I echo PegBroMac's comments. The directions do not make any sense. Stitch a buttonhole and you will get - a buttonhole.
There's something missing here, like explaining how the surrounding embrodiery is done. Is the design imported and added to the buttonhole program? Is it done afterwards? If so, how is it aligned with the finished hole?
This looks like a thinly veiled attempt to sell the buttonhole measuring device.