Yes.
This isn't an ordinary meme in the sense that it takes an image (e.g. a bus and a train crashing) and puts it in a different context / adds text that uses the image as a metaphor (e.g. the bus and train standing for other things).
This is a (photoshopped) picture in which the sense of the image is taken literally by the caption. So yeah… when it takes itself seriously, I can also take this scenario seriously and just think about it.
Edit: But I mean jokes usually also take themselves seriously and you don't think about the scenario. I think the difference is that I don't see anything unordinary or funny in this picture; I don't see a joke. I think playing the Doom soundtrack to an unborn child is something completely reasonable I can imagine doing; so I just focus on what real implications this scenario had (not telling the future mother, which is still bad imo).
If that's how you interpret these kinds of jokes (people pretending to be stupid and shitty to each other): For your own sake, never watch It's always sunny in Philadelphia.
