Sleep in Infancy and Childhood

Question 1

How many hours a day do newborn babies sleep?

Answer 1

16-17 hours

Question 2

What % of a newborn baby’s sleep is REM?

Answer 2

50%

Question 3

Newborn baby sleep cycle:

Answer 3

50-60 mins

Question 4

In infants, fully developed EEG emerges over how many months?

Answer 4

2-6 months

Question 5

In infants, circadian system develops over how many months?

Answer 5

6-12 months

Question 6

In 1st year of life, how long is TST?

Answer 6

Approx 14 hours

Question 7

Preschoolers sleep around how many hours?

Answer 7

11-13 hours

Question 8

5-12 year olds sleep around how many hours?

Answer 8

10-11 hours

Question 9

Night wakings are…

Answer 9

common; learning self-soothing

Question 10

In toddlers and children, SWS is…

Answer 10

maximal

Question 11

SWS decreases with…

Answer 11

age

Question 12

Developmental issues in sleep (4)

Answer 12

cosleeping
nighttime fears
attachment (separation anxiety)
autonomy (bedtime resistance)

Question 13

REM is ________ in infancy

Answer 13

highest

Question 14

Functions of REM (4)

Answer 14

learning
memory consolidation
unlearning irrelevant information
emotional processing and regulation

Question 15

Extended-sleep group children showed significantly better _______ and ________ than sleep-restricted group

Answer 15

neurobehavioral functioning

self-reported alertness

Question 16

In 15 month olds, nap group vs no nap group were retested on a new task 4 hours later:

Answer 16

nap group remembered task better

Question 17

proponent of co-sleeping

Answer 17

‘sleeping in contact with another person or close enough to access, respond to or exchange sensory stimuli such as sound, movement, touch etc’

Question 18

the _________________ of the infant is assisted by co-sleeping

Answer 18

developing nervous system

Question 19

there are adverse _________ and _________ consequences for solitary sleeping infants

Answer 19

physiological

neurodevelopmental

Question 20

self-soothers

Answer 20

infants who return to sleep without crying

Question 21

signalers

Answer 21

infants who cannot get back to sleep and arouse their parents

Question 22

SIDs

Answer 22

leading cause of posteneonatal infant mortality in NA
healthy 2-6 month olds discovered in their cribs following a sleep period with autopsies demonstrating no apparent cause of death

Question 23

Co-sleeping may reduce risk of SIDs during colder months by: (3)

Answer 23

temperature: sleeping with adult better at regulating
movement: constant movement of parent respiration may be stabilizing
chemical environment: increased CO2 in sleeping environment may increase respiratory drive

Question 24

Breathing teddy bear benefits (4) compared to no bear and nonbreathing bear

Answer 24

Increased contact with bear, shorter latency to contact bear, more quiet sleep, respiration more regular

Question 25

HPI

Answer 25

Huggy Puppy Intervention

Question 26

Not part of HPI Rationale, but common in other stress interventions for kids

Answer 26

NO verbal elaboration and discussion of stressors

Question 27

Was HPI fully randomized?

Answer 27

No

Question 28

Most common sleep disorder in infancy

Answer 28

bedtime resistance

Question 29

Approach to treatment of bedtime resistance (3)

Answer 29

1) create emotional state of calmness and safety
2) consistent limit setting
3) establishing good habits (wind-down period, reward, consequences)