**Core Concept**
Breech presentation refers to a fetus that is positioned to be born feet or buttocks first, rather than the more common head-first position. Footling breech is a subtype where the feet are positioned to be born first, which is associated with a higher risk of complications during delivery.

**Why the Correct Answer is Right**
In a footling breech presentation, the management typically involves a cesarean section (CS) due to the increased risk of umbilical cord prolapse, fetal distress, and other complications. This is because the feet of the fetus are more likely to be compressed or prolapse during delivery, leading to potential harm to the fetus. The decision for a CS is usually made after a thorough evaluation of the mother's and fetus's condition, as well as the presence of any other risk factors.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because external cephalic version (ECV) is not a suitable management option for a footling breech presentation, as it may not be successful and could potentially cause harm to the fetus.
**Option B:** This option is incorrect because inducing labor may not be the best approach for a footling breech presentation, as it may increase the risk of complications during delivery.
**Option C:** This option is incorrect because forceps delivery is not suitable for a footling breech presentation, as it may not be possible to safely deliver the fetus in this position.

**Clinical Pearl / High-Yield Fact**
It's essential to remember that footling breech presentation is a high-risk situation, and a cesarean section may be necessary to ensure a safe delivery for both the mother and the fetus.

**Correct Answer: A. Cesarean section**