Final answer:
Mrs. Gonzales and Val's visit to the pediatric clinic is hindered by two major blocks: language barrier and cultural differences.
Step-by-step explanation:
There are two major blocks to listening and cultural awareness in the scenario of Mrs. Gonzales and her son Val's visit to the pediatric clinic. The first block is the language barrier. Mrs. Gonzales' poor English skills make it difficult for her to understand and communicate with the healthcare providers, which can hinder effective listening and understanding of the medical information provided. The second block is the cultural differences between Mrs. Gonzales' background and the healthcare system in the US. The different norms, practices, and expectations in healthcare can create confusion and misunderstanding, affecting cultural awareness and the ability to navigate the healthcare system effectively.