Which pillow arrangement supports a proper side-lying position?

• A. One pillow under the head
• B. One pillow under the back, one between legs, and one under the arm
• C. Three pillows under the knees
• D. No pillows are used

Answer: (B)

Side-lying requires keeping the spine in a neutral position and distributing weight to prevent pressure points and joint strain. A pillow under the head maintains proper neck alignment with the spine. A pillow behind the back helps keep the body in a true side-lying position and reduces the tendency to roll onto the back. A pillow between the legs keeps the hips stacked and relieves pressure on the knees and pelvis. A pillow under the top arm supports the shoulder, preventing sagging and reducing strain on the upper body. Together, these supports create stable alignment and comfortable contact points for this position.

Choosing only a pillow under the head misses support for the back, hips, and shoulder; padding only the knees helps with knee comfort but not overall alignment; and using no pillows leaves the body unsupported and increases risk of pressure injuries and misalignment.