Background: Nurses with competency are the backbone of a health system and the key to reaching the maternal & newborn health targets of Sustainable Development Goals. The aim of this study was to assess Competencies in Essential Obstetric & Newborn Care during Labour among Nurses working in selected Rural Health setup. Methods: A quantitative exploratory research study was carried in the Rural Maharashtra, where 182 Nurses were included by the cluster sampling method. Questionnaire and observation checklist used to collect the data. Results: The results show majority nurses belong to 40 to 50 yrs. age group & not undergone any training on EONC. Majority nurses have average competencies and 96.70 % of nurses had a negative attitude score towards the EONC. Conclusion: The study shows that the majority of nurses had average competencies. This study highlights the need for supportive supervision, periodic assessment of competency & Skill Training to achieving the maternal & newborn health Sustainable Developmental Goals.