3.  January 26, 2009 Noah (A) 2 lbs 11 oz Maliyah (B) 2 lbs 12 oz Isaiah (C) 3 lbs 4 oz Nariyah (D) 2 lbs 8 oz Jonah (E) 1 lbs 8 oz Makai (F) 2 lbs 12 oz Josiah (G) 1 lbs 15 oz Jeremiah (H) 2 lbs 11 oz

4.  Upon completion of the seminar, the student will be able to: ◦ Provide ethical terms and definitions to support their view on the topic. ◦ Reflect on prior personal experiences and identify ways to handle ethical situations in the future. ◦ Accept a willingness to consider other points of view even when they do not reflect your own.

5.  Roy’s Adaptation Theory ◦ Self Concept-Group Identity ◦ Role Function  Deontological Theory ◦ Immanuel Kant ◦ W. D. Ross Alligood, M., & Tomey, A. (2010) \ Edge, R., & Groves, J. (2006)

6.  Egg/Sperm Collection  Held in Clinic up to 5 Days  Average Price $12,400 per Cycle  Success Rate 22.4% (Age Dependant) Todd, 2012

7. The IVF Industry's Dirty Little Secret: "Selective Reduction" http://youtu.be/PBpJ-Xio5YY Watch the first 3 minutes of the attached you-tube video to witness the process of elective reduction.

8.  What is the Correct number of Embryos to Implant? Number of Previous Children Safety Age of Mother Cost Factors McClimans, (2009). Orentlicher, (2010).

9.  How did we get to this point? Cost Autonomy Core Values Consequentialism http://msnbcmedia4.msn.com/j/MSNBC/Components/ Photo/_new/090529-jon-kate-vmed.widec.jpg

10.  Which Embryo(s) is/are Removed Who Decides What If… www.yalescientific.org/2012/05/the-more-the-merrier-li miting-the-number-of-embryo-implantations/)

11.  Abortion vs Elective Reduction  Judge and Jury

12.  Autonomy  Welfare of Children  Environment

13.  Standards of Professional Performance Standard 7 Ethics Standard 12 Leadership Standard 14 Professional Practice Evaluation

14.  Current Policy  Best Evidence Practice  Review Policies of Other Countries  Reduce Cost of IVF

15. ◦ Can you provide ethical terms and definitions to support your view elective reduction? ◦ Can you reflect on prior personal experiences and identify ways to handle ethical situations in the future? ◦ Can you accept a willingness to consider other points of view even when they do not reflect your own?

16.  Alligood, M., & Tomey, A. (2010). Nursing theorists and their work (7 th Ed.). Maryland Heights, MO: Mosby Elsevier.  American Nurses Association [ANA] (2010). Nursing: Scope & standards of practice (2010 Ed.). Silver Spring, MD: Nursesbooks.org.  Edge, R., & Groves, J. (2006). Ethics of health care: A guide for clinical practice (3 rd Ed.). Clifton Park, NY: Delmar.  McClimans, L. (2009). Elective twin reductions: evidence and ethics. Bioethics, 24 (60), 295-303.  Orentlicher, D. (2010). Multiple embryo transfers: time for policy. Hastings Center Report. 40 (3), 12-13.