This study investigated the accommodation strategies employed by nurses during antenatal interactions with pregnant women at Rasheed Shekoni Teaching Hospital, Dutse, using the theoretical lens of Communication Accommodation Theory (CAT). Drawing on audio-recorded sessions and transcribed excerpts of nurse-patient communication, the analysis identified ten convergence-oriented strategies: code-switching, lexical simplification, repetition, metaphorical framing, empathic reassurance, personalization of advice, closed-ended/contextual questioning, politeness and affirmation, prosodic/paralinguistic cues, and sequential structuring. These strategies were examined through their discursive forms and communicative functions, revealing deliberate linguistic and paralinguistic adjustments aimed at enhancing clarity, empathy, and rapport. The study further situated the deployment of these strategies within relevant sociocognitive contexts, including the multilingual and low-literacy environment, cultural reliance on oral traditions, emotional sensitivities of pregnant women, and prevailing interpersonal norms. Findings underscored the critical role of sociolinguistic sensitivity and cognitive modeling in facilitating effective healthcare communication. The study concluded that convergence-driven accommodation is not only a communicative necessity in antenatal care but also a culturally responsive strategy that promotes understanding, trust, and behavioral compliance among patients in multilingual and low-resource settings. Based on these findings, the study recommended that healthcare practitioners receive training in accommodation strategies, culturally tailored communication practices be encouraged in antenatal care, and policy efforts enhance support for linguistically and culturally sensitive healthcare services to improve maternal health outcomes.