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Difficulty Auscultating Apical Pulse

by tfudz12 tfudz12 (New) New Pre-Student

I'm in my first semester of nursing school and I'm having trouble listening for the apical pulse. I'm able to find it on myself, but when I try to find it on my mother and grandma who are both bigger with larger breasts I have a hard time. I lift up their breasts, but its not as loud as when I hear it on myself. I also hear bowel sounds as well as the pulse when I do it on them, is this normal or does this mean I'm listening too far down/in the wrong place?

MotoMonkey, BSN, RN

Specializes in ED. Has 2 years experience.

It sounds like youre listening too far down. If ever you head bowel sounds in the chest cavity that would be an emergent problem.