The np is performing a well child exam on a 4 year old child...

The NP is performing a well-child exam on a 4-year-old child. The parent reports that the child snores frequently, often awakens during the night, and seems cranky during the day. What will the NP tell the parent? The NP is performing a well-child exam on a 4-year-old child. The parent reports that the child snores frequently, often awakens during the night, and seems cranky during the day. What will the NP tell the parent? Snoring at this age can have long-term impacts on learning Sleep disorders are symptomatic of underlying behavior problems. Most sleep disorders are benign and will be outgrown. The child will need longer daytime naps to compensate for lost sleep.

Transcript

00:01 Hello, alexander.

00:02 Let's talk about some sleep stuff.

00:04 We'll talk about annabelle first.

00:07 Annabelle is what's called a short sleeper.

00:14 Okay? she's rested.

00:17 She's able to do her work.

00:18 She's not cranky.

00:19 She's not hard to get up in the morning.

00:21 I say she's fine.

00:23 I'm actually a three to five hour sleeper myself since i was about 12 years old.

00:28 Drives my parents crazy.

00:29 I'm 61 now and i'm still rested and i feel fine and it drives.

00:34 Crazy that travels with me.

00:37 So ramsey's feints and he's paralyzed.

00:43 He needs to go to a doctor really quickly and he looks like he probably has narcolepsy.

00:52 Narcolepsy.

00:53 Okay? he also could have hypersomnia.

01:01 But my money's on narcolepsy.

01:03 There's some different things that you can do for that.

01:07 And i'm going to talk at the end about some things that could be common for several people.

01:13 Darrell is the five -year -old.

01:18 I believe he's having what used to be called night terras.

01:22 They may still call it that in your book.

01:24 You can double check on that.

01:26 Night terros.

01:27 And the reason he can't say what's going on is because he's still asleep.

01:30 This is a form of sleepwalking.

01:35 And i say there's a real good chance the mom's right that those scary shows and stuff that he watched are probably not helping him.

01:42 So some of the things that i'm going to talk about in just a minute, i'm going to go back and talk about for a lot of different people.

01:50 Might help daryl as well.

01:53 But he should outgrow that.

01:55 I'm not saying downplaying it or anything, but i do think that that's age -related thing.

02:02 So anya, lord, that child.

02:05 So anya is really worried and anxious.

02:07 She tosses and turns on night.

02:09 She's an insomniac.

02:13 But it's related to her.

02:14 Work so i understand where she's coming from.

02:17 She's really worried.

02:18 She needs to take a physical exam also to make sure that she's not anemic that could also be causing her to be tired and things along those lines.

02:28 So let's talk about some of the things that will help ramsey's, i forgot the s.

02:38 So that will help ramsey's, darrell and anya is light therapy where they go outside when it's still light out.

02:50 So that when it starts getting dark, their body says, hey, it's time to start going to bed, and that might help them a little bit.

02:58 So light therapy, melatonin is a natural sleep helper that some people take over the counter.

03:07 I'm not sure i'd give the five -year -old that, but definitely the others can look at it.

03:14 Let's see...

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