The five stories lovingly contained in Hearts and Motherhood in Motion are Clara's. Always symbolizing love and comfort, Hearts and Gizzards is the name of a quilt designed by the Ladies' Art Company in 1898. Variations of this design are often found in folk art. These quilt designs became marvelous works of art, carrying with them far greater value than their humble beginnings. Favored by Clara, the Hearts and Gizzards design epitomizes motherhood and caretaking while finding the miraculous in the mundane. The reader sees how quilting gives Clara a sense of communion with the generations of women before her.