality to 102 per 100,000 live births in 2015. Roles of maternity nursing specialist nurses as care givers, educators, counselors, advocates, coordinators, managers, collaborators, researchers and change agents are needed to lower maternal and infant mortality rate.

The goal of the residency practice final report is to provide an overview of the implementation of residency practice focused on Wiedenbach Need for Help and Orem Self Care Nursing Model on nursing care of pregnant women with early contractions.

The application of Wiedenbach Need for Help and Orem Self Care nursing theory was effectively done to five pregnant women with early contractions. The integration of Wiedenbach Need for Help nursing model was applied in the acute phase. While in the maintenance phase, Orem Self Care nursing care was performed. The application of the theory was successfully help to solve nursing problems and to stop the uterine contractions until term gestation. After performing the maternity nursing specialist residency practice, the author was able to achieve the competency targets well."

"[ABSTRAKAngka kematian ibu saat ini masih tinggi yang disebabkan karena komplikasi pada kehamilan dan persalinan, oleh karena itu perlunya peran tenaga kesehatan yang terkait termasuk perawat maternitas untuk memberikan pelayanan kesehatan profesional. Perawat spesialis maternitas dituntut mampu menjalankan perannya secara komprehensif. Laporan ini bertujuan untuk menggambarkan praktik residensi ners spesialis maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan postnatal normal dan berisiko serta bayi baru lahir normal dan berisiko, serta perempuan dengan masalah reproduksi dan ginekologi. Residen juga melakukan asuhan keperawatan dengan focus penerapan teori need for help dan comfort pada ibu bersalin dengan persalinan memanjang. Hasil menunjukkan bahwa kedua model efektif dapat diterapkan pada keenam kasus ibu bersalin dengan persalinan memanjang. Pencapaian kompetensi perawat spesialis maternitas dilakukan dengan penerapan peran perawat secara komprehensif.

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ABSTRACTMaternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively., Maternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively.]"

"Perawat spesialis maternitas berperan dalam menurunkan Angka Kematian Ibu AKI akibat komplikasi kehamilan dan persalinan. Salah satu peran perawat adalah memberikan asuhan keperawatan yang komprehensif dengan mengidentifikasi dan mengatasi masalah pasien perdarahan post partum dengan pedekatan teori keperawatan. Penerapan model need for help Wiedenbach diterapkan pada fase akut untuk mefasilitasi ibu mengatasi masalah perdarahan yang dialami dan teori self care Orem diterapkan pada fase pemulihan untuk memfasilitasi pasien meningkatkan kemampuan dalam merawat dirinya. Lima kasus kelolaan pasien memiliki masalah yang berbeda beda sesuai hasil pengkajian model need for help Wiedenbach dan self care Orem. Kasus yang dilaporkan adalah pasien perdarahan post partum akibat retensio plasenta dengan keluhan perdarahan aktif, lemas, pusing. Masalah keperawatan yang ditemukan pada fase akut adalah perdarahan, kurang volume cairan, resiko gangguan perfusi jaringan, kecemasan, sedangkan masalah keperawatan pada fase pemeliharaan adalah defisit perawatan diri, risiko cidera, nyeri, kecemasan, dan berduka. Intervensi keperawatan yang dilakukan pada fase akut adalah untuk mengatasi masalah kegawatan dengan menghentikan perdarahan dan resusitasi cairan. Sedangkan intervensi keperawatan pada fase pemulihan adalah untuk meningkatkan kemandirian pasien dalam melakukan perawatan dirinya. Evaluasi yang didapatkan adalah perdarahan teratasi dan pasien mandiri dalam melakukan perawatan dirinya

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The Final Report of residential of Maternity Nursing Specialist which focus on application Theori of need for Help Wiedenbach and Self Care orem of Women with Post Partum Haemorhagae AbstrackMaternity nursing specialists have role in reducing maternal mortality due to complication of pregnancy and childbirth. One of the nurses 39 roles is to provide comprehensive nursing care by identifying and resolving patient problems with postpartum hemorrhage using nursing theories. The application of "the need for help" Wiedenbach theory in the acute phase is to facilitate mother in overcoming the bleeding problem and "the self care" Orem theory is applied in the recovery phase to facilitate patient having self care. Five cases of postpartum hemorrhage patients have different problems according to the results of "the need for help" theory of Wiedenbach and "self care" theory of Orem.

Reported cases were postpartum hemorrhage patients due to placental retention with active bleeding, weakness and dizziness complaints. Nursing problems found in the acute phase are bleeding, lack of fluid volume and risk of tissue perfusion disorders, while the problems in the recovery phase are self care deficits, risk of injury, pain, anxiety and grief. In the acute phase, nursing interventions is conducted to overcome emergency problem by stopping bleeding and fluid resusitation. While in the recovery phase, the nursing interventions is conducted to facilitate patients in doing self care. Evaluation obtained is bleeding resolved and having self care patients. "

"ABSTRAK Laporan Praktek Residensi Spesialis Keperawatan Maternitas Dengan Penerapan Teori Need For Help Wiedenbach, Self Care Orem Dan Caring Swanson Pada Ibu Dengan Preeklampsia Abstrak Angka kematian ibu di Indonesia masih tinggi yaitu sebesar 359/100.000 kelahiran hidup. Pada tahun 2013 tercatat 27.1 penyebab kematian ibu disebabkan karena hipertensi pada kehamilan yang merupakan urutan kedua penyebab kematian ibu di Indonesia setelah pendarahan. Angka kematian ibu akibat preeklamsia di Indonesia adalah antara 9,8 - 25 . Perawat sebagai bagian dari tenaga kesehatan memiliki peran untuk memberikan asuhan keperawatan yang komprehensif untuk memantau dan memonitor kondisi ibu.Kasus kelolaan ada lima, namun dijelaskan secara terperinci pada satu kasus kelolaan. Hasil yang diperoleh dari keempat klien berusia < 20 tahun, satu kasus kehamilan yang kedua dan empat kasus kehamilan pertama, dua kasus dengan eklampsia, dan tiga kasus dengan preeklampsia berat, terdapat edema, dan protein urin lebih dari positif satu. Kelima kasus dilakukan pembedahan seksio sesaria, tiga kasus beresiko tinggi mengalami post partum blues. Fase akut menggunakan pengkajian dengan model konsep need for help Wiedenbach, sedangkan fase pemulihan menggunakan teori self care Orem dan caring Swanson. Pada fase akut pasien mengalami masalah gangguan perfusi jaringan serebral, intoleransi aktivitas, resiko cidera pada janin dan kecemasan. Sedangkan pada fase pemulihan pasien mengalami gangguan rasa nyaman nyeri, hambatan mobilitas fisik, defisit perawatan diri, kecemasan, dan resiko tinggi koping individu tidak efektif.Ketiga teori keperawatan ini dapat diterapkan pada pasien dengan preeklampsia untuk penanganan masalah emergensi pada fase akut dan peningkatan kenyamanan, perawatan diri setelah operasi dan peningkatan koping yang efektif untuk penanganan pada masa pemulihan bagi ibu dan bayinya. Kata Kunci: preeklampsia, need for help Wiedenbach, self care Orem, caring Swanson ABSTRACT Report Of Specialist Practice Residency Maternity Nursing Theory And Concept With The Application Of Need For Help Wiedenbach, Self Care Orem Dan Caring Swanson In Mother With Preeklampsia. Abstract Maternal mortality rate in Indonesia is 359 100,000 live births. On 2013 the prevalence of maternal mortality rate cause of on the pregnant woman is 27,1 . This is the second maternal death in Indonesia after bleeding. Maternal mortality death caused by preeclampsia in Indonesia is between 9.8 25 . Nurse as a part of the health workers has a role to give comprehensive nursing care to monitor the condition of the motherFrom five cases founded, only one case was explain in details. There are four clients with age less than 20. On that case it was found one case on the second second pregnancy, four cases on the first pregnancy, two cases with eclampsia, and three cases with severe preeclampsia, five with cases with high blood pressure, edema, and urine protein more than positive one . Five cases were done section cesarean, three high risk caused post partum blues. The acute phase using assessment with the model concept of Wiedenbach, while the recovery phase using Orem self care and caring Swanson theory. On the acute phase the clients having a problems with tissue perfusion problems, activity intolerance, fetal risk and anxiety. While in the recovery phase of patients experiencing painful discomfort, physical imobility, self care deficit, anxiety, and high risk of ineffective individual coping.These nursing theories can be applied to patients with preeclampsia for the emergency problems in the acute phase and improved self care after surgery and effective coping enhancement for recovery treatment for mother and baby. Keywords reeclampsia, concept of Wiedenbach, self care Orem, caring Swanson"

"[ABSTRAKPermasalahan kesehatan di Indonesia diantaranya seputar kesehatan ibu dan kesehatan perempuan. Ners spesialis keperawatan maternitas yang memiliki peran dan fungsi pada kesehatan perempuan diharapkan dapat berperan dalam mengatasi permasalahan kesehatan perempuan. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran pelaksanaan praktek residensi ners spesialis keperawatan maternitas dengan fokus penerapan teori keperawatan "need for help Wiedenbach" pada fase akut dan "conservation Levine" pada fase pemeliharaan dalam asuhan keperawatan tujuh kasus perdarahan akibat kanker serviks. Masalah keperawatan prioritas pada tahap akut adalah resiko hipovolemi. Masalah pada tahap konservasi adalah gangguan perfusi jaringan, gangguan nutrisi dan kelemahan. Evaluasi pada tahap akut adalah tidak terjadi syok hipovolemi. Evaluasi pada tahap konservasi adalah gangguan perfusi jaringan teratasi, klien dapat meningkatkan asupan nutrisi dan dapat meningkatkan kemampuan beraktifitas. Kompetensi selama pelaksanaan praktek keperawatan maternitas dapat dicapai. Ners spesialis keperawatan maternitas diharapkan mampu menerapkan teori model keperawatan dalam pelaksanaan asuhan keperawatan sesuai dengan kondisi dan kebutuhan pasien.

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ABSTRACTHealth problems in Indonesia are including maternal and women's health. Maternity nursing specialists who have the role and function on the women's health are expected to play a role in addressing women's health problems. This final scientific work aimed to describe the implementation of maternity nursing specialist residency practice focused on the application of Wiedenbach Need for Help Theory which was performed in the acute phase and Levine Conservation Theory which was done in the maintenance phase in nursing care of cervical cancer bleeding was performed on seven patients. The prior nursing problem in the acute phase was risk for hypovolemic. The problems in the conservation stage were tissue perfusion disorder, altered nutrition, and weakness. The evaluation in the acute phase was hipovolemic shock did not occur. The evaluations in the conservation phase were the tissue perfusion disorder was resolved, as well as the client can increase the nutritional intake and the ability to do the activity. The maternity nursing specialist competencies were achieved during the residency practice. The maternity nursing specialists are expected to be able to apply the nursing model theory in the implementation of nursing care in accordance with the patient's conditions and needs., Health problems in Indonesia are including maternal and women's health. Maternity nursing specialists who have the role and function on the women’s health are expected to play a role in addressing women's health problems. This final scientific work aimed to describe the implementation of maternity nursing specialist residency practice focused on the application of Wiedenbach Need for Help Theory which was performed in the acute phase and Levine Conservation Theory which was done in the maintenance phase in nursing care of cervical cancer bleeding was performed on seven patients. The prior nursing problem in the acute phase was risk for hypovolemic. The problems in the conservation stage were tissue perfusion disorder, altered nutrition, and weakness. The evaluation in the acute phase was hipovolemic shock did not occur. The evaluations in the conservation phase were the tissue perfusion disorder was resolved, as well as the client can increase the nutritional intake and the ability to do the activity. The maternity nursing specialist competencies were achieved during the residency practice. The maternity nursing specialists are expected to be able to apply the nursing model theory in the implementation of nursing care in accordance with the patient’s conditions and needs.]"

"[ABSTRAKKesehatan reproduksi merupakan masalah yang perlu diperhatikan dalam meningkatkan kesehatan perempuan. Ners spesialis keperawatan maternitas mempunyai peranan untuk mencapai upaya tersebut. laporan ini bertujuan menggambarkan praktik residensi ners spesialis keperawatan maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan post natal serta masalah reproduksi perempuan. Residen juga melakukan asuhan keperawatan dengan fokus penerapan model konsep need for help Wiedenbach dan Lost and grief Kubler Ross pada ibu bersalin dengan IUFD. masalah keperawatan yang mungkin muncul diakitkan dengan tahapan persalinan yang dibutuhkan klien. perbedaan yang terjadi pada klien berkaitan dengan psikologisnya yaitu dapat beradaptasi dengan cepat dan mengalami tahap penerimaan lebih cepat, dan ada yang proses penerimaannya membutuhkan waktu yang lama dan mengalami tahap tawar menawar serta penolakan yang lebih lama. selama praktik residensi ini kompetensi yang tercapai menjadikan pengalaman yang berarti dalam peningkatan keterampilan residen maternitas.

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ABSTRACTReproductive health is an issue that needs to be consideredto improve women's health. maternity nursing specialist has a role to achieve this goal. this report aimed to describe the residency practice of maternity nursing specialist, including prenatal, intranatal, and post natal nursing care and female reproductive problems. resident also performed nursing care focussed on the aplication of wiedenbach need for help and kubler ross lost and grief conceptual model on intrapartum mother with IUFD. nursing problems that arose were associated with the stages of labor complained of by the client. the diffrencess that occur on the clients were related to their psycological condition, some clients were able to adapt quickly and experience a faster acceptance stage, while some clients look a long process of acceptance and experiened a longer bargaining and refusal phase. during this residency practice the achieved competencies become a mainingful expeience in improving the skills of maternity resident., Reproductive health is an issue that needs to be consideredto improve women's health. maternity nursing specialist has a role to achieve this goal. this report aimed to describe the residency practice of maternity nursing specialist, including prenatal, intranatal, and post natal nursing care and female reproductive problems. resident also performed nursing care focussed on the aplication of wiedenbach need for help and kubler ross lost and grief conceptual model on intrapartum mother with IUFD. nursing problems that arose were associated with the stages of labor complained of by the client. the diffrencess that occur on the clients were related to their psycological condition, some clients were able to adapt quickly and experience a faster acceptance stage, while some clients look a long process of acceptance and experiened a longer bargaining and refusal phase. during this residency practice the achieved competencies become a mainingful expeience in improving the skills of maternity resident.]"

"Praktik residensi keperawatan maternitas diselenggarakan untuk menghasilkan perawat maternitas yang menguasai aplikasi teori keperawatan maternitas dan memiliki keterampilan khusus untuk melakukan perawatan maternitas baik di rumah sakit maupun di komunitas. Laporan residensi ini menjelaskan tentang pelaksanaan praktik residensi maternitas, peran dan fungsi perawat maternitas, pencapaian kompetensi praktik dan upaya untuk memodifikasi hambatan yang dihadapi. Laporan residensi ini fokus pada penerapan teori need for help Wiedenbach dan self care Orem pada ibu hamil dengan tuberculosis multi drug resistance. Perawat maternitas perlu meningkatkan pengetahuan dan keterampilan klinik secara berkelanjutan sehingga mampu meningkatkan kualitas asuhan keperawatan maternitas.

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Maternity nursing practice residency organized to produce nurse of maternity who master the application of nursing theory and have special skills to do a good maternity care in hospitals and in the community. This residency final report describes the implementation of the practice residency maternity, roles and functions of nurses maternity, the attainment of practice and attempts to modify the barriers. Focus of this final report is application of theory need for help Wiedenbach and self care Orem in pregnant women with tuberculosis multi drug resistance. Nurse maternity needs to improve knowledge and clinical skills on an ongoing basis to improve the quality of maternity nursing care. "