Schuester is stressing out with the Glee club over sectionals, since the club seems to not being do as well during practice. He begins talking to Emma about their lack of energy and the two share an almost-romantic moment, as she wipes mustard off of his chin. Schuester notes that the lack of motivation started when the kids found out that they were competing in sectionals against a school for the deaf and a school for troubled girls just out of juvenile. Sue, eavesdropping on the conversation offers her two cents about how to motivate kids. Schuester decides to try to motivate the kids by having them compete against each other. During the announcement, Finn seems to be quite tired, and has difficulty keeping his eyes open.
Sue is upset with the cheerleaders for not doing well during practice. She noticed a quiver in Quinn’s knee while in a formation, and worries that it will cost then regionals. Sue asks Quinn if she’s doing well, and Quinn says she’s just tired from Glee club, thus intensifying her hatred toward Schuester. Sue then takes it upon herself to make a visit to Terri and tells Terri that Schuester is sleeping with the guidance counselor. Sue recommends that Terri take the position available at the school nurse in order to get her closer to her husband and Emma.
Schuester is then telling Emma about how he is making the Glee club face off against each other and asks her to be the celebrity judge. Emma is flattered and Schuester continues on telling her that she is the most honest person he knows, right as his wife walks in. Terri seems upset and acts cold towards Emma, and then explains to her husband and Emma that she was hired as the school nurse, even though she lacks the credentials.
During football practice and during Glee club, Finn is falling asleep. He expresses some confusion about his feelings regarding his pregnant girlfriend, Quinn, and his Glee club crush, Rachel. The Glee club boys are worried about Finn since he can’t seem to stay awake during practice.
Rachel is upset with the Glee club girls since they all seem to be keen on “winging it” when it comes to the competition against the boys.
Finn goes to see the nurse, Schuester’s wife Terri, at the suggestion of the Glee club boys. Finn begins describing his sleeping habits and his worries about girls, football, dance, and his feelings of being torn between Quinn and Rachel. Finn asks if he can take a nap, and Terri begins telling him of all her own high school accomplishments. She then recommends he take some pseudophedrine to help keep him awake, and Finn obliges.
Finn returns to Glee club and is incredibly hyped up, and overly energetic. The boys then put on their performance in front of the girls, performing a mashup of “It’s my life” and “Confessions.” The girls are stunned by the performance, and worry about their own performances that are to be put on the next day.
Rachel approaches Quinn about her pregnancy and absence at the club. Rachel tells Quinn she dosen’t hate her, and that she won’t judge her. Rachel appeals to her, telling her that she can only hide for a little while longer and that she’s going to need the support from the other Glee kids. Quinn seems touched by Rachel’s graciousness.
Terri calls Howard and asks him to pick up 36 boxes of pseudophedrine for the kids at school. Ken then comes in, hoping to speak frankly with Terri. Ken tells her that he thinks Emma is in love with Schuester. Terri admits to Ken that she only took the nurse position in order to keep closer to her husband. Ken suggests that they begin dating on the side to “cancel out” what Schuester and Emma have. Terri gets angry when Ken starts to cry and tells him to man up. Then gives Ken strict orders to ask Emma to marry him in front of everyone. Ken dosen’t think he can do it so Terri hands him a couple pseudephedrine and tells him to take it and he’ll be fine.
Rachel is having a meeting with the Glee club girls and is incredibly stressed about the performance they need to put on the next day but have no practiced or choreographed for. Kurt then shows up telling them that the boys took something that made their performance so much better.
Rachel accosts Finn in the hallway about taking performance enhancing drugs. She then tells him about her own natural energy maximization by eating a good diet and exercising. Finn defends himself by telling Rachel that she can’t possibly understand the kind of pressure that he’s under. Rachel bluffs and tells him their act is spectacular.
The girls meet up for their own private practice, with “nurse” Terri handing out doses of pseudophedrine to the girls, with the exception of Quinn, due to her pregnancy. The girls all take a the medication, although Rachel does so hesitantly.
Terri and Schuester are eating lunch in the teacher’s lounge and she tells Schuester she put Ken on a new vitamin regimen. Schuester shows concern about its safety since she’s not a real nurse. Terri sees Emma walk in and suddenly sits really close to Schuester and he becomes defensive and bothered by it. He dosen’t believe working together is goog for their relationship, leaving them nothing to talk about at home. Schuester leaves the room, and Terri tells Ken to “do it.” Ken gets on the floor and proposes to Emma. Emma looks overwhelmed.
Rachel introduces the girls Glee number, overly enthusiastic as a result of the decongestants. The girls perform a mash up of “Halo” and “Walking on Sunshine.” Emma and Schuester are impressed by the performance and the boys are concerned about their own ranking in the competition.
Schuester asks Emma to walk with her. He gives Emma credit for helping motivate the kids. Schuester then asks about Ken’s proposal and what she’s going to do. Emma then asks Schuester if he can think of any other options she might have and Schuester looks pensive. Terri sees the two deep into a serious conversation and then confronts Emma in her office. She then starts ripping into Emma, telling Emma she has no chance with her husband. Emma tells Terri that Schuester deserves better than her. Terri tells her to do herself a favor and marry Ken, then leaves the room, leaving Emma quite visibly upset.
Quinn comes to talk to Terri about the baby and admits that she likes her life as a cheerleader and she likes Glee club, but they alone, are already too much. Quinn admits that she can’t raise a baby. Terri expresses concerns about Finn, and Quinn tells Terri she’s doing it for Finn. Quinn also tells Terri that she dosen’t want Shuester to find out about the baby. Quinn then tells Terri that she needs maternity clothes and medical bills paid, but Terri quickly brushes her off telling her that she’s going to be paying the baby’s bills for the next 18 years and that Quinn can handle the first nine months.
Emma visits Ken in the boy’s locker room, obviously disturbed by the jock straps and the odor around. She asks him what a marriage would entail and tells him she’s want to keep her last name, live in separate parts of town, and keep the marriage a secret. Emma then agrees to marry him.
Finn confronts Rachel about the decongestants, letting her know she’s just as bad as he was for doing it. Rachel suggests that they should withdraw from the competition since it’s unfair to cheat using the pseudophedrine. Rachel apologizes to Finn for being so harsh with him previously.
Terri and Schuester are in the principal’s office and Schuester is appalled that Terri gave his students drugs. Terri defends it by stating that they were over the counter medications. The principal divulges that Howard, the one buying the pseudophedrine for Terri, was arrested. Schuester gets upset and asks Terri how he can trust her to raise a baby if she can’t handle a group of teenagers. The principal requests that Terri resigns as school nurse. The principal then tells Schuester that someone will be helping co-chair the Glee club.
The Glee club apolgizes to Schuester, quite obviously feeling responsible for what happened. Schuester tells the kids that they have been assigned a co-director and Sue, the cheerleading coach, walks in.
Emma approaches Schuester in the hallway and tells him that she’s going to marry Ken. Schuester looks upset and disappointed. The two part ways and look back at eachother for a long moment.
At home, Rachel begins working out, practicing the daily routine she described previously to Finn and throws the pseudophedrine into the trash.