How is a toe pleat created?

• A. Pull the top linens out from under the bottom of the mattress slightly and fold them over to form a pleat.
• B. Tuck the bottom linens under the mattress to prevent wrinkles.
• C. Lift the bed frame to create space between linens.
• D. Place a bed cradle to lift the linens.

Answer: (A)

Toe pleat is created by gently pulling the top linens out from under the bottom linens at the foot of the bed and folding them over to form a small fold. This creates a little space for the toes so they aren’t pressed by the fabric, helping the bed look neat while keeping the toes comfortable. The other actions either secure the sheets without making a toe fold, move the bed frame for space (not part of how a toe pleat is formed), or use a bed cradle for lifting linens away from the patient—none of which produce the toe pleat.