A nurse is caring for a client who is 9 weeks pregnant at her first prenatal visit. Vital signs Medical history Diagnostic tests Ultrasound report notes fetal cardiac activity at 155 bpm HcG+ Blood type A+ Hepatitis B: Non-reactive RPR: Non-reactive HIV: negative Rubella: Immune/Positive (Select All that Apply.) Blood pressure Gastrointestinal complaints Lower abdominal cramping What priority information should the nurse report to the provider?