During positioning a client on their side, which pillow placement helps maintain alignment of the legs?

• A. Pillow under head
• B. Pillow under top arm
• C. Pillow behind back
• D. Pillow between knees with top knee flexed, ankle and knee supported

Answer: (D)

Maintaining proper body alignment is essential when turning a client to the side. Placing a pillow between the knees with the top knee flexed and supporting both the ankle and knee keeps the legs in correct alignment, protects the hips and spine, and prevents the top leg from crossing over or twisting awkwardly. This position helps distribute weight evenly and reduces pressure on joints, which enhances comfort and safety during side-lying. Other pillows address neck, arm, or back support but don’t specifically ensure leg alignment, so the between-knees placement with the top knee flexed and supported is the best choice for aligning the legs.