The study investigated how obstetric nurses recognize and manage clinical risks under conditions of pressure and uncertainty, with an emphasis on the 'silent' cognitive processes shaping their judgment[2]. The research had a qualitative descriptive design with a phenomenological approach based on Tanner's model of clinical judgment and used reflexive thematic analysis according to Braun and Clarke[2]. The analysis identified four phases of clinical judgment—noticing, interpreting, responding, and reflecting—in which a total of 11 interrelated subthemes occurred[2]. In the noticing phase, nurses identify underlying conditions, notice atypical stimuli, and develop vigilance influenced by experience[2]. The interpretation phase included the synthesis of stimuli from multiple sources and the management of conflicting signals between subjective impressions and objective indicators[2]. In the response phase, nurses prioritized actions, communicated and sought confirmation from colleagues when making decisions under uncertainty[2]. The reflection phase involved repeated self-assessment, reflective learning and increasing sensitivity to risk; the cross-cutting theme was permanent risk vigilance, which passed through all stages[2]. The authors suggest strengthening simulation-based training programs and supporting reflective counseling and a collaborative environment to improve decision-making in maternity care[2].