Sydney is a 15-year-old sophomore who finds herself pregnant, and her boyfriend of four years, Mark, is nowhere to be found. While her world explodes around her, she discovers the people in her life are less than supportive. Her best friend, Emily Hawkins, is more concerned with how Sydney's pregnancy will affect Emily's relationship with her mother than how it is going to change Sydney's life. When Sydney and her mother go to a clinic to discuss Sydney's options, there is one option she will not even consider. She is sure Mark will come to his senses and do the "right thing." Mark has other ideas as to what the right thing is.
Sydney is told from the point of view of Emily and Sydney. Emily's strict and uptight mother isn't so perfect after all. As the story unfolds, the skeletons come out of the Hawkins' family closet.