A nurse in a provider's office is assessing a client who is at 28 weeks of gestation. Which of the following is an expected finding?

Choice A reason: A fetal heart rate of 152/min at 28 weeks gestation is within the normal range of 110–160 beats per minute. This is an expected finding and indicates adequate fetal oxygenation and well-being. Choice B reason: Absence of fetal movement for 8 hours is concerning and not expected. At 28 weeks, fetal movement should be felt regularly. Lack of movement may indicate fetal distress or compromise and requires immediate evaluation. Choice C reason: Cramping and pelvic pressure at 28 weeks may indicate preterm labor. These are not expected findings and should be promptly reported and assessed to prevent complications. Choice D reason: A patellar reflex of 4+ indicates hyperreflexia, which is abnormal and may suggest preeclampsia or other neurologic complications. Normal reflexes are 2+. Therefore, this is not an expected finding.