The room is 437cm x 323cm.
We need to find the greatest common factor of those two dimensions, but that seems like it's going to take some trial and error with the numbers given, and I'm not a fan of having to divide by things like 13 and 17. If that's what you want to do, go for it! I'll provide another way to think about how to find a greatest common factor when the numbers are wonky.
Make two columns on your scratch paper. Put the two dimensions at the top of each column. Now, just continually subtract whichever number is smaller from whichever number is larger and write down the results. Keep doing this until you get the same number in each column. That's your greatest common factor (yes, this technique works any time you're trying to find the greatest common factor).
437 ... 323 ... subtract the smaller (323) from the larger (437) to get the next row
114 ... 323 ... subtract the smaller (114) from the larger (323) to get the next row
114 ... 209 ... etc.
114 ... 95
19 . . . 95
19 . . . 76
19 . . . 57
19 . . . 38
19 . . . 19
So, the greatest common factor is 19, and that's the length of a side of each of the square pavers.
437/19 is 23, so we have 23 tiles in one direction.
323/19 is 17, so we have 17 tiles in the other direction.
23*17 is 391.
Answer choice C.