Plot summary
On her birthday, Jackie and Kevin remain at odds over custody of the girls; Kevin insists on primary custody unless Jackie can resolve her long work hours. Coop is thrown off when Gloria announces Prentiss as the new ER chief. Carrie dismisses a returning patient with back pain as a pill addict, but Jackie and Prentiss discover that the patient actually has sepsis incurred from her previous hospital visit. Jackie receives a gift of birthday flowers from her father but refuses to accept them; Jackie later calls Charlie's phone and leaves a voicemail confiding about her day.
Gloria begins to experience memory lapses, and Jackie takes advantage of Gloria's memory loss by tricking her into signing off on a shorter work schedule. Still hoping for primary custody, Kevin pushes for psychological testing on the girls. Jackie deters Kevin by asking Fiona to draw a picture of their family, a notable psychological assessment, and pointing out that Fiona has drawn Kevin separately from Jackie and the girls.
Credits
Adapted from Wikipedia contributors, List of Nurse Jackie episodes. HTML formatting and reference markers removed.