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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 refers to the pulsation at the apex of the heart. The heart in a healthy person is situated such that the apex is in the left part of the chest, pointing down and to the left.It is also sometimes referred to as the âpoint of maximum impulseâ, or PMI.he apical pulse may be displaced (meaning it is to the left or the right of where it should be). Obese individuals or pregnant women may have their apical pulse shifted to the left, as the heart gets displaced with extra contents in the abdomen.