3.4 Sleep-Rest Pattern Flashcards

1
Q

At what age does a child typically sleep through the night **consistently **

A

3 years old

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2
Q

How is sleep related to obesity

A

poor sleep is a risk factor for obesity

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3
Q

What is too little sleep associated with for adolescents? (1)

What about for school aged kids? (2)

A

adolescents- high risk behaviours

school aged- poor academic performance, depression

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4
Q

What is insomnia

A

sleep onset delay of more than 30 minutes per night and/or frequent prolonged night waking
+
with impaired daytime functioning

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5
Q

How does the blue light from electronic devices impact sleep

A

supresses melatonin

supression lasts through the nigth

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6
Q

Starting at 3 months what is the best advice for infant sleep routine

A

put baby to bed when drowsy but not asleep to allow them to initate sleep independently

Behavioral interventions before 3 months of age are not recommended because infants still need to feed frequently.

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7
Q

Why should nursing or bottle feeding an infant to sleep/back to sleep be avoided after newborn period (0-3 months)

A

infant will associate being fed with returning to sleep

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8
Q

At what age do circadian rhythms emerge in people

A

2-3 months old

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9
Q

What affects circardian rhythm

A

melatonin from hypothalamus

A special center in the hypothalamus, called the
suprachiasmatic nucleus (SCN), releases melatonin in response to darkness, as perceived by a nerve pathway from the retina in the eye.

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10
Q

What are the two phases of the normal sleep cycle

A

Rapid eye movement- REM
Nonrapid eye movement - NREM

REM is where dreams happen- REM is highest in infants and decreases with age

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11
Q

When do infants vs older children experience REM sleep

A

infants go right into REM, older children/adults go into NREM first

REM sleep can be active in newborns with audible suckling.

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12
Q

page 283 table 201 sleep chart by age

A
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13
Q

What type of deaths do Sudden unexpected infant death (SUID) and sudden unexpected
death in infancy (SUDI) describe?

A

any sudden and unexpected death—explained or unexplained including sud-
den infant death syndrome (SIDS).

SUDI describes infant death from suffocation, asphyxia, entrapment, infection, ingestions,
metabolic diseases, and trauma (unintentional or nonaccidental)

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14
Q

SIDS is a subcategory of Sudden unexpected infant death (SUID) - what are SIDS deaths

A

SIDS- defined as infant deaths that are
unexplained after a thorough case investigation including autopsy,
a scene investigation, and clinical history.

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15
Q

What is the working model of why SIDS is thought to happen?

A

interaction between a vulnerable infant and potentally asphyxiating and or overheating sleeping environment

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16
Q

SIDS is the leading cayse of death of infants aged ___ to ___

A

1 month - 1 year

90% of SIDS cases occur before 6 months of age, with the peak between 1 and 4 months of age

Prevention of SIDS:
-room sharing with out bed sharing
use of a pacifier
parental avoidance of illicit drugs, alcohol, and smoke

-supine positioning on a firm sleep
surface
-avoiding bumper pads and the use of bedding;
avoiding overheating

Breastfeeding and routine immuniza-
tion also remain in the recommendations

17
Q

What is the ideal sleeping situation for infants in first year of life

A
  • supine
  • firm mattress
  • no bedding, pillows
  • in same room as parents but not same bed

These decrease risk SIDS

Infant cribs, bedside sleepers, play yard, portable cribs, and bassinets in the same room are all safe.

18
Q

Should soothers be attached to infants clothes during sleep

A

no- strangulation risk

19
Q

When to infants transition to one nap

A

18-22 months

20
Q

What is a typical challange for toddler sleeping

3

A

resisting going to bed, nighttime awakening,
nightmares/night fears

due to wanting independence and more mobile

21
Q

At what age is separation anxiety normal

A

6 months-2 years

22
Q

By what age do most kids no longer nap

A

5 years old

23
Q

What nighttime issues peak in preschool years (3-5 years old)

3

A

night terrors, sleepwalking, night fears

Regular daytime routines help to promote regular
sleep patterns.