The correct option is C laughing
Let’s examine the sentence: “Betty couldn't help ____ when Oscar fell down.” The sentence specifies a state of action that Betty gets into.’ As the sentence talks about the state of action, and not the action itself, it requires a noun or a gerund. The gerund always has the same function as a noun (although it looks like a verb). The gerund ends in ‘ing.’ As Option D fulfils this requirement, so it is the correct answer. All the other options cannot be used as they would make the sentence meaningless.