Which type of apnea is defined as a pause in respirations for more than 20 seconds, potentially accompanied by other clinical indicators?

The type of apnea characterized by a pause in respirations lasting longer than 20 seconds, possibly accompanied by bradycardia, cyanosis, or other clinical signs, is pathologic apnea. This condition indicates a significant respiratory issue and necessitates further monitoring and intervention.

Pathologic apnea often occurs in very premature infants or those with underlying health problems. In this context, understanding the clinical implications is critical; prolonged apnea can lead to hypoxia and other serious complications.

While the other options refer to different aspects of respiratory disturbances, they do not meet the criteria for this specific definition of apnea. Cessation of breathing is a more general term and lacks the specificity regarding duration and accompanying signs. Periodic breathing involves a normal variation in respiratory patterns typically seen in newborns, rather than the prolonged pauses described in the question. Central apnea refers specifically to the absence of respiratory effort due to a failure of the brain to send signals to the muscles that control breathing, but may not necessarily specify the duration or clinical indicators as pathologic apnea does.

Thus, recognizing pathologic apnea is crucial for neonatal healthcare providers as it demands prompt assessment and intervention to ensure the safety and well-being of the infant.