Normally 'now' just means 'at the present time', and it can be placed in those positions you mention.
A common example from weddings: "I now pronounce you man and wife. You may (now) kiss the bride."
"I used to like sarcasm; I now find it tiresome." (or you could say "now I find it tiresome")
"I will now go to bed."
In questions in common speech, sometimes 'now' has another meaning, but this usage is not as common:
"One day I'll be president!"
"Oh will you now?" ('now' could mean "I don't believe you", "you are really quite impressed with yourself", or, if speaking to a child, could be kindheartedly playing along)