| Final | time | L | | 1. United States | 4:01.00 | | Rachel Bootsma, Annie Chandler, Claire Donahue, Amanda Kendall | | Elizabeth Pelton, Ashley Wanland, Elaine Breeden, Erika Erndl | | 2. Canada | 4:07.04 | | Ashley McGregor, Gabrielle Soucisse, Erin Miller, Jennifer Beckberger | | Brenna MacLean, Kierra Smith, Samantha Corea, Caroline Lapierre | | 3. Brazil | 4:07.12 | | Fabiola Molina, Tatiane Sakemi, Daynara De Paula, Tatiana Barbosa |
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| Record: | | Standard A: | | Standard B: |
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