The nose/mouth anomaly is to show that the card is upright.
Remember: playing cards were the fist tarot cards.
The queen of spades=the queen of swords.
“Queen Of Swords Description
The Queen of Swords sits on a stone throne decorated with a cherub, representing the Queen’s softer side, and butterflies representing transformation. She faces towards the future, with her left hand raised as if to receive, and in her right hand, she holds a sword up high and straight, representing her desire to find the truth in all matters. As with the earlier Swords Court cards, clouds accumulate in the sky and a strong wind that passes through the trees, symbolising the ongoing nature of change.“