If a client being induced with oxytocin shows fetal heart rate accelerations, what should the nurse do?

Fetal heart rate accelerations during labor, particularly in the context of an induction with oxytocin, are generally considered a reassuring sign. These accelerations indicate that the fetal heart is responding well to stimuli and that the fetus is likely receiving adequate oxygen. In this scenario, the appropriate nursing action would be to document the fetal well-being, as it is important to keep accurate records of the fetal status throughout the labor process.

Other options may imply an underlying issue or require unnecessary interventions. While turning the client to her left side can be beneficial if there are concerns like decelerations or non-reassuring patterns, accelerations themselves do not warrant this intervention. Administering oxygen or notifying the healthcare provider would typically be reserved for situations where there is evidence of fetal distress or when non-reassuring patterns are observed. In the presence of fetal heart rate accelerations, these steps would not be necessary and could lead to unnecessary alarm.

Therefore, the focus should remain on documenting the positive signs of fetal well-being, reinforcing that the fetus is likely stable and responding favorably during the induction process.