Step 1 :Given a binomial distribution with n = 18 and p = 0.9.
Step 2 :We need to check if a normal distribution can be used to approximate this binomial distribution.
Step 3 :The rule of thumb for this approximation is that both np and n(1-p) should be greater than or equal to 5.
Step 4 :Calculate np and n(1-p):
Step 5 :np = 18 * 0.9 = 16.2
Step 6 :n(1-p) = 18 * (1 - 0.9) = 1.8
Step 7 :Although np is greater than 5, n(1-p) is less than 5.
Step 8 :Thus, it is not appropriate to use a normal distribution to approximate this binomial distribution.
Step 9 :\(\boxed{\text{No}}\)