You're lying on the ground. You are off-guard and take a –2 circumstance penalty to attack rolls. The only move actions you can use while you're prone are
Crawl and
Stand. Standing up ends the prone condition. You can
Take Cover while prone to hunker down and gain
greater cover against ranged attacks, even if you don't have an object to get behind, which grants you a +4 circumstance bonus to AC against ranged attacks (but you remain off-guard).
If you would be knocked prone while you're Climbing or Flying, you
fall. You can't be knocked prone when Swimming.