Which statement by a breastfeeding class participant indicates that teaching was effective? Select all that apply

1. "Breastfeeding is worthwhile, even if it costs more overall."
2. "Breastfed infants get more skin-to-skin contact and sleep better."
3. "Breastfed infants have fewer digestive and respiratory illnesses."
4. "Breastfeeding raises the level of a hormone that makes me feel good."
5. "Breastfeeding is complex and difficult, and I probably will not succeed."


2, 3, 4
Explanation:
1. Breastfeeding actually costs substantially less than formula feeding, even considering the need for increased calcium and protein intake during lactation.
2. This is a true statement. Newborns are very responsive to touch, and it is vital for the infant's emotional well-being. The tactile stimulation associated with breastfeeding can communicate warmth, closeness, comfort, and the opportunity to learn each other's behavioral cues and needs.
3. This is a true statement. Reduced infections are due to immunologic properties in breast milk and to the fact that breastfed infants are not put to bed with a bottle, a practice known to increase ear infections.
4. Every time an infant suckles, the prolactin level doubles; prolactin creates feelings of euphoria and relaxation.
5. Although there is skill involved in getting a baby to nurse successfully and coordinating the infant's efforts with the maternal efforts, breastfeeding is not perceived as being difficult by the majority of women who attempt to do so.

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