Which of the following is a contraindication for the use of a diaphragm as a contraceptive method?

The correct answer is choice C. OCs can decrease menstrual blood loss and cramps.This is because OCs prevent ovulation and thin the lining of the uterus, which reduces the amount of bleeding and cramping during menstruation.

Choice A is wrong because OCs do not provide protection against STIs.The only contraceptive methods that can prevent STIs are barrier methods, such as condoms.

Choice B is wrong because OCs can have variable effects on libido and sexual satisfaction.

Some women may experience an increase, while others may experience a decrease or no change at all.This depends on individual factors, such as hormone levels, mood, and relationship quality.

Choice D is wrong because OCs can also have variable effects on mood and depression.

Some women may experience an improvement, while others may experience a worsening or no change at all.This also depends on individual factors, such as hormone sensitivity, stress, and history of mental health problems.

The correct answer is choice B.The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.

Some possible explanations for the other choices are:

• Choice A is wrong because the client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure.The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
• Choice C is wrong because the client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure.Ice helps prevent tissue damage and decrease swelling and pain.
• Choice D is wrong because the client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding.The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead.