When Robert is driving Ray and Debra to their hospital, they fight over taking "the bridge." There is no bridge between Lynbrook, which is in Nassau County, and Queens County, where Ray and Debra live. The only bridges that are directly connected go to the Bronx or Manhattan. While it is fathomable for someone who lives in Queens to deliver a baby in a Manhattan or Bronx hospital (because one's doctor is at that hospital), is pretty unlikely. Traffic in NY is often quite heavy and most folks would prefer to deliver in a hospital close by.