Lack of psychological readiness causes students to fear their failure in facing the final exams. This relates to the ability of different coping mechanisms in students. The purpose of this study was to determine the correlation between coping mechanism and readiness of midwifery students for taking academic examination. This study applied a crosssectional study. This study involved 80 first semester midwifery students. Data collection used a questionnaire. Data analysis using Chi Square. The results of the analysis showed adaptive coping mechanism as many as 59 people (73.75%), readiness of students facing exams as many as 26 people (32.5%) and chi square value of 0.44 means that there was no meaningful relationship between student coping mechanisms and student's readiness in facing an exam. There needs to be awareness and support from lecturer so that students are able to manage their mentality to face changing situations and able to develop adaptive coping mechanisms.