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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.
How to take an apical (a-pih-kull) pulse: The apical pulse is your heart rate when counted with a stethoscope (steth-uh-skop) placed over your heart. A watch with a second hand will be needed to take your apical pulse. The following steps may help you take your apical pulse. 1  You should sit up or lie down. 2  Put the tips of the stethoscope into your ears. 3  Place the diaphragm (disk part) of the stethoscope over your heart.  Count the beats for a full minute (60 seconds) when you hear your heartbeat.