Sub it all in and multiply the numerator and denominator by [9(x + h) - 2](9x - 2).
In the numerator you'll eventually wind up with 8[(9x + 9h - 2) - (9x - 2)], which is actually just -72h.
I assume you'll eventually take h to 0 (just starting calculus, right?), and in the denominator you'll have (9x - 2)^2.
I hope you weren't hoping for a hint rather than an outright answer!