This is pretty clear cut, I mean even if it were not rape per se.
a person with a mental age of four is materially incapable of granting consent.
As an added factor, the health risk would close the deal on abortion as the correct route.
As for the side question of mentally handicapped people and reproduction, no person with a mental age estimated to be below the age of consent should be able to give such consent. That creates the status of a statutory rape for all intercourse between such persons.
As for abortions, well, I don't see any difference with normal people, except that the person making the choice should be the mentally-complete parent / guardian.
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Man Alone
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Abstainer: a weak person who yields to the temptation of denying himself a pleasure.
Ambrose Bierce, The Devil's Dictionary.
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