Name the work of art above and its artist. Which visual element of art did the artist rely on the most to create this piece ? Explain your answer

This is what i found on google “eightin 1997, the mccaughey septuplets were born in carlisle, iowa. multiple births of as many as eight babies have been born alive, the first set on record to the chukwu family in texas in 1998; one died and seven survived. in 2009, a second set, the suleman octuplets, were born in bellflower, california.” i was surprised about this . i don’t want to have that many babies .