The nurse practicing self-awareness is able to do what?

Choice A reason: This is not the correct answer. Autonomy vs. Shame and Doubt is the psychosocial developmental stage that occurs in toddlers, who are between 1 and 3 years old. It involves the development of independence and self-control, as well as the awareness of personal limitations and expectations. The nurse should encourage parents of toddlers to provide them with choices, boundaries, and praise, and to avoid overprotection, criticism, or ridicule.

Choice B reason: This is not the correct answer. Initiative vs. Guilt is the psychosocial developmental stage that occurs in preschoolers, who are between 3 and 5 years old. It involves the development of initiative and creativity, as well as the sense of responsibility and morality. The nurse should encourage parents of preschoolers to provide them with opportunities, guidance, and feedback, and to avoid discouragement, punishment, or interference.

Choice C reason: This is not the correct answer. Intimacy vs. Isolation is the psychosocial developmental stage that occurs in young adults, who are between 18 and 39 years old. It involves the development of intimacy and commitment, as well as the ability to form and maintain close relationships. The nurse should encourage young adults to explore their identity, values, and goals, and to seek and offer support, trust, and love.

Choice D reason: This is the best answer. Trust vs. Mistrust is the psychosocial developmental stage that occurs in infants, who are between birth and 1 year old. It involves the development of trust and security, as well as the attachment and bonding with the caregivers. The nurse should encourage parents of infants to feed the baby when hungry and comfort the baby when crying, as well as to provide them with consistent, responsive, and loving care.

Choice A reason: This is not a concerning finding for the nurse. Absence of tears when the infant cries is normal and expected in the first few months of life. The tear ducts and glands are not fully developed yet, and the infant does not produce enough tears to moisten the eyes or overflow the eyelids. The nurse should monitor the infant's hydration and eye health, but should not be alarmed by the absence of tears.

Choice B reason: This is not a concerning finding for the nurse. Presence of vernix caseosa at delivery is normal and expected in newborns, especially those born before 40 weeks of gestation. Vernix caseosa is a white, cheesy substance that covers the skin of the fetus in the womb. It protects the skin from the amniotic fluid and helps with temperature regulation and infection prevention. The nurse should gently wipe off the excess vernix caseosa, but should not try to remove it completely.

Choice C reason: This is not a concerning finding for the nurse. Presence of anterior and posterior fontanels is normal and expected in infants. Fontanels are soft spots on the skull where the bones have not yet fused together. They allow the skull to be flexible and accommodate the growing brain. The nurse should palpate the fontanels gently and assess their size, shape, and tension, but should not be worried by their presence.

Choice D reason: This is the concerning finding for the nurse. Absence of the rooting reflex is abnormal and unexpected in infants. The rooting reflex is an involuntary movement or response that the infant makes when the cheek or mouth is touched. The infant turns the head and opens the mouth, seeking the source of stimulation. The rooting reflex is essential for breastfeeding and feeding in general. The nurse should assess the infant's neurological status and consult with the physician if the rooting reflex is absent.