United Kingdom
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This is exactly where my mind went. I can't imagine she was just leaving school and decided becoming a nurse would be the best route to killing babies. Or maybe I just don't want to.
A common thing with killers is that they enjoy the rush, I wonder if that's something that developed while she was working, as in she felt that during her legitimate duties and had to push it further and on her timetable.
A monster, regardless.