The partograph is a critical tool for monitoring labor progress and ensuring maternal and fetal well-being. However, nursing students often face challenges in effectively understanding and utilizing it, influencing labor management outcomes. This cross-sectional descriptive study assessed the knowledge and skill levels regarding partograph use among 125 final-year DGNM and BSc Nursing students in a Chennai college. Data collection involved a 35-item questionnaire for knowledge and case-based scenarios for skill evaluation. Results showed that 66% of students had inadequate knowledge, 33% had moderately adequate knowledge, and only 1% demonstrated sufficient knowledge. Similarly, 67% had inadequate skills, 23% had moderately adequate skills, and 10% demonstrated adequate skills. Significant associations were found between knowledge and skills with demographic variables such as age and educational qualifications (p<0.05), while no significant associations were observed for other variables like religion and participation in in-service education programs. The findings highlight the need for simulation-based training and increased clinical exposure to enhance nursing students' competency in partograph use.