The answer is C. The program prints:
7 3 Lift off!

Why?
The loop keeps going while count > 0. Each time round it prints count, then takes away 4. When count reaches -1, the condition is false, the loop stops, and the last line prints.
Trace table
A trace table follows the program step by step. Here’s this one:
| count | count > 0? | new count |
|---|---|---|
| 7 | yes | 3 |
| 3 | yes | -1 |
| -1 | no (stop) |
The code again
count = 7
while count > 0:
print(count)
count = count - 4
print("Lift off!")
Try it: change one number in the program and predict the new output before you run it.