| Final 19:01 | time | gap | L | Butter | Rk | Back | Rk | Breast | Rk | | 1. Andreina Pinto |  VEN | 4:48.80 | RJ | 4 | 1:04.27 | 1. | 2:16.05 | 1. | 3:43.24 | 1. | | 2. Natalia Jaspeado |  MEX | 4:53.81 | 5.01 | 5 | 1:04.98 | 2. | 2:23.23 | 2. | 3:45.85 | 2. | | 3. Maria Gabriela Jimenez | MEX | 5:01.16 | 12.36 | 3 | 1:07.10 | 3. | 2:24.84 | 3. | 3:50.58 | 3. | | 4. Karen Alejandra Vilorio |  HON | 5:07.50 | 18.70 | 6 | 1:07.27 | 4. | 2:25.26 | 4. | 3:55.38 | 4. | | 5. Margaret Higgs |  BAH | 5:09.14 | 20.34 | 7 | 1:10.03 | 6. | 2:31.20 | 6. | 3:57.33 | 5. | | 6. Maria Far |  PAN | 5:09.56 | 20.76 | 2 | 1:07.63 | 5. | 2:30.27 | 5. | 4:00.71 | 6. | | 7. Andrea Nicole David |  GUA | 5:25.06 | 36.26 | 1 | 1:10.18 | 7. | 2:33.38 | 7. | 4:09.42 | 7. | | 8. Mariangel Hidalgo |  CRC | 5:34.68 | 45.88 | 8 | 1:13.81 | 8. | 2:37.61 | 8. | 4:14.79 | 8. |
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