It turns out that Lebo is eight months pregnant, but that she never told the doctors since she knew that they wouldn't let her fly to the States with her sister. Lucy has come in to help with the case and they prepare to send the girl to CT, but then all of her vitals start to drop and they have to rush her straight into the OR instead.
April and Owen are walking along together as she sells the idea of a checklist, and how using one with every patient can help cut down on human error. She wants to show him rather than tell him how it works, so for her interview she brings him to see the checklist in action with a patient. The stop at the side of a curtained-off bed as she explains how the checklist would go with each patient's chart and would show any doctor or nurse that looked at it what steps had already been taken. She explains that this patient, Raul, was coughing up blood and the step on the list is to give him a bronchoscopy to rule out cancer. The curtain is ripped open by his horrified wife, since they and their young son heard the word "cancer" and now the kid thinks daddy is going to die. So today, we are back to realizing that curtains aren't audio forcefields like they seem to be so often in this hospital. April tries to clarify that she never said he had cancer but the damage is done. Cristina comes over and reports officially how all of her patients are doing, so Owen tells her to go ahead and take Raul to bronchoscopy. April jumps in, though, and chirps that the protocol on the checklist is to call Teddy and have her schedule the procedure. Cristina is unimpressed and when April and Owen leave, she just checks a few things off the list and takes Raul for the procedure anyway.
In Lebo's surgery, Arizona and Bailey are digging around inside her abdomen, shoving intestines aside to try and find where she is bleeding. Horrifically, as they pull everything aside, they come across the baby, just hanging out in there rather than in a cozy uterus, and Lucy jumps into action to get him out.
While Lucy was in over her head with a pregnant Callie after her accident, that must have been a strange, momentary brain fog because she's all over this totally rare case of a baby incubating outside of a woman's uterus. She explains to Bailey how Lebo's tubes were scarred, so the egg just found somewhere else that it could grow. They cut the cord and Alex takes the baby while Lucy works away to save Lebo, who is now hemorrhaging. After a tense couple of moment, they hear a cry from the little dude, but all of the doctors still seem concerned over their face masks.
Arizona is watching Alex through the window as he hands Lebo her baby and it's obvious to anyone that Alex seriously cares for these patients. When he comes out of the room, Arizona asks him if he's going to Africa. When he tells her that he's not sure yet, she asks point-blank if he's in love with Lucy. Alex is as surprised as I am at the very thought, but he's also a little embarrassed and just tells Arizona that it's a new relationship. He asks why it matters, still displaying some phenomenal obliviousness, even for Alex. April has to explain that she doesn't want to recommend someone who is then going to turn around and do what she did: run back to the girl back home. She warns him to be totally sure of his decision when he finally makes it, or he'll have to answer to her.
Zola is out of surgery and is babbling while playing with her toes. Seriously, this baby might actually kill me. It's like she was genetically engineered to make women start ovulating. Derek gazes at her from the doorway and is joined by Mark and Sofia; Mark baby-talks that Sofia can't wait to have a new friend. His voice turns almost Kermit-esque and Derek gives him an amused look, but Mark promises Derek will be doing the same thing in no time. In fact, we already saw it when he introduced Zola to Meredith for the first time. Derek is really worried about the adoption since it's difficult to get through all of the international hoo-ha (official term) but Mark assures him that he is Derek Shepherd, and on that fact alone it will happen, in addition to the fact that he and Mere will make great parents. It's kind of amazing to see these two boys all grown up.
This heartwarming conversation takes place while Meredith is finally in her interview with the social worker. She's incredibly nervous, and manages to just put her foot deeper and deeper into her mouth as she describes growing up with her non-nurturing surgeon mother but tries to convince the woman that she plans to be different. The worker's face is impassive but there's a hint of sympathy behind her eyes as she asks Mere to tell her about Zola. This, Meredith does with way fewer nerves -- she tells the woman about Zola's surgery and gives a lot of medical information that the woman doesn't understand, but it's clear that Meredith is proud of how Zola did and the worker seems amused. Mere realizes, though, that this probably isn't what the worker meant. She thinks that she's supposed to talk about how cute and sweet Zola is, and she assures the woman that Zola is totally those things, but then trails off and finally asks, embarrassed, for confirmation that she's not doing very well in this interview. The woman assures her that she just wants a sense of who Meredith is, and Meredith tells her that she's a good surgeon, wants to be a good mother and is ready to learn how to do that despite not having much firsthand experience with it. This and her telling of the surgery are the two most sincere, honest moments she has had during the interview, and the worker sees it. She tells Meredith that good moms brag about their babies and know where they are and how they are doing at all times. And even though Zola was in surgery rather than a play group or the like, Meredith knew everything and was watching out for her and then bragged about her, to boot. She tells Mere that she appreciates seeing that, but Mere seems wary and not quite ready to believe her.