After Karoline Leavitt announced her second pregnancy, a labor and delivery nurse publicly celebrated wishing her the most devastating birth injury a woman can suffer.
A Florida judge just handed down her punishment.
And the Florida nurse who wished Karoline Leavitt permanent childbirth injuries just walked away with a $250 fine.
What Lexie Lawler Actually Said on Camera
This wasn't a vague social media rant.
Lawler filmed herself in January 2026 and posted it to TikTok for the world to see.
"As a labor and delivery nurse, it gives me great joy to wish Karoline Leavitt a fourth-degree tear," she said – then added explicit language hoping Leavitt would suffer permanent physical injury.
A fourth-degree tear is the worst obstetric injury a woman can sustain during childbirth – the kind that causes permanent damage.
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The judge said so in writing: "As an experienced labor and delivery nurse, she knew exactly what she was wishing upon Ms. Leavitt, and it was something pretty horrific for any woman experiencing labor and delivery."
The clip went viral after Libs of TikTok amplified it.
Baptist Health Boca Raton Regional Hospital fired her immediately.
Florida Attorney General James Uthmeier went further – publicly demanding the Board of Nursing yank her license entirely, calling her comments "vile" and saying she "doesn't belong anywhere near patients."
The state issued an emergency suspension of her nursing license within days.
The Fine That Makes the Whole System a Joke
Administrative Law Judge Robert S. Cohen delivered his recommended order September 1.
He confirmed the violation – Lawler did break Florida's professional conduct rules by directing abusive and foul language toward a patient, even off-duty, even toward a public figure instead of a bedside patient.
Then he recommended a fine of two hundred and fifty dollars.
That's less than most traffic tickets in Florida.
Cohen cited Lawler's 12-year unblemished nursing record and ruled that the job she already lost was punishment enough – writing that she "has learned from this experience, a costly one in terms of her losing her employment of many years with Baptist Health."
The Florida First District Court of Appeal had already partially restored her ability to work administrative nursing roles in May while proceedings continued.
Her attorney is now filing exceptions to the recommended order, keeping the case open while it goes before the Board of Nursing for a final decision.
But the signal this sends is impossible to miss.
The Calculation Every Leftist Healthcare Worker Just Made
You can target a pregnant Trump official by name, use your professional expertise to describe exactly how you want her permanently injured, post it publicly on social media – and the penalty is a fine you'd pay twice over for a parking violation.
There are roughly four million registered nurses in America.
Some small percentage of them despise the Trump administration and the people who work for it.
After this ruling, every single one of them knows the professional cost of publicly wishing childbirth injuries on a Republican press secretary – and it comes out to roughly what you'd spend on a nice dinner.
Attorney General Uthmeier drew the line clearly in January: "When you have nurses, health care officials, that are threatening moms going through delivery – that is wrong."
A $250 fine doesn't enforce that line.
It erases it.
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The Florida Board of Nursing now has a choice – rubber-stamp a recommendation that reduces professional accountability to a joke, or make clear that licensed healthcare professionals cannot publicly wish graphic harm on pregnant women and keep practicing medicine.
Lawler's GoFundMe raised over $30,000 from supporters who framed her firing as political persecution.
She's not a martyr.
She's a licensed professional who weaponized her clinical expertise to wish permanent injury on a pregnant woman – and then doubled down on camera when criticized.
The Board of Nursing should reject this recommendation and send a message that professional licenses in Florida mean something.
Sources:
- Kayla Rivas, "Florida issues emergency suspension of license of nurse who wished childbirth injury on Karoline Leavitt," Fox News, January 28, 2026.
- Fox News Digital, "Florida attorney general demands nursing board revoke license of nurse who wished injury on Karoline Leavitt," Fox News, January 25, 2026.
- Fox News Digital, "Florida nurse fired after vile TikTok rant targeting pregnant White House press secretary Karoline Leavitt," Fox News, January 23, 2026.
- Michelle Vecerina, "Judge recommends $250 fine, reprimand for fired Florida nurse who targeted Karoline Leavitt in TikTok video," Florida Voice News, September 10, 2026.
- Staff, "Judge: South Florida nurse who slammed Leavitt on TikTok should get fined," WLRN, September 10, 2026.
