Final answer:
The paragraph from Nathaniel Hawthorne's 'The Birthmark' uses all of the listed poetic devices: imagery, simile, and metaphor; hence, the correct answer is D. All of these.
Step-by-step explanation:
To explain this conversation, it must be mentioned that in the centre of Georgiana's left cheek there was a singular mark, deeply interwoven, as it were, with the texture and substance of her face. The description uses vivid imagery to detail the appearance and behavior of the birthmark on her cheek. The mark is also compared to a human hand, a clear use of simile, as it suggests that the mark bears similarity to something else rather than stating it is something else outright. Finally, when it's described as 'a crimson stain upon the snow,' it could be seen as a metaphor for its stark distinctness against her pale skin. Therefore, the answer to the question, which asks to identify the poetic device used, is D. All of these.