<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:Three days after delivering a baby at 36 weeks gestation by lower segment transverse cesarean section due to abruptio placentae, a 29-year-old primigravid woman develops fever, chills, and a heavy feeling in her breasts. She also has nausea and abdominal pain. Her temperature is 39.3C 102.7F, pulse is 101min, and blood pressure is 11070 mm Hg. Examination shows full and tender breasts and mild lower limb swelling. Abdominal examination shows diffuse tenderness with no guarding or rebound. Pelvic examination shows foul-smelling lochia and marked uterine tenderness. Laboratory studies show:Hemoglobin 11.3 gdLLeukocyte count 16,300mm3D-dimer 130 ngmLN 250 ngmLSerumCreatinine 1.2 mgdLPelvic ultrasonography shows an empty uterus. Which of the following is the most appropriate next step in management?? A: Hysterectomy, B: IV vancomycin, C: Dilation and curettage, D: IV clindamycin and gentamicin, E: Heparin infusion,  <response>: This is a postpartum patient who is presenting with fever, chills, breast tenderness, nausea, abdominal pain, foul-smelling lochia, and uterine tenderness 3 days after a cesarean section delivery. The key findings are fever, uterine tenderness, and foul-smelling lochia, which are concerning for endometritis. The differential diagnosis includes endometritis, wound infection, mastitis, and thromboembolic disease. However, the foul-smelling lochia and uterine tenderness point specifically to endometritis. The next step would be to start broad-spectrum intravenous antibiotics to cover common pathogens causing postpartum endometritis, such as clindamycin and gentamicin. Hysterectomy, dilation and curettage, and heparin would not be appropriate next steps.D: IV clindamycin and gentamicin 