Yes you should go to the emergency room.
Upper extremities is radius and ulna it's your hand bone.
Mixed messages- when you say one thing but your body/body language says something else or vice versa or one you say something but the other person looks at it at a different way. It misleads them.
Hope this helps!
Anna should have an amniocentesis, also called amniotic fluid test or (AFT). This will show if there are any infection, genetic disorders or chromosome abnormalities.