The nurse reviews the history and physical and nurses' notes to determine risk factors for this client.Which potential issue(s) place the client at risk? Select all that apply.

Gravida 4: para 3.

Fetal heart rate 136 to 142 beats/minute.

Variable decelerations to 120 beats/minute lasting 20 seconds.

37-weeks, 1-day gestation by 10-week ultrasound.

Pain rating of 5 on 0 to 10 pain scale with each contraction.

Vaginal exam 4 cm dilated, 50% effaced, -3 station.

Contractions every 3 to 4 minutes, moderate to palpation.

A-blood type, received Rh(D) immune globulin.