quality_masterpiece, anatomically accurate 、 Side Angle 、 lower angle 、 Nurse、 Nurse服をきちんと着ている、 Nurse帽、 mature woman、 40-year-old woman、 pants 、Ai Shinozaki、 Heavy makeup、、 perfect face, has a plump face 、 Super huge huge tits , sweated, oily skin , oily skin 、 Curvy, Facial flushing, solo focus , chubby、Hospital room、 bed

score_6, score_5, score_4, source_pony, source_furry, source_cartoon, multiple angle, blurry, longbody, lowres, bad anatomy, bad hands, missing fingers, fused NSFW, fingers, mutated hands and fingers, extra digit, missing digit, fewer digits, cropped, worst quality, low quality, text, error, normal quality, jpeg artifacts, signature, watermark, username, missing arms, 2koma, panel layout, extra limbs ,missing limb, monochrome, Sepia, simple background, no background, white background, black background, gray background, red background, blue background, green background, pink background, orange background, yellow background, green background, violet background, brown background, penis, pussy, nipples