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What should I get my mom for her birthday? She is turning 48. She likes jewelry and candles, but I always?

feel as if I’m getting her the same things over and over again. Getting clothes is hard because I never know her exact size and I can’t get her a gift card for a spa or anything since she is always working and studying for college. She is going to become a nurse so I’m very proud of her for all the hard work she’s doing. I always tell her, but how can I show her that in a gift?