@boston85719, thank you for your patience 
I’ve reproduced your issue and done some element customizations, to make it be printed without size squeezing (after converting into the PDF file).
For printing elements with the certain size - I’d like to recommend you to use Custom format, instead of a4 and remove the “Break content into pages” checkbox (if you’re converting a single page):
It will be better to add 15/30 px to the Convert to PDF ConverttoPDF A action, source/target parameters to resolve this issue.
Unfortunately, the Page to PDF plugin is not ideal for per pixel element/page customizations and it will be needed to play around with the source/target parameters to make the converted element look good within the PDF page.
Thank you for understanding 
Regards,