A primigravida patient at 39 weeks would most likely experience which symptom?

In a primigravida patient at 39 weeks of gestation, experiencing urinary frequency is a common and expected symptom. As the pregnancy progresses, the increasing size of the uterus exerts pressure on the bladder, leading to an increased need to urinate. This can cause the woman to feel the urge to urinate more frequently, even with small amounts of urine.

Urinary frequency is particularly pronounced as the patient approaches her due date because the baby's head may engage in the pelvis, further contributing to this sensation. This symptom does not typically cause alarm and is a normal physiological response during late pregnancy.

While nausea and dysuria can occur due to various factors, including hormonal changes or urinary tract infections, they are not as directly correlated with the later stages of pregnancy as urinary frequency. Intermittent diarrhea could also occur but is less common and not a typical symptom associated with the final weeks of pregnancy. Overall, urinary frequency is a hallmark symptom for women nearing term.