Actions catch up with Alma when she finds herself deciding how to proceed with a pregnancy that she may want to go through with, even though she's unmarried and unsure of potential medical complications. Trixie and the Doc both have their thoughts on the matter, but we'll have to wait to see what Alma ultimately decides. Meanwhile, Isringhausen's mysterious plot develops, Cy and Joanie continue probing for usable information about Wolcott, and a new character faces some convoluted and upsetting danger.