The client reporting dry eyes, fatigue, poor sleep patterns, weight gain, and frequent urination may be experiencing what?

Choice A reason: This is not a finding that the nurse will anticipate. Closed fontanels are the absence of soft spots on the skull where the bones have not yet fused together. They are abnormal and unexpected in newborn infants, as they indicate a premature closure of the skull bones, which can affect the brain development and growth. The nurse should assess the presence, size, shape, and tension of the fontanels, and report any abnormalities to the physician.

Choice B reason: This is the best answer. Lanugo is a fine, soft hair that covers the body of the fetus in the womb. It helps to keep the fetus warm and hold the vernix caseosa on the skin. Lanugo is normal and expected in newborn infants, especially those born before 40 weeks of gestation. The nurse should observe the amount and distribution of lanugo, and expect it to be shed within the first few weeks of life.

Choice C reason: This is not a finding that the nurse will anticipate. Fine motor control is the ability to coordinate the movements of the small muscles of the hands and fingers. It is not well developed in newborn infants, as they have not yet acquired the skills and coordination to manipulate objects or perform complex tasks. The nurse should assess the grasp reflex and the spontaneous movements of the hands and fingers, and expect them to improve over time.

Choice D reason: This is not a finding that the nurse will anticipate. Six to eight teeth are the number of teeth that usually erupt in infants between 6 and 12 months of age. They are not present in newborn infants, as they have not yet developed the teeth buds or the ability to chew solid foods. The nurse should inspect the gums and the oral cavity, and educate the parents on the oral hygiene and feeding practices for infants.

Choice A reason: This is the best answer. Self-awareness is the ability of an individual to recognize and understand their own feelings, thoughts, and behaviors. It is influenced by the individual's self-reflection, self-evaluation, and feedback from others. The nurse practicing self-awareness is able to identify their personal strengths as well as weaknesses, and use this information to improve their personal and professional growth.

Choice B reason: This is not an answer that reflects self-awareness. Identifying a solution that compliments them may indicate that the nurse is biased, self-centered, or defensive. The nurse practicing self-awareness is able to identify a solution that is based on evidence, logic, and ethics, and that considers the needs and perspectives of others.

Choice C reason: This is not an answer that reflects self-awareness. Focusing on contributions from others rather than personal contributions may indicate that the nurse is insecure, passive, or dependent. The nurse practicing self-awareness is able to acknowledge and appreciate their own contributions, as well as the contributions of others, and balance their self-confidence and humility.

Choice D reason: This is not an answer that reflects self-awareness. Identifying strengths and weaknesses in others may indicate that the nurse is judgmental, critical, or superior. The nurse practicing self-awareness is able to identify strengths and weaknesses in themselves, as well as in others, and use this information to foster positive and constructive relationships.