This mathematics problem involves applying core mathematical principles and formulas. Below you will find a complete step-by-step solution with detailed explanations for each step, helping you understand not just the answer but the method behind it.

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Answer
\text{C
The question asks when the normal approximation to the binomial distribution may be poor, even when the common conditions and are met. These conditions generally indicate that the binomial distribution is sufficiently symmetric and bell-shaped to be approximated by a normal distribution.
Let's analyze the options:
Comparing A and C, both can lead to a poor approximation. However, option C points to an inherent limitation of the normal approximation itself, even when applied correctly. The approximation's accuracy diminishes in the tails, regardless of whether continuity correction is used. If the problem specifically requires high accuracy for tail probabilities, the normal approximation may be poor. Option A describes a procedural error that would make the approximation poor for any probability calculation. The question asks "mainly when" it may be poor, suggesting a scenario where the approximation's inherent limitations are exposed.
Therefore, the most appropriate answer is that the approximation may be poor when accurate tail probabilities are required.
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These conditions generally indicate that the binomial distribution is sufficiently symmetric and bell-shaped to be approximated by a normal distribution.
This mathematics problem involves applying core mathematical principles and formulas. Below you will find a complete step-by-step solution with detailed explanations for each step, helping you understand not just the answer but the method behind it.