Matching Pairs Rationale of Radial and Apical stepsOnline version To help the students to know the reason behind the procedure's steps by Nursing Empowerment Program 1 Count the radial pulse using a watch in the second hand for one minute. 2 Radial pulse: use the index and middle fingers without using the thumb. 3 Apical pulse: place your middle or next finger in the third intercostal space and continue palpating until the fifth intercostal space. 4 Apical pulse: Insert the earpieces in your ears with the tips bent forward. 5 Apical pulse: Warm the diaphragm of the stethoscope first by holding it against the palm of your hands for 5-10 seconds. To prevent frighten of the patient which may affect the pulse rate To detect any abnormalities in the pulse rate and rhythm. Using the thumb is contraindicated because the thumb has a pulse that could be mistaken for the patient's pulse. To match the anatomical position of external ear canal. To locate the apical site