Eric is approached by a young pregnant girl, Leanne (guest-star Amanda Fuller), for help in finding a family to adopt her baby. However, when Leanne goes into labor, she has a change of heart and suddenly Eric and Annie are stuck with the task of trying to convince Leanne's mother to support her and help find the baby's father. Meanwhile, Simon runs into the brother of the young boy he accidentally killed in the car accident, only to find that the brother has forgiven Simon and would like to help him find closure.

Also, Harry (guest-star Aaron Carter) is confronted by Kevin and Martin for wanting to break up with Ruthie, and all three are surprised to learn that Ruthie wants the exact same thing; and Lucy teaches her first sex education class and finds she may be better at it than she expected.

Eric seeks help from Mary's (Jessica Biel, who does not appear in the episode) ex-boyfriend, Wilson (guest-star Andrew Keegan) after Charlie (guest-star Eric Panler), a new father, confesses to Eric that he has made a mistake and can't handle the responsibility of being a young dad. Meanwhile, Lucy and Kevin argue over which doctor they prefer, and Ben (guest-star Geoff Stults), who has taken an unusual interest in their pregnancy, only makes matters worse by siding with Lucy; and Ruthie has hidden intentions for wanting to hang out with Martin and his best friend Mac (guest-star Kyle Searles), which only leads to disappointment since Mac thinks of her more as a little sister.