Which of the following is a typical finding in puerperal endometritis?

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Puerperal endometritis is an infection of the uterine lining that occurs after delivery. The classic finding is a combination of fever, uterine tenderness, foul-smelling lochia, and an elevated white blood cell count, reflecting an infectious process in the uterus. This set of signs distinguishes an infectious postpartum uterine condition from normal postpartum findings. The other options don’t fit: hypotension with bradycardia isn’t the typical picture of uncomplicated endometritis and could signal shock; clear lochia with a non-tender uterus suggests no infection; severe hyponatremia is not a characteristic feature of puerperal endometritis.