1229 Exam 3: Rest and Sleep

Question 1

Sleep

Answer 1

-is a protective function and allows for repair and recovery for tissues after activity
-is essential & important activity for the neonate
Growth hormones work most efficiently when they are asleep
Provides the time needed to rebuild reserves necessary for rapid physical growth
The CNS and neurons undergo great deal or development during REM sleep

Question 2

Newborn Sleep

Answer 2

Have variable sleep patterns that are influenced by temperament
Feedings, caregivers response to periodic awakenings
Neonatal and newborn sleeping is shorter with multiple sleep periods
During the first month they sleep 16-18 hrs per day

Question 3

Infant Sleep time

Answer 3

Newborn- 7.5 hrs awake, 8 hrs day sleep, 8.5 hrs of night sleep
1 month-8.5 awake, 6.75 day sleep, 8.75 night sleep
4 months- 9 awake, 4.5 day sleep, 10.5 night sleep
6 months- 9.25-9.75 awake, 3.25-4 day sleep, 11 night sleep

Question 4

Circadian rhythm

Answer 4

is physiologic changes that follow 24 hr cycle
influenced by exposure to light
light helps maintain the internal clock
evening comes the body produces less cortisol and begins producing melatonin
Newborns sleep is not influenced by circadian rhythm

Question 5

Newborns sleep influences

Answer 5

Fetuses are tuned into their mothers Circadian rythm.
FHR and resp rates speed up when mom is active and slow down when she is sleeping
Melatonin
After birth the hormonal conncetion is broken and the newborn must rely on their own internal clocks, no circadian rhythm developed yet
their life revolves around being fed

Question 6

Sleep/wake States

Answer 6

Variations in the state of consciousness
There are 6 states that form a contimuum from deep sleep to crying
Two are sleep states:
Deep sleep
Light sleep
Four wake states

Question 7

Newborn sleep cycles

Answer 7

Stay in active sleep for 25 min

progress into quiet sleep