3.4 Sleep and Rest Pattern part 2

Question 1

When assessing sleep what should be assessed

Answer 1

childs 24 hour routine

focusing on bedtime habits, sleep environment, and daytime behavior.

Question 2

Gastroesophageal reflux may contribute to what sleep disorder

Answer 2

osa

Question 3

Nocturnal enuresis (incontinence) can be associated with which sleep issue

Answer 3

sleep disordered breathing

Question 4

How is epliepsy related to sleep in kids

Answer 4

kids with seizure disorders are at increased risk of sleep disorders

Question 5

How can failure to thrive be related to sleep

Answer 5

Failure to thrive secondary to increased caloric expenditure from increased work of breathing.

Question 6

When considering sleep disordered breathing why is a family history important

Answer 6

sleep disordered breathing is often familial

Question 7

Why is a neuro assessment of muscle tone important when assessing for sleep disordered breathing

Answer 7

poor muscle tone can contribute to sleep disordered breathing

Question 8

FYI-

Physical findings that may indicate sleep apnea include:
-swollen nasal turbinates
-deviated septum
-nasal polyps
-open mouth posture
-adenoid facies
-large tonsils
-narrow oropharynx
-low-hanging palate
-high-arched hard palate
-micrognathia
-retrognathia

Question 9

what are useful tools to collect when looking at infants with sleep issues

2

Answer 9

• sleep-feeding-activity record for infant
• 2 week sleep diary

Question 10

What is actigraphy

Answer 10

a study that measures light exposure and activity in the home environment - used when evaluating sleep

there is a good correlation between the polysomnogram (PSG) and actigraphy-defined total sleep time, sleep latency, and sleep efficiency

Actigraphy is also helpful for evaluating the effectiveness of insomnia treatments, because total sleep time is measured.

Question 11

Which disorders have the highest rates of sleep issues of all children with mental challenges

2

Answer 11

neuro disorders like autism and ADHD

Question 12

What is the most common complaint for children with mental challenges related to sleep issues

Answer 12

behavioural insomnia

Question 13

In kids untreated sleep apnea, RLS, and insufficient sleep can mimic which neuro disorder

Answer 13

ADHD

important that ADHD work up includes eval of sleep conditions

Question 14

What are the 3 best ways to promote sleep in kids with autism

Answer 14

• behav interventions
• enviro changes
• melatonin

Question 15

What is the first line treatment for kids with sleep issues

2

Answer 15

behav therapy and sleep hygiene

Question 16

What type of environment is best for kids to sleep in

Answer 16

dark, quiet, cool

use consistent sleep routine

Parents can use a variety of cues to set the sleep cycle, including daylight, darkness, meals, and activities. Making these cues clear to infants and children to help them establish healthy bedtime and sleep patterns is important.

Question 17

What is the issue with exposure to light even for brief time periods when trying to sleep

Answer 17

stops melatonin production