What concern should the nurse prioritize for a primigravida client diagnosed with a urinary tract infection?

The priority concern for a primigravida client diagnosed with a urinary tract infection is the safety of the fetus. Infections during pregnancy can lead to various complications, including preterm labor, low birth weight, and the possibility of ascending infection affecting both the mother and fetus. Therefore, addressing the client’s fears and ensuring the well-being of the fetus is crucial.

While fatigue, difficulty sleeping, and appetite changes are valid concerns that can impact the mother's overall health during pregnancy, they do not pose as immediate risks to fetal safety. Addressing fears regarding the safety of the fetus allows the nurse to provide education, reassurance, and appropriate interventions to mitigate risks and promote both maternal and fetal health.