All 4 Uses

utter
in
Hopeless, by Colleen Hoover
(Edited)

As soon as I see the stars above my head, there isn't even enough time to count one of them before my eyes roll back in my head and I'm holding back sounds that I'm too embarrassed to utter.
p. 141.2 *

utter = make (with the voice)
Because until this moment—until the first waves of pure and utter enlightenment wash over me—I had no idea that he was even missing.
p. 145.5

utter = complete or total
With that threat, he spins me around to face him and he shakes my shoulders, glaring at me with utter disappointment.
p. 325.7 *
We spend the rest of the night taking turns expressing how we feel without uttering a single word.
p. 355.6

uttering = making 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.