Owino’s Theory of Nurse-Client Interactions for Childbirth Preparedness is analyzed and evaluated for the first time since its development in 2011. It describes the theory’s professional context by defining the metaparadigm concepts depicted. It shows how Owino’s theory converges with focused antenatal care (FANC) guidelines in key areas of childbirth preparedness, and further recognizes the unique and prohibitive rural context in which antenatal care takes place in rural Suba District of Nyanza Province in Kenya. The theory states the need for both nurse and client to adopt dispositions that help them to rise above the contextual challenges and emphasizes that nurse-client consensus building around the antenatal process requirements and referral provides a stable foundation for design and implementation towards achieving the shared goal of skilled attendant delivery within a prohibitive context. The theory further suggests that ascertaining readiness for delivery begins at the onset of antenatal clinic and continues throughout the antenatal period, with deliberate confirmation of readiness during the exit phase of the antenatal process.