I'm informed by the media that shortly after this indecorous outburst, Alzheimer's Nancy walked out of the meeting. Unfortunately not from shame.
I observe FTR that had this sort of horseshit occurred in the Jed Bartlet White House on The Left Wing, President Bartlet's response would have been,
"Madame Speaker, you can sit down and put that finger back in your mouth, or I can have the Secret Service Police throw you out of the building. You're a guest here, not the resident, let alone the President, and if you cannot conduct yourself appropriately, we can conduct a manners lesson that'll see you bouncing off the steps on your way to the sidewalk. Now sit your ass down before I come around the table and throw you out the door myself."Pity President Trump didn't get the chance to deliver the same message.
With any luck, he'll just turn around and do the same finger pointing at the next five States of the Union. (Or, with any luck, just the next one, before Madame Lunatic becomes the House Minority Leader again, and then retires to join Shrillary at the chardonnay table for three bottles a day.)
Pelosi needs to be put in a home with soft walls. She's clearly lost her fucking tiny mind, and it was never much to begin with.