Abnormal Sleep Patterns
- Non-rapid eye movement (NREM)
- Four stages of sleep
Nightmares
- Occur during REM sleep
- Child will wake up oriented and will remember the dream
- Reluctant to return to sleep
- Easy to arouse
Night Terrors
- Occur during stage 4 NREM sleep, first third of the night
- The child is screaming, unresponsive for a few minutes, then falls back asleep again, and will not recollect the episode in the morning
- Parents should provide reassurance during the episode and not vigorously that may awaken the child
- Rapid return to sleep
Sleepwalking and Sleep TalkingY
- Stage 4 NREM sleep events, with no recalling in the morning
(usually comes at same time from sleep pattern - 4th nrem)