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Adrian tells Ben that she's not pregnant, much to his relief, but he questions whether she's telling the truth.
Though Ben and Amy are excited to be back together, Amy weighs an opportunity to study music over the summer in New York, but has to juggle her responsibilities as a mother, and Ben is still uncertain if Adrian has been honest with him.
Amy, still unaware that Adrian is pregnant, is off to New York for the summer, and she and Ben profess their love at the airport. With Amy away in New York at music camp, a ridiculous rumor that she is pregnant again spreads through school. Amy begins her senior year of high school and gives guidance to a new student, who's six months pregnant. Ricky and Adrienne go to couples therapy and Adrienne shares a very personal story explaining why she wants commitment so badly.
Meanwhile, Ashley skips school to help comfort Adrian through bouts of morning sickness, and Ricky, who overhears that Adrian might be pregnant, goes to confront her about it.

In the early morning hours, Ben goes to Ricky's apartment for advice on Adrian, and finds that Ricky has a new love interest.
Adrian has decided she does not want to keep the baby, but her parents argue over whose choice that should be. Grace continues to argue with her mom over dating so soon and decides she isn't ready for a serious relationship herself. Jack's parents are moving out of town for a new job and give him the option to stay with a friend while he finishes school. And Jack is desperately trying to find someone to stay with so that his parents can move away. Adrian looks to her mother for guidance, who talks about her own experience as a teen mother and offers her support for whatever Adrian decides. Jack moves into the Bowmans' guest house with Tom, and Ricky is living with the Juergens to help with John.

When Anne goes into labor they come to the conclusion that they won't make it to the hospital in time so George, Amy, and Ashley are forced to deliver the baby at home.
Amy is confused about why Ben is avoiding her after he professed his love to her, and Ricky takes an interest in Ashley. George is worried about Amy being alone in New York, and about Ricky moving into Amy's room while she's gone to help care for John, putting Ricky and Ashley under one roof.
Adrienne and Ricky spend the night together and Ricky finally says the words Adrienne has been waiting to hear. Meanwhile, back at the Jeurgens household George comes to a shocking discovery about the baby.

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