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Date: 19 August 2010
Summary
Heat 1
| Rank | Name | Nation | Time |
| 1 | Juliane Reinhold; Lena Kalla; Dorte Baumert; Lina Rathsack | GER | 3:54.31 |
| 2 | Madison Wilson; Zoe Johnson; Emily Selig; Emma McKeon | AUS | 3:54.64 |
| 3 | Alessandra Marchioro; Carolina Bergamaschi; Bruna Rocha; Julia Gerotto | BRA | 3:54.87 |
| 4 | Kiera Janzen; Jordan Mattern; Kaitlyn Jones; Allison Roberts | USA | 3:56.12 |
| Disqualified | |||
| Alexandra Papusha; Kristina Kochetkova; Ekaterina Andreeva; Olga Detenyuk | RUS | ||
| Rank | Name | Nation | Time |
| 1 | Liu Lan; Bai Anqi; Wang Chang; Tang Yi | CHN | 3:54.12 |
| 2 | Lindsay Delmar; Lauren Earp; Tera van Beilen; Rachel Nicol | CAN | 3:54.33 |
| 3 | Boglarka Kapas; Diana Ambrus; Anna Olasz; Agnes Bucz | HUN | 3:57.34 |
| 4 | Xiang Qi Amanda Lim; Adeline Shu Jian Winata; Chriselle Wyn Jia Koh; Xin Jing Cheryl Lim | SIN | 4:01.27 |
| 5 | Kyla Ferreira; Oneida Cooper; Natasha de Vos; Taryn MacKenzie | RSA | 4:02.12 |
| 6 | Yukiko Watanabe; Mina Ochi; Maya Hamano; Mayuko Okada | JPN | 4:02.29 |