All 6 Uses

utter
in
Uglies
(Edited)

The high hairdo towered over her thin face like dunce cap, the white-blond hair utterly incongruous with her olive skin.
p. 42.3

utterly = completely or totally
How had she uttered something so horrible?
p. 262.8 *

uttered = said
Tally stumbled forward, utterly exposed in the middle of the street.
p. 278.8

utterly = completely or totally
Tally closed her eyes, which made no difference in the utter darkness.
p. 306.5 *

utter = complete or total
He lay on his back, his head turned at an angle that Tally instantly knew was utterly wrong.
p. 316.3

utterly = completely or totally
She could hardly believe she'd uttered them.
p. 396.8

uttered = said with the voice

Definitions:

(1) (utter as in: utter stupidity)
complete or total (used as an intensifier--typically when stressing how bad something is)
(2) (utter as in: utter a complaint)
say something or make a sound with the voice
(3) (meaning too rare to warrant focus)
Less commonly, and archaically, utter can mean to let out.