Continuity mistake: When Jan comes home and tells her parents that Clark didn't notice her at school, she's wearing a white blouse with a floral design and a red ribbon in her hair, but when she gets to her bedroom and accuses Marcia, she's wearing a striped blouse and a light green hair ribbon. Then when Jan talks to Greg she's wearing a green tee shirt and a dark green ribbon, but when she asks permission to go to the store she's back in the striped blouse and light green ribbon.
Continuity mistake: When Cindy goes downstairs to ask "isn't anyone coming up to say goodnight?" or something similar, when Alice is talking to Mike and Carol about Sam not coming over, Cindy is wearing her pyjamas. She then gets in trouble and goes straight back up to her room and she is suddenly dressed in jeans and a top - her hair has different hair ties in it too.
Plot hole: Lots of factors here: The doctors end up with the opposite kids that they were supposed to have... Why didn't they simply switch in the first place rather than go through all the drama? Also, the male doctor admits Alice let him in and most likely Alice would have told him first door on the right (like she's given directions in other episodes) to locate Peter. And the biggest question of all is, what doctor would make a house call and not look for their patient rather than just ending up with someone else they were not called to see (remember, each parent called their own doctor to see their biological kid).
Continuity mistake: When Jan, Marcia, and Cindy search the boys' room Cindy finds the slide projector under Greg's bed, and when Marcia holds up the transparency slide with the "ghost" image, the close-up of the slide presents two problems. First, the "ghost" is horizontal in the wide shots, but is vertical in the close-ups, and second, the fingers holding the slide in the close-up do not belong to Marcia.
Continuity mistake: In "Our Son, the Man", Greg wants his own room. One night, while in bed, Mike and Carol discuss their options. Carol says, "How about the attic?" Mike responds with, "That would be fine if Greg were only two and a half feet tall." Later, they give Greg the den for a while. However, in "A Room at the Top", after cleaning out the attic, which was now full size, both Greg and Marcia want it for their own private room.
Other mistake: A final contest is given for control of "green stamps" with all the kids building a "House of Cards." Whomever causes the cards to fall will be the losers. All is going well until Tiger comes in and knocks into Greg and causes him to bump the table and knock over the cards. If you watch closely at the end of the scene, when all the dialog is finished, you can see Mike trying to knock down a few remaining cards. However they keep popping up. Probably due to the fact that the cards were glued together to make it easier for the kids to build upon.
Continuity mistake: When the kids are building the card castle to see who would get to choose what they get with the stamps, Jan is putting a card on, in one shot her hair is up in a ponytail then in the other shot her hair is down. This happens back and forth when the shots change.