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Date: 16 August 2010
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Madison Wilson; Emily Selig; Zoe Johnson; Emma McKeon | AUS | 4:09.68 |
| 2 | Alexandra Papusha; Olga Detenyuk; Kristina Kochetkova; Ekaterina Andreeva | RUS | 4:11.07 |
| 3 | Dorte Baumert; Lina Rathsack; Lena Kalla; Juliane Reinhold | GER | 4:11.76 |
| 4 | Rachel Nicol; Tera van Beilen; Lindsay Delmar; Lauren Earp | CAN | 4:16.72 |
| 5 | Mina Ochi; Maya Hamano; Mayuko Okada; Yukiko Watanabe | JPN | 4:16.80 |
| 6 | Natasha de Vos; Taryn MacKenzie; Oneida Cooper; Kyla Ferreira | RSA | 4:23.52 |
| 7 | Julia Gerotto; Carolina Bergamaschi; Bruna Rocha; Alessandra Marchioro | BRA | 4:24.62 |
| Disqualified | |||
| Bai Anqi; Wang Chang; Liu Lan; Tang Yi | CHN | ||