The Busbys are back & life is more chaotic than ever! Adam & Danielle have their hands full chasing after their 15 month old quints. And when a doctor recommends an extreme medical procedure for one of the girls, the Busbys face a difficult decision.

The Busbys take a road trip to Lake Charles to help Mimi with her garage sale, and Danielle learns some shocking news from her mom. Meanwhile Danielle & Adam wrestle with a difficult decision of whether or not to allow Hazel to have eye surgery.

When Hazel undergoes eye surgery, Adam and Danielle must anxiously wait to find out if it was a success. Meanwhile at home, life is chaotic as usual as Blayke prepares for kindergarten and Mimi officially moves in.

When Danielle catches the flu, Mimi struggles to take care of 5 babies on her own. Adam plans a 10-year anniversary surprise for Danielle. Later, when Danielle gives a speech for the hospital, she faces the painful past of having premature babies.

Danielle and Adam explore sending the quints to nursery school, but when one of the them isn't allowed to go, the Busbys face the difficult decision of splitting the girls up. As for Mimi, living under the Busby roof has begun to take a serious toll.

After Danielle confronts Adam about his money spending ways, they realize they need to make some tough choices to provide for their six girls. They also continue to step up their efforts to get Hazel walking so she can join her sisters in pre-school.

It's Halloween, but before the Busbys can celebrate the Quints' first trick-or-treat outing, they have to find costumes, shop for pumpkins and get the new house ready for a Halloween party, all while making a final decision on a $100,000 investment.

It's the quints' first family vacation! But with five toddlers running wild, it may feel more like work than vacation time for Adam and Danielle. Meanwhile, Adam struggles to tell his brother-in-law, and boss, about the new business he's starting.