A nurse reviews the provider prescriptions and reassesses the client. Exhibits The nurse is continuing to care for the client. Which of the following actions should the nurse take? Select all that apply.

A. Instruct the client to wash her hands before and after changing her perineal pad: Good perineal hygiene is essential in preventing the spread or worsening of infection, especially when endometritis is suspected. B. Initiate contact precautions: Contact precautions are not necessary for endometritis, which is not a contagious condition. Standard precautions are sufficient. C. Monitor the height and tone of the client's fundus: Fundal assessment is important to detect uterine atony and evaluate the response to methylergonovine, which is prescribed to improve uterine tone and reduce postpartum bleeding. D. Encourage the client to maintain a semi-Fowler's position to enhance uterine drainage: This position promotes lochial drainage and prevents pooling of infected discharge in the uterine cavity, supporting infection resolution. E. Inform the client she will need to formula feed her newborn until she has received antibiotics for 24 hr: Most antibiotics used for postpartum infections, including clindamycin, are compatible with breastfeeding. Breastfeeding is usually encouraged unless contraindicated. F. Request a prescription for terbutaline from the provider: Terbutaline is a tocolytic used to relax the uterus in preterm labor, not to treat postpartum infection or improve uterine tone. Methylergonovine is already prescribed for uterine tone enhancement. G. Obtain a culture specimen of the lochia from the client's perineal pad using a sterile swab: Cultures from a perineal pad may be contaminated. If needed, endometrial cultures are obtained using a sterile technique via the cervix.