These two phrases mean the same thing, and are used to emphasize how excited Elizabeth was. They could be combined into one phrase. Alternate translation: "exclaimed loudly" (See: [[rc://en/ta/man/translate/figs-doublet]])
Mary's baby is spoken of as if it is the fruit that a plant produces. Alternate translation: "the baby in your womb" or "the baby you will bear" (See: [[rc://en/ta/man/translate/figs-metaphor]])