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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 heart rate is preferred in children. To count the rate, place stethoscope on the anterior chest at the fifth intercostal space in a midclavicular position. Each âlub-dubâ sound is one beat. Count the beats for one full minute.