The Midwest is A . an inland region B. located on the Atlantic coast C. located on the Pacific coast D. a region that includes 4 states

A. an inland region

Explanation:

an inland region can be considered as a region that's far from the coast or in the middle of the country. so the "mid" in "midwest" is a good clue that this region is in the middle of the united states.

why the other options are not correct:

- the midwest is not on the pacific coast. otherwise it'd be more to the west and could be called the west coast.

- the midwest is not on the atlantic coast. otherwise it'd be more to the east and could be called the east coast.

- the midwest has more than 4 includes! it includes 12, such as illinois, michigan, indiana, wisconsin, and minnesota/

the answer is "d"

(context) if you were to travel to the middle east and go into peoples homes there would be like 4 generations in there

(more context) i'm pretty sure in the middle east they take loyalty and family bonds very serious

(last bit of context) i'm also positive that extended families are most commonly found in urban areas

c, this answer is productivity.