Initially, Norma's child was not Gem's, and Eleanor Spencer Atkinson, being self-righteous, even took advantage of Gem's business trip to hold a press conference admitting Elijah's identity. In the end, she took care of Norma until the birth of Elijah despite Gem's opposition.
Likewise, Coral's child was not Gem's, and Eleanor Spencer Atkinson was again self-righteous. She went so far as to secretly provide assistance to the Ruby Clan and even secretly perform DNA testing on Gem and the baby.
When the truth finally came out, Eleanor Spencer Atkinson was greatly shocked and subsequently became much calmer.
Soon after, Gem fell ill and needed umbilical cord blood to save his life. At Tiffany Mamet's request, and with Isla Mamet's assurance, Eleanor Spencer Atkinson chose to save her son.