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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.
The apical pulse (actually, the heartbeat) can be felt over the apex of the heart (the pointed lower end of the heart.) This site is located to the (patientâs) left of the breastbone and two to three inches above the bottom of the breastbone. The apical pulse is easily heard when a stethoscope is used.