Nursing students need preparation to care for families in the obstetric (OB) clinical setting where sensitive topics and experiences are routine. Concerns frequently cited by students include providing care during labor and birth, lack of confidence with newborn care, and feeling generally unprepared for the clinical experience. As student confidence is a known critical component in acquiring clinical competence, a preclinical simulation was designed to prepare students and improve self-confidence in the OB area. Topics were chosen on the basis of skills most often required in the OB setting. Prior to simulation, students were assigned readings and videos related to the OB setting. Presimulation preparation was assessed by a required quiz. Skills practiced during simulation included newborn assessment including vital signs, swaddling, fetal heart monitoring, labor support, fundal massage, and urinary catheter insertion. Pre- and postsimulation, students completed a 5-question survey rating their confidence on a 5-point scale. Students were also provided an opportunity to offer open-ended feedback. Postsimulation survey responses reported increased confidence as compared with presimulation surveys. One student stated, "The simulation impacted me by making me more confident when I went to clinical. A lot of the things I learned today I had never seen before. I was pretty nervous about clinical, and I feel much better now and can focus more on what I can learn in clinical." Preclinical simulation was found to be an effective strategy that improved student confidence prior to direct patient care in the OB clinical setting.