The gradient of the line is given by change in Y divided by change in X. To find the Y value of the point we must put 2+h into the y=(2-x)(1+x)+3. Doing this we get y=(2-(2+h))(1+(2+h))+3=(-h)(3+h)+3= -3h -h2 +3.
So the change in Y is from 3 to (-3h -h2 +3), the change between these two values is 3h+h2) (found by subtracting the second from the first, remember the order must be the same for Y and X)
The change in x is simply the second subtracted from the first (like with the Y values), so the change in x = 2 -(2+h) = -h
So the gradient is (3h+h2)/-h = -h-3
We can use this to find the gradient at (2,3), if we imagine h getting smaller and smaller (tending to 0) then the line of (2,3) to the point with x coordinate 2+h becomes a line from (2,3) to a point incredibly close to (2,3), so close it tends to it and we can say it is (2,3), not just its close anymore.
So as h tends to 0, the gradient of the line in the first part becomes the gradient of the curve at (2,3), so the gradient is -h-3, as h tends to 0 the gradient becomes -3
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