Final result
Mid-Prairie High School defeated Regina High School 55–54 — margin of 1.
Standings impact
| # | TEAM | RECORD | PCT |
|---|---|---|---|
| 1 |  Carlisle High School (IA) | 17-1 | .944 |
| 2 |  Waverly-Shell Rock Senior High School | 12-1 | .923 |
| 3 |  Maquoketa High School | 18-2 | .900 |
| 4 |  Nodaway Valley High School | 15-2 | .882 |
| 14 |  Mid-Prairie High School | 12-4 | .750 |
| 15 | RHRegina High School | 11-4 | .733 |