Josh Kelley and Katherine Heigl adopted their first child, a daughter, and named her Naleigh. The name has personal significance, as it is a combination of Katherine's mother’s name, Nancy, and her sister's name, Leigh. This choice reflects their desire to honor family while also giving their daughter a unique identity. Naleigh's adoption was a significant moment for the couple, showcasing their commitment to building a family through both adoption and biological means.