In Semi-Fowlers, which pillow placement helps maintain neutral cervical alignment?

• A. Under head: support neutral cervical alignment
• B. Under knees: prevents posterior pelvic tilt strain
• C. Under arms: prevents shoulder traction
• D. Between knees: prevents hip adduction

Answer: (A)

The main idea here is keeping the cervical spine in its natural alignment when the patient is in a semi-Fowler position. Using a pillow under the head provides direct support to the neck and head so the cervical spine stays in a neutral, slightly curved position that lines up with the rest of the spine. If the head isn’t properly supported, the neck can flex or extend awkwardly, which can strain tissues and disturb airway position. A properly placed head pillow fills the space between the head and pillow and prevents those awkward angles, helping maintain neutral cervical alignment and comfortable breathing.

Pillow support under the knees, arms, or between the knees serves other purposes—such as reducing lower back strain, preventing shoulder traction, or preventing hip adduction—rather than maintaining neutral neck alignment in semi-Fowler's.