Normal Sleep Flashcards

(31 cards)

1
Q

What breathing abnormality will most pregnant women have in the third trimester?

A

Hypoventilation (which will cause hypercapnea) due to high progesterone levels

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2
Q

What will snoring in pregnancy often cause?

A

HTN (pre-eclampsia)

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3
Q

Does snoring in pregnancy cause problems with the baby?

A

Yes. Lower Apgar score and lower birth weight.

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4
Q

What sleep pattern is seen in newborns before circadian entrainment occurs?

A

Polyphasic sleep. Several sleep episodes that occur both during the day and night.

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5
Q

Sleep duration of a 1 year old

A

13 to 15 hours (2 to 3 hours of this is napping)

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6
Q

How many naps does a 1 year old typically take?

A

2 naps

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7
Q

At what age should naps stop

A

By age 6. If they still nap it usually means sleep deprivation or a sleep disorder.

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8
Q

What effect does sleep deprivation have with increasing age?

A

Resistance to sleep deprivation increases with age

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9
Q

Sleep by Age Range

Newborns: Duration? Unique characteristics?

A

Sleep 16-18 hours per day (5 to 10 hours napping)

Sleep is polyphasic

50% REM

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10
Q

Sleep by Age Range

What appears at 2 to 3 months

A

Sleep spindles appear

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11
Q

Sleep by Age Range

3 to 4 months. What changes?

A

Major sleep period is at night

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12
Q

Sleep by Age Range

4 to 4.5 months: What happens to the sleep stages?

A

Stages N1, N2 and N3 can be ascertained

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13
Q

Sleep by Age Range

5 months: What first appears?

A

K complexes appear

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14
Q

Sleep by Age Range

1 year: Duration of napping % of REM sleep?

A

2 to 3 hours napping

30% REM

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15
Q

Sleep by Age Range

14 to 17 years: Sleep duration? What change in sleep phases?

A

8 to 10 hours sleep per day (no naps)

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16
Q

Sleep by Age Range

1 to 2 years: Sleep duration?

A

11 to 14 hours sleep per day (1.5 to 2.5 hours napping)

17
Q

Sleep by Age Range

6 to 13 years: Sleep duration?

A

9 to 11 hours sleep per day

18
Q

Sleep by Age Range

Over 65 (hormonal change, naps & quality)

A

Decreased melatonin

Napping returns

Onset and maintenance insomnia

19
Q

Sleep by Age Range

3 to 5 years: Sleep duration?

A

10 to 13 hours sleep per day (0 to 2.5 hours napping)

20
Q

Sleep by Age Range

20 to 65 years: What change in sleep phase occurs? General change in sleep with menopause.

A

Decrease in SWS

Worse sleep in menopause

21
Q

Sleep in pregnancy

First trimester (1 to 3 months)

A

Naps

Increased TST

Increased REM

Decreased SWS

22
Q

Sleep in pregnancy

Second trimester (4 to 6 months)

A

Decreased SWS

Decreased REM

Sleep paralysis

Less somnambulism and somniloquy

23
Q

Sleep in pregnancy

Third trimester (7 to 9 months)

A

Decreased TST, SWS, REM

Increased WASO

RLS, Leg cramps

Sleep paralysis

Return on somnambulism

24
Q

Postpartum

A

Decreased TST, REM, REM latency, N2

Increased SWS

25
How much recovery sleep is needed in a 60 year old vs a 25 year old?
60 year old = 1 night 25 year old = 2 nights
26
EEG findings in the awake state with chronic sleep deprivation
Increased delta and theta Decreased alpha
27
After 2 days sleep deprivation, what will happen to SWS and REM sleep during a recovery night?
SWS increases REM stays same or may actually decrease
28
What effect will chronic sleep deprivation have on SWS
It will increase as the body attempts to conserve it
29
Which part of the autonomic nervous system is dominant in tonic REM and phasic REM respectively?
* Tonic REM = parasympathetic * Phasic REM = sympathetic
30
What part of the autonomic nervous system is predominant during NREM sleep?
Parasympathetic
31
What is the normal change in blood pressure during sleep called?
Nocturnal dipping