Final answer:
The nurse should report signs of fetal distress or maternal complications such as preeclampsia to the healthcare provider during a prenatal visit. Monitoring vital signs and symptoms carefully at 39-weeks gestation is crucial for the health of both the mother and fetus.
Step-by-step explanation:
The most important finding for the nurse to report to the healthcare provider would be any signs of fetal distress, significant changes in the maternal or fetal vital signs, or evidence of complications such as preeclampsia. In this scenario, if the primigravida at 39-weeks gestation demonstrates symptoms like decreased fetal movement, severe headache, visual disturbances, sudden swelling of the face and hands, or a significant rise in blood pressure, it is imperative for the nurse to report these findings to the healthcare provider immediately.
During a prenatal visit, healthcare providers are particularly watchful for signs of preterm labor, placental issues, and preeclampsia, especially as the due date approaches. The nurse's assessment can include monitoring the fetal heart rate, measuring the mother's blood pressure, checking for any swelling (edema), and inquiring about any symptoms the mother may be experiencing. These clinical indications are crucial to ensuring the health and safety of both the mother and the developing fetus. If any irregularities are detected, such as a non-reassuring fetal heart rate pattern or symptoms suggestive of complications, immediate medical attention is necessary to address any potential risks to the mother or baby.