The answer is C: blue square.

The rule
The pattern repeats every 4 things: blue square, blue square, blue heart, blue heart. Then it starts again from the beginning.
The pattern as Python code
Here is a tiny Python program that follows the same rule. Type it into IDLE and run it to print the whole pattern, including the answer.
pattern = ["blue square", "blue square", "blue heart", "blue heart"]
for position in range(10):
print(position + 1, pattern[position % len(pattern)])
When you run it, Python prints:
1 blue square 2 blue square 3 blue heart 4 blue heart 5 blue square 6 blue square 7 blue heart 8 blue heart 9 blue square 10 blue square
Pixel says: Try changing a number in the code and run it again. Can you make the pattern go on for 20 steps? Meow!