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Below the age of two, take an apical pulse. Quote from Reno1978 I was taught that a radial pulse is considered reliable on those ages 2 and higher. Below the age of two, take an apical pulse. Under the age of two, a brachial pulse should be taken to assess peripheral pulses.
anadicrotic pulse one in which the ascending limb of the tracing shows two extra small waves or notches. anatricrotic pulse one in which the ascending limb of the tracing shows three extra small waves or notches. apical pulse the pulse over the apex of the heart, as heard through a stethoscope or palpated. atrial venous pulse (atriovenous pulse) a venous pulse in the neck that has an accentuated a wave during atrial systole, owing to increased force of contraction of the right atrium; a characteristic of tricuspid stenosis.