An effective stress strategy is to associate yourself with optimistic people, because if you associate yourself with positive people, there's a more likely chance that the positive energy will create a better environment for your body and to help feel better :)
A risk of impaired fetal growth increases is the answer.
-Steel jelly
Are the bumps kinda hard and squishy? If so they could possibly be either fat deposits or tumors. Its always best to get an expert approval so I recommend taking the dog to the vet just to be on the safe side.
Feedback on the job and of the employees know what they are doing