Help/Child Development Class This is a picture of a 20 week old fetus from a 23 year old women that has no history of Down syndrome in her family. But has PCOS. And had to take Metformin to get pregnant.

The biological father has no history of Down syndrome either. But has Dermatomyositis and Anorexia at the age of 24. Does this fetus he has Down syndrome? By the characteristics in his face.