Formula for plus-four confidence interval :
[tex]\hat{p}\pm z^* \sqrt\dfrac{\hat{p}(1-\hat{p})}{n+4}}[/tex]
, where n= Sample size.
[tex]\hat{p}[/tex] = Sample proportion and [tex]\hat{p}=\dfrac{x+2}{n+4}[/tex]
z* = Critical z-value.
Let p be the proportion of puppies area found with early hip dysplasia.
As per given , we have
n= 42
[tex]\hat{p}=\dfrac{5+2}{42+4}=0.1522[/tex]
Since confidence interval is not given , so we assume it as 95% .
z-critical value for 95% confidence is 1.96.
Then, the required confidence interval will become :
[tex]0.1522\pm (1.96)\sqrt{\dfrac{0.1522(1-0.1522)}{42+4}}\\\\ 0.152\pm (1.96)\sqrt{0.002805112173}\\\\ 0.152\pm 0.1038\\\\ =(0.1522- 0.1038 ,\ 0.152+ 0.1038)\approx(0.0484,\ 0.256)[/tex]
Hence, the plus four confidence interval for p = (0.0484, 0.256)
Interpretation: We are 95% sure that the true proportion of puppies area found with early hip dysplasia lies in (0.0484, 0.256).