Yes, not only is she pregnant, but she is also smoking a cigarette. This woman collects pregnant Catrina's (I have never seen a pregnant one before), and had seen a Candlestick Catrina I made, dressed in the leopard print & smoking a cigarette, and asked for one just like it -- only pregnant. I double checked with her about the cigarette, and that's what she wanted!
BTW - Notice the cool cameo on her chest -- it's a silhouette of a "dead" woman. My buddy, Annie from Colorado gave that to me.