Turk accidentally learns that Carla is pregnant before she does, so J.D. convinces Turk to tell the entire hospital staff so they can all surprise Carla with the joyous news. But when Carla confides to Turk that she can't wait for the day when she can personally share her baby news with the world, Turk and J.D. have to quickly figure out how to contain hospital gossip until Carla can make the discovery on her own. Meanwhile, J.D. tricks the Janitor into swallowing a tiny GPS tacking device. Later, when Elliott puts Dr. Cox into an embarrassing situation, he decides to get even with Elliott through Keith and Carla.