Which statement about fertility in individuals with Down syndrome is most accurate? a. Both males and females may be fertile. b. Both males and females are infertile. c. Males are fertile but females are infertile. d. Males are infertile but females are fertile.

a

Explanation: males with Down syndrome usually do not father children while females have lower rates 30-50%

precisely the author keeps the interest of readers not describing clearly the   kind of relationship in giselle's family. by doing this, readers had to imagine and assume how it was.   instead, the author described better scenes with dark star and the influence of books about horses in giselle's life and actions.   also the fact that she broke her arm but not referring to it in detail leads the readers to imagine and guess what could have occurred.

i think it's the first one because doctors aren't the ones who get rid of the old needles. most of them time it's not even doctors who give you shots, it's nurses.