What priority client problem should be identified for a primigravida with a UTI who is concerned about fetal safety?

The priority client problem that should be identified for a primigravida with a urinary tract infection (UTI) who is concerned about fetal safety is fear about the well-being of the fetus. This concern directly impacts the client’s mental and emotional state, which is critical during pregnancy. Addressing fears and anxieties related to fetal safety is essential, as it not only affects the mother's psychological well-being but can also influence her physical health and adherence to treatment protocols.

In the context of a UTI, while it is important to acknowledge and manage the infection itself, the emotional distress surrounding the potential impact on the fetus can take precedence. Pregnant individuals often experience heightened sensitivity regarding the health of their unborn child, and alleviating fears can lead to improved outcomes for both the mother and fetus. Identifying and addressing this fear allows for the provision of appropriate reassurance, education, and support, which can empower the mother and facilitate her capacity to cope with the infection and respond positively to treatment.

Addressing this concern creates a foundation upon which to manage other aspects of her care, such as treating the infection and managing pain, elevating overall care effectiveness.