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

A. Request a prescription for terbutaline from the provider: Terbutaline is a beta-adrenergic agonist used to suppress uterine contractions in preterm labor. This client is postpartum with signs of uterine infection, and uterine involution and drainage are desired rather than uterine relaxation, making terbutaline inappropriate. B. Obtain a culture specimen of the lochia from the client's perineal pad using a sterile swab: The client demonstrates classic findings of postpartum endometritis, including fever, uterine tenderness, foul-smelling lochia, and leukocytosis. Obtaining a lochia culture supports identification of the causative organism and guides targeted antimicrobial therapy. C. Initiate contact precautions: Postpartum endometritis is most often caused by polymicrobial vaginal flora and is not typically transmitted via direct contact. Standard precautions are sufficient, and contact isolation is not indicated in the absence of a highly transmissible pathogen. D. Inform the client she will need to formula feed her newborn until she has received antibiotics for 24 hr.: Clindamycin is considered compatible with breastfeeding, and interruption of breastfeeding is not routinely required. Unnecessary cessation of breastfeeding can interfere with bonding and lactation without improving maternal or neonatal outcomes. E. Encourage the client to maintain a semi-Fowler's position to enhance uterine drainage: Elevating the head of the bed promotes gravitational drainage of infected lochia from the uterus. This positioning helps reduce uterine distention, decreases bacterial proliferation, and supports resolution of uterine infection. F. Instruct the client to wash her hands before and after changing her perineal pad: Proper hand hygiene reduces the spread of microorganisms and prevents reinfection or worsening of the existing uterine infection. This is a critical infection-control measure in postpartum clients with endometritis. G. Monitor the height and tone of the client's fundus: Ongoing assessment of fundal height and tone helps evaluate uterine involution and response to therapy. A boggy or rising fundus may indicate uterine atony or retained products, which can worsen infection and increase hemorrhage risk.