Our class of 2014 has two students with kids (me being one)... It's not impossible, just more difficult. If you have a stay at home wife then you remove a big part of the "problem" equation (how to get kids to school when you both have to be at work or clinicals at 6am).
Otherwise, you just try to balance everything. In fact, I'm in the middle of studying for finals that start next week and go for 8 days or so and had to stop typing to handle my 5 year old. ;-)
You will be tired. You still have to take care of your house, kids, bills, lawn, etc. But you'll live...
