The slope of a line through any two points is the change in the y-values divided the change in the x-values.
There's a formula you can use to find the slope:
m=(y2-y1)/(x2-x1)
where m is the slope, (x1,y1) are the coordinates of the first point, and (x2,y2) are the coordinates of the second point.
For this problem we're given the points (19,-4) and (-3,9).
So,
x1=19
y1=-4
x2=-3
y2=9
Now we can plug these numbers into the formula:
m=(9-(-4))/(-3-19)
Next, let's simplify:
m=(9+4)/(-22)=13/(-22)=-13/22 which is answer choice c.
I hope you found that helpful!