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Chapter 5: Problem 188

A client who has just delivered a healthy newborn asks the nurse about newborn sleep patterns. The nurse should instruct the client that for the first three weeks newborns generally: 1\. have less REM sleep than older children. 2\. demonstrate alert inactivity with eyes open. 3\. sleep 14鈥�20 hours per day. 4\. need two naps per day.

Short Answer

Expert verified
Newborns generally sleep 14鈥�20 hours per day.

Step by step solution

01

Identify Key Information About Newborn Sleep Patterns

Newborns typically have different sleep patterns compared to older children or adults. They spend most of their time sleeping, with their sleep being polyphasic (many sleep episodes in a 24-hour period). It is important to understand how many hours they sleep per day to answer the question effectively.
02

Analyze Each Option

Evaluate each of the provided options based on typical newborn sleep behavior: 1. Newborns have a higher proportion of REM sleep than older children, so this option is incorrect. 2. While newborns can have periods of alert inactivity, this is not a characteristic sleep pattern. 3. Newborns typically sleep about 14鈥�20 hours a day, which aligns with known sleep patterns for newborns. 4. The concept of 'naps' doesn't apply as newborns have irregular short sleeping periods throughout the day and night.
03

Select the Best Answer

Based on the analysis, the best answer is option 3: Newborns sleep 14鈥�20 hours per day. This accurately matches the typical sleep patterns and amount of sleep a newborn needs, especially during the first three weeks.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Polyphasic Sleep
Newborn babies experience what is known as polyphasic sleep, which means they sleep multiple times throughout a 24-hour period. Unlike adults, who usually follow a monophasic sleep pattern (one main sleep period at night), babies have many shorter sleep periods day and night. This frequent need for sleep is essential for their rapid growth and development.

Some key characteristics of polyphasic sleep in newborns include:
  • Multiple sleep episodes: Newborns typically sleep in spurts of about 2 to 4 hours at a time.
  • Irregular patterns: There is no set schedule, as sleep and wake periods can vary each day.
  • Lack of a circadian rhythm: Newborns haven鈥檛 yet developed a regular sleep-wake cycle, so they can sleep and be awake at any time.
The polyphasic sleep pattern gradually transitions to longer sleep periods as newborns grow, making way for more predictable sleep schedules.
REM Sleep in Infants
Rapid Eye Movement (REM) sleep is a stage of sleep characterized by rapid movement of the eyes, increased brain activity, and vivid dreams. In infants, REM sleep is crucial for brain development.

Newborns typically have a high percentage of REM sleep during their sleep cycles, accounting for about 50% of their total sleep time. This is significantly more than older children and adults, who spend about 20-25% of their sleep time in REM. The high proportion of REM sleep in infants helps with crucial tasks such as brain maturation and information processing.

Important points about REM sleep in newborns include:
  • Active sleep phase: REM sleep is a busy time for the brain, aiding in learning and development.
  • Transitional opportunities: The presence of REM sleep provides opportunities for newborns to wake up for feedings or to respond to other needs.
As babies grow, the portion of time spent in REM sleep decreases, aligning more closely with adult patterns.
Sleep Duration in Newborns
Newborns need a lot of sleep to support their rapid growth and cognitive development. On average, a newborn can sleep anywhere from 14 to 20 hours per day. This substantial amount of sleep occurs in an irregular pattern due to their polyphasic nature.

  • Variable sleep needs: The exact amount of sleep required can vary from one newborn to another, influenced by individual and environmental factors.
  • Short sleep cycles: Newborns alternate between sleep and wakefulness every few hours, rather than sleeping through the night.
Understanding these sleep patterns and durations is important for new parents, as it helps manage expectations and schedules. As infants grow, their total sleep time will decrease, and they will start consolidating their sleep into longer nighttime periods.

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Most popular questions from this chapter

A client tells the nurse that he has been experiencing insomnia the past few days. The nurse should suggest to the client that an appropriate snack before bedtime to aid the sleep process is: 1\. orange juice. 2\. crackers. 3\. hot chocolate. 4\. bananas.

A hospital discharge planning nurse is making arrangements for a client (who has an epidural catheter for continuous fusion of opioids) to be placed in a long-term care facility in the client鈥檚 neighborhood to encourage family visiting. The facility has never cared for a client with this type of need. What would be the discharge planning nurse鈥檚 best action? 1\. Ask the physician for an extension of hospitalization until the epidural catheter is discontinued to allow for placement at the neighborhood facility. 2\. Arrange for immediate inservices for the long-term care facility staff on pain management using epidural catheters. 3\. Explain the situation to the client and family and seek another long-term care facility for discharge from the hospital. 4\. Encourage the family to hire private duty nurses skilled in epidural catheter pain management to allow the client to be transferred to the neighborhood facility.

The nurse in teaching a client about sleep, gives background information on normal sleep patterns. The nurse states that which of the following substance(s) will promote sleep patterns? 1\. serotonin 2\. cortisone 3\. alcohol 4\. narcotics

When administering a narcotic with a non-narcotic to relieve severe cancer pain, the nurse must remember: 1\. this combination enhances pain relief. 2\. this combination treats pain both centrally and peripherally. 3\. the narcotic potentiates action of the non-narcotic. 4\. each drug works in its own right.

Which statement represents successful client teaching with regard to morphine administration via patientcontrolled analgesia (PCA)? 1\. 鈥淚 will probably use less morphine this way than with taking injections in my hip.鈥� 2\. 鈥淢y family can push the button when I鈥檓 asleep so I will rest better.鈥� 3\. 鈥淯sing this device will keep me comfortable at all times.鈥� 4\. 鈥淚f I push the control button too often, I may get more medicine than needed.鈥�
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