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When auscultating for heart sounds, place the stethoscope over the four different sites illustrated below.

Normal heart sounds indicate events in the cardiac cycle, such as the closing of heart valves, and are reflected to specific areas of the chest wall. Auscultation sites are identified by the names of heart valves, but they aren't located directly over the valves. Rather, these sites are located along the pathway blood takes as it flows through the heart's chambers and valves.

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