Driving home from Lexus' false labor, Kelsey realizes the teenage parents-to-be aren't prepared. Lilly and her mom are upset when James bails on birthing class. Growing tension between her mom and Caelen's mom make things uncomfortable for McKayla.

Lilly's mom doesn't want the baby to have James' last name. Two weeks before her own due date, McKayla visits her newborn sister. Lexus and Shayden grapple with raising a newborn. And one of the teen girls is given a ring.