Yes, as a matter of fact, provided that you do a few steps, you can keep track and systematically, efficiently keep track of what is downloaded.
1.Yes it's possible. Provided you keep a track of who has bought what pack (ie. keep a bool value as an NSUserDefault), then they will still have access to it (even if you add more stuff/levels to it).
2.It depends what you mean by notified; they will know if they read the update comments when they install the update. Also you could just choose to alert them when the load the app after the update - your call.
3.If you're submitting the code Apple will review it. Just think of it like any other update to an app.
This is taken directly from here: Update in-app purchase content for iOS app?
After you have updated your content for the app store, you can allow your users to Restore Purchases and obtain the updated content!
Overall, have a mechanism to keep track of the version of the in-App purchases' version and then update when needed!
There is always, apple's own documentation:
Here you go! :)
I hope this is clear and helpful!
EDIT:
After checking the user's content version number and finding that it's outdated, you would call the method (by the way, you would probably implement this checking mechanism in your app delegate.
[[SKPaymentQueue defaultQueue] restoreCompletedTransactions];
This would restore the transactions, but make sure you also need to include the rest of the implementation code!
I assume you know the code to restore in app purchases, but if not, here are a couple good links!
Restore already bought in-app-purchases on iPhone?
http://www.iosdeveloperguide.com/in-app-purchase-heads-up-to-avoid-app-rejection/
http://appotography.com/2011/07/06/restoring-purchases-on-iphone-and-ipad/