Many good nucleophiles are not strong enough bases to abstract protons from ketones and aldehydes. The only game in town is nucleophilic addition. Is an amine a strong enough base to deprotonate a proton alpha to a carbonyl?
In the case of hydroxide addition to a carbonyl, you have an oxyanion intermediate that is not delocalized... it is pretty much localized on the oxygen. The structure resembles an alkoxide. Stable? In a protic solvent it will pretty rapidly pick up a proton and become the geminal diol. Are geminal diols stable? In the case of alpha hydrogen abstraction, the anion is delocalized over both the oxygen and the alpha (or beta) anion. That is a more stable intermediate.
In a nucleophilic addition, the intermediate localizes the negative charge on the oxygen but it can pick up a proton from solvent and form an alcohol. Pretty stable.
In an aprotic solvent what happens?