Sleep

Question 1

How many hours per day do newborns generally sleep? By what time do they begin to sleep through the night?

Answer 1

16 hours per day. Sleeping through the night by 6 months

Question 2

Night awakening can be caused by sleep associations that need to be replicated. What management might be appropriate for this?

Answer 2

• Extinction (allowing child to cry it out), graduated extinction
• Establishment of a regular day-night routine and enjoyable bed-time routine

Question 3

What is the difference between night terrors and nightmares?

Answer 3

• Night terrors - FHx, first 1/3 of night (NREM), child is unrousable, inconsolable, amnesic, autonomic features (dilated pupils, sweating, tachycardia)
• Nightmares - last 1/2 of night (REM), child is rousable, not amnesic, hard to return to sleep