This post is inspired by this answer of wxu.
Let $K$ be a field, let $I$ be an infinite set, and let $A$ be the $K$-algebra of all $K$-valued functions on $I$, that is $$ A=K^I=\prod_{i\in I}K. $$ Let $\mathfrak a$ be the ideal of $A$ formed by finitely supported $K$-valued functions on $I$, that is $$ \mathfrak a=K^{(I)}=\bigoplus_{i\in I}K. $$ Let $\mathfrak m$ and $\mathfrak n$ be two maximal ideals of $A$ containing $\mathfrak a$. In particular the fields $A/\mathfrak m$ and $A/\mathfrak n$ are extensions of $K$.
Question 1. Are the fields $A/\mathfrak m$ and $A/\mathfrak n$ necessarily isomorphic?
The answer is yes if $K$ is finite. More precisely, in this case we have $A/\mathfrak m\simeq K$. Indeed, let $q$ be the cardinality of $K$ and observe that any element $x$ of $A$, and thus of $A/\mathfrak m$, satisfies $x^q=x$.
But in general we have $A/\mathfrak m\not\simeq K$. For instance if $A:=\mathbb Q^{\mathbb N}$, then
(1) $A/\mathfrak m$ has the cardinality of the continuum.
To see this, consider the set theoretical map
$$
\phi:\{0,1\}^{\mathbb N}\to A=\mathbb Q^{\mathbb N}
$$
whose $n$-th component
$$
\phi_n:\{0,1\}^{\mathbb N}\to\mathbb Q
$$
is defined by
$$
\phi_n(x)=\sum_{i=0}^n2^ix_i.
$$
We claim that the composition
$$
\pi\circ \phi:\{0,1\}^{\mathbb N}\to A/\mathfrak m
$$
of $\phi$ with the canonical projection $\pi:A\to A/\mathfrak m$ is injective. This will imply (1).
Let $x$ and $y$ be two distinct elements of $\{0,1\}^{\mathbb N}$. It suffices to check that $a:=\phi(x)-\phi(y)$ is not in $\mathfrak m$. Writing $a_i$ for the value of $a$ at $i$, there is an $i_0\in\mathbb N$ such that $a_i\neq0$ for $i>i_0$, and thus there is a $b$ in $\mathfrak a\subset\mathfrak m$ such that $a_i+b_i\neq0$ for all $i$, that is $a+b$ is a unit of $A$. This implies $a$ cannot be in $\mathfrak m$, as was to be shown.
Going back to the general setting of Question 1, note that $K$ is algebraically closed in $A/\mathfrak m$. Indeed, let $f\in K[x]$ (where $x$ is an indeterminate) be irreducible of degree at least two, and let $a$ be in $A$. It suffices to show $f(\pi(a))\ne0$, where $\pi:A\to A/\mathfrak m$ is the canonical projection. Since $f(\pi(a))=\pi(f(a))$, we must check that $f(a)$ is not in $\mathfrak m$. But $f(a)$ is a unit of $A$ because we have $f(a)_i=f(a_i)\ne0$ for all $i\in I$.
Question 2. Is $A/\mathfrak m$ always purely transcendental over $K$?
As indicated above, this is true if $K$ is finite (the transcendence degree being $0$ in this case).
EDIT 1. Question 2 is a duplicate of this MathOverflow Question of Lisa S. It seems to me Lisa's question is answered by a comment of Tim Campion.
More precisely, Tim says
"if $F$ is algebraically closed, then so is the ultrapower (it is elementarily equivalent). But I don't think any nontrivial purely transcendental extension of any field is algebraically closed..."
If $F$ is an algebraic closure of $\mathbb Q$, then, as explained in the question, any ultrapower has at least the cardinality of the continuum. In particular such an ultrapower is a proper extension of $F$.
I'm taking this opportunity to thank Anonymous for their answer. I'm studying this answer, and will perhaps make further edits, but I wanted to make this one right away.
EDIT 5. I'm removing Edits 2, 3 and 4. I'm only keeping this link to a MathOverflow answer of Joel David Hamkins.
Summary of the answers: Eric Wofsey's answer shows that the answer to Question 1 is No. Tim Campion's argument mentioned in Edit 1 shows that the answer to Question 2 is also No.
Both answerers asked me generously to accept the other answerer's answer!
For any infinite field $K$, there exists an infinite set $I$ such that two different nonprincipal ultrapowers of $K$ by $I$ have different cardinalities (and are thus not isomorphic). Note first that by picking an ultrafilter that countains a countable subset of $I$, you get an ultrapower of cardinality at most $|K|^{\aleph_0}$ (in terms of ideals, this means there is a countable subset $J\subseteq I$ such that the maximal ideal contains all elements of $K^I$ that vanish on $J$). On the other hand, as mentioned in Anonymous's answer, if the chosen ultrafilter on $I$ is regular, then the ultrapower has cardinality $|K|^{|I|}$. So, if you choose $I$ such that $|K|^{|I|}>|K|^{\aleph_0}$, there will be two nonprincipal ultrapowers of different cardinality.