Based on standard discharge instructions after tubal ligation, the correct options are:
- Expecting heavier menstrual periods.
- Using two forms of birth control to prevent pregnancy.
- Using condoms to prevent sexually transmitted infections.
The other two options are not typically included in discharge instructions after tubal ligation:
- Being prepared for significant mood swings due to hormonal influences: While hormonal changes can occur after tubal ligation, significant mood swings are not commonly listed as a specific instruction.
- Not expecting a change in sexual functioning; may enjoy more: Changes in sexual functioning are not typically addressed in discharge instructions, and the statement about potentially enjoying sex more is subjective and not generalizable.