Turk finds out that Carla is pregnant before she does, so J.D. convinces Turk to tell the entire hospital staff to surprise her with the news. However, Carla wants to personally share her baby news with everybody instead, thus Turk and J.D. need to try and contain the hospital gossip. J.D. also tricks the Janitor into swallowing a tiny GPS tracking device. Meanwhile, when Elliot puts Dr. Cox into an embarrassing situation, he decides to get even with Elliot through Keith and Carla.