A nurse is providing care to multiple clients on the postpartum unit. Which of the following clients is at the greatest risk for developing a puerperal infection?

A client who has a cesarean incision that is well-approximated with no drainage.

A client who does not wash her hands between perineal care and breastfeeding.

A client who has an episiotomy that is erythematous and has extended into a third-degree laceration.

A client who is not breastfeeding and is using measures to suppress lactation.