First look at the chart and number the heads vertically from 1-50. The black haired male and female at the top are number 1, and the rainbow and blue spiked hair are number 50.
Find out the number that the mother and father are in your game, add those two numbers together and divide it by two. Lets say the number you get is 28, you would count down the chart to 28 and this will likely be the couple's child both male and female.
Any children between the parents could be an expected birth but it's usually the ones closest to the middle number. If the mom and dad have the same number, the child will most likely turn out looking like the father or mother.

The child can also come out looking like the head 1 spot above and below the parents.
The head chart cannot be used to predict all children because sometimes the game will pick a random head on the chart to be their child which is what I call a rare or random child in the family.