In Fowler's position, which pillow placement maintains neutral head posture?

• A. Behind head/upper back: maintain neutral head posture
• B. Under knees: prevents posterior pelvic tilt
• C. Under forearms: prevents shoulder subluxation
• D. Lumbar support

Answer: (A)

Maintaining a neutral head position in Fowler's position hinges on supporting the neck so the head lines up with the spine. A pillow placed behind the head or at the upper back helps fill the space between the head and bed, preserving the natural curve of the cervical spine and preventing the head from tilting into extension or flexion. This alignment supports comfort, reduces neck strain, and helps keep the airway open.

Pillow placement under the knees or under the forearms addresses different aspects of posture—pelvic tilt and shoulder support, respectively—not the neck alignment. Lumbar support targets the lower back curve, not the head.