Step 1: Recall the r scale.
$r$ runs from $-1$ to $+1$. The sign shows direction, the size shows strength, and only a truly exact linear relationship gives $r=\pm1$.
Step 2: Think about the biology first.
As a population's economic status improves, families get better food, cleaner water, and more access to doctors, so infant deaths go down. That is an inverse relationship, so $r$ should come out negative.
Step 3: Drop the perfect values.
Since many things besides income affect infant mortality, such as vaccination coverage or disease outbreaks, a perfect straight line fit with $r=+1$ or $r=-1$ is not realistic for this kind of health data.
Step 4: Drop the wrong sign option.
$r=+0.22$ has the wrong sign for this relationship and is also a weak value, so it does not fit the strong known link between poverty and child deaths.
Step 5: Settle on the fitting value.
$r=-0.8$ is negative and strong, matching a real, well documented inverse tie between economic status and infant mortality, without claiming an impossible perfect correlation.
\[ \boxed{r=-0.8} \]