Final answer:
Jeni, who is pregnant and shows symptoms of high fever and muscle aches, which could indicate a Listeria monocytogenes infection, should be seen first by the healthcare provider, due to the increased risks during pregnancy.
Step-by-step explanation:
When triaging four pregnant clients in the obstetric clinic, the nurse should alert the health care provider to see the client who exhibits signs that may pose the highest risk to both the mother and the fetus. In this scenario, a pregnant client like Jeni, who presents with high fever, muscle aches, and fatigue, which are typical flu-like symptoms, should be seen first. These symptoms, particularly when accompanied by a report of consuming raw milk, may suggest a Listeria monocytogenes infection, a serious condition during pregnancy.
Pregnancy compromises the immune system, making expectant mothers more susceptible to infections that could cross the placenta and harm the fetus. Listeriosis can lead to miscarriage, premature delivery, neonatal infection, or stillbirth, which is why prompt assessment and management in this case is critical. Therefore, the nurse should prioritize Jeni for immediate evaluation by a healthcare provider.