Amys Familie hat ein schlechtes Gewissen, weil sie nicht an Amys Geburtstag gedacht hat. Nicht das einzige Problem für Amy: Ricky macht sich noch immer Gedanken darüber, wie die beiden inzwischen zueinander stehen. Währenddessen geben Ben und Adrian vor, sich verloben zu wollen. Betty unterstützt die beiden durch einen sehr teuren Verlobungsring. Doch dann muss Adrian plötzlich ins Krankenhaus ...
Amy calls Ricky to let him know she's angry that everybody, including her parents, have forgotten her birthday. Meanwhile, Adrian has a medical scare with her pregnancy, which leads to some problems with Ben, and Grace's relationship with Grant heats up. Madison's father finds out some unsettling information about his daughter's sex life with Jack, and as Leo gets angrier with Ben, he gains some perspective on his own marriage.
Amy è rimasta ferita dal fatto che i suoi amici e famigliari hanno dimenticato il suo compleanno, Adrian subisce un'emergenza in merito alla gravidanza.
